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

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

1. A patient who is two weeks post-aortic valve replacement asks when he can resume his normal activities. He is recovering well and complying with his regimen of platelet inhibitors and blood pressure medication. He is especially keen to get back to playing on his community rugby team. What is the appropriate guidance for this patient?

A) Tell the patient that he can resume normal activity within 6 weeks of surgery.
B) Tell the patient that he can resume normal activity whenever he feels ready.
C) Tell the patient that he can resume full activity within 3 months of surgery.
D) Tell the patient that he can resume most activity within 3 months, but he must avoid contact sports due to the increased risk of bleeding due to his medication.

2. You are providing care to a patient who has undergone heart surgery. He will be discharged soon. Which of the following is NOT appropriate patient education regarding wound care for this patient?

A) The patient should wash the incision with warm water and plain soap.
B) The patient should contact his doctor immediately if there is redness or oozing around the incision.
C) The patient should keep the incision clean and dry.
D) Some redness, oozing, and swelling around the incision will be normal.

3. Tight, aching, or squeezing pain in the legs and buttocks, which worsens with exercise and is relieved by rest, is known as what?

A) Rest claudication.
B) Ischemia.
C) Intermittent claudication.
D) Peripheral angina.

4. 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) Treat with silver sulfadiazine cream.
C) Use normal saline to clean the broken skin.
D) Rupture the blisters.

5. What is normal ICP?

A) 20 mm Hg or below.
B) 30 mm Hg or below.
C) 15 mm Hg or below.
D) 25 mm Hg or below.

Solutions: