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

1. Of the following, what is expected of a patient undergoing conscious sedation?

A) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
B) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
C) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.
D) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.

2. Which of the following would NOT be a question you would ask during a patient's cultural assessment?

A) Can you tell me a little bit about what your daily routine looks like?
B) Do you have medical insurance?
C) What foods do you eat in a typical day?
D) How many people live in your household?

3. What is the term for an annual amount of health care costs that the insured individual must pay (usually before the insurance company begins paying for services)?

A) Co-payment.
B) Entitlement.
C) Assignment.
D) Deductible.

4. The CNS is assessing a patient whom he believes has early signs of pneumoni a. To confirm his diagnosis, he should order what?

A) A urine analysis.
B) A Chest X-ray.
C) Electrocardiogram (ECG).
D) Pulmonary function test.

5. You are educating a patient about self-care when she returns home after CABG. She says she cannot wait to take a long tub bath. Which of the following is an appropriate response?

A) Tell the patient that she must avoid tub bathing for the first week at home.
B) Tell the patient that tub baths must be avoided until her incision heals.
C) Tell the patient to take tub baths when she feels ready to do so.
D) Show the patient how to keep her dressing dry.

Solutions: