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

1. Which of the following is a correctly written three-part diagnosis?

A) Nutrition imbalance aeb 20 pound increase rt excessive intake.
B) Nutrition imbalance rt excessive intake-to-need aeb increase of 20 pounds.
C) Excessive intake rt nutrition imbalance aeb increase of 20 pounds.
D) Increase of 20 pounds rt excessive intake aeb nutrition imbalance.


2. A patient who loses consciousness is MOST likely to exhibit what?

A) Plateau wave.
B) C wave.
C) B wave.
D) Cheyne-Stoke.


3. When treating a patient with a history of resolved hepatitis A infection, you also note that her laboratory results show hepatitis B surface antigen (HBsAg) positive. This is most consistent with which of the following?

A) evidence of effective hepatitis B immunization
B) no evidence of hepatitis B infection
C) a resolved hepatitis B infection
D) chronic hepatitis B infection


4. Which of the following would indicate a high level of hematocrit in a female patient?

A) 45 percent
B) 42 percent
C) 35 percent
D) 55 percent


5. The MOST common immunological crisis for patients with myasthenia gravis is what?

A) Hypovolemia.
B) Weakness of the breathing muscles.
C) Hemorrhage.
D) Hypolipidemia.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: D
Question # 4
Answer: D
Question # 5
Answer: B

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