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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. An open-ended question that invites that patient to elaborate on a point is known as which of the following?
A) Open lead.
B) Leading question.
C) Offering.
D) General lead.
2. A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?
A) Increased irritability, abdominal cramping, and lower extremity weakness.
B) Decreased reflex response, nausea, and vomiting.
C) Weight gain, excessive thirst, and fever.
D) Muscle twitching, numbness of the limbs, and depression.
3. What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?
A) ergotamine (Ergostat) 2 mg SL
B) amitriptyline (Elavil) 100 mg PO
C) ketorolac (Toradol) 100 mg IM
D) sumatriptan (Imitrex) 6 mg IM
4. The MOST common immunological crisis for patients with myasthenia gravis is what?
A) Hypolipidemia.
B) Weakness of the breathing muscles.
C) Hypovolemia.
D) Hemorrhage.
5. What is a hordeolum?
A) Chronic inflammation of the sweat glands of the eyelids.
B) Damage to the corneal epithelium due shingles or herpes infection.
C) Painful acute bacterial infection of a hair follicle on the eyelid.
D) A yellow triangular thickening of the conjunctiva that extends across the cornea.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: C |




