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

1. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Administer an antinausea medication and attempt to make the patient comfortable.
B) Notify her doctor immediately so she can be assessed for GI bleeding.
C) Change the patient's diet back to clear liquid if she has progressed to full liquid.
D) Assure the patient that this is normal after CABG and attempt to make her comfortable.

2. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

A) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
B) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
C) Hospitals are mandated to assist every patient to create a "living will."
D) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.

3. The following statements are all true regarding the adult Critical Care Nurse's role except:

A) Adult-focused care is the specialized role of the adult Critical Care Nurse .
B) ANPs provide a comprehensive psychosocial approach to caring for individuals that fosters health-promoting lifestyles among family members.
C) The ANP focuses on the community for disease prevention and restoration of health in times of illness.
D) ANPs acknowledge that the family process is an interaction among family members that serves to promote mental and physical health.

4. Mitral valve prolapse is COMMONLY diagnosed by:

A) Computed tomography scan.
B) Radiograph.
C) Echocardiography.
D) Electro-encephalograph.

5. Which of the following may be administered to a patient who is presenting an arrhythmia after an MI?

A) Pindolol
B) Heparin
C) Disopyramide
D) Nitroglycerin

Solutions: