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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:

1. Of the following, which is the rarest type of shock?

A) Neurogenic.
B) Anaphylactic.
C) Acute adrenal insufficiency.
D) Septic.

2. The number of a patient's platelets has decreased. What is this known as?

A) leukopenia
B) coagulopathy
C) thrombocytopenia
D) anemia

3. A sign of cataracts is:

A) Opacity of the lens.
B) Copper and silver wire arterioles.
C) Optic disc swollen with blurred edges.
D) Microvascularization and microaneurysms.

4. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:

A) fluid or sodium excess
B) the need for better blood pressure management
C) noncompliance with medication
D) development of CHF

5. When treating a patient who has an extremely high P.T. level from coumadin (warfarin) usage, the ACNS understands that which of the following is the antidote?

A) Vitamin C
B) Vitamin A
C) Vitamin D
D) Vitamin K

Solutions: