Try and practice the latest Nursing : ACNS real questions & answers
Updated: Sep 12, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
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Nursing ACNS Exam Overview:
| Certification Vendor: | ANCC (American Nurses Credentialing Center) |
|---|---|
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS |
| Exam Format: | Multiple-choice questions, Computer-based |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Passing Score: | 350 (scaled score, range 0–500) |
| Available Languages: | English |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Price: | $295 – $375 (ANA member: $295; Non-member: $375; includes $140 admin fee) |
| Exam Duration: | 210 minutes |
| Certificate Validity Period: | 5 years |
| Recommended Training: | ANCC Official Study Resources National Association of Clinical Nurse Specialists (NACNS) |
| Exam Registration: | Prometric Test Scheduling ANCC Official Registration |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; available year-round within 120-day testing window after approval |
| Pre Condition: | 1. Current, active RN license; 2. Master's, Post-Graduate Certificate or DNP from accredited Adult Health CNS program (CCNE/ACEN/CNEA); 3. Minimum 500 faculty-supervised clinical hours; 4. Completion of graduate-level core courses: advanced pathophysiology, health assessment, pharmacology |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/cns-in-adult-health-renewal/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pharmacology - Advanced Pathophysiology |
| Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Healthcare Delivery Models - Resource Management |
| Clinical Practice | 46% | - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Evaluation of Outcomes - Care Planning and Implementation - Health Promotion and Disease Prevention |
| Role and Professional Responsibility | 33% | - Ethics and Legal Aspects - Quality Improvement and Safety - Education and Mentorship - Evidence-Based Practice and Research - Clinical Leadership and Consultation |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?
- A. Use water with mild soap to clean the broken skin.
- B. Use normal saline to clean the broken skin.
- C. Rupture the blisters.
- D. Treat with silver sulfadiazine cream.
Correct Answer: C 🗳️
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The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?
- A. Gavage.
- B. Stomach pumping.
- C. Emesis.
- D. Lavage.
Correct Answer: D 🗳️
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A patient has no functional problems. There is, however, potential for problems later. What type of diagnosis is appropriate?
- A. Wellness.
- B. None.
- C. Actual.
- D. Risk.
Correct Answer: D 🗳️
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Which of the following is a normal reaction to a Weber test?
- A. The patient hears the tuning fork in the midline.
- B. Passive movement creates little resistance.
- C. The patient hears the tuning fork laterally.
- D. The patient gags after the throat is stimulated.
Correct Answer: A 🗳️
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A male patient is in the office with a deep cough, which is worse at night, as well as wheezing and mucoid sputum production. A diagnosis of bronchitis is made. Which of the following is NOT a good management technique?
- A. Antibiotic treatment is not recommended in uncomplicated acute bronchitis.
- B. Cough suppressants are encouraged in all cases.
- C. Tell the patient to stop smoking.
- D. Tell the patient to avoid antihistamines.
Correct Answer: B 🗳️
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