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

1. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

A) transischemic attack
B) giant cell arteritiis
C) age-related headache
D) migraine with aura

2. You are educating a patient with Type II diabetes mellitus. The Adult Clinical Nurse Specialist understands that secondary causes of hyperglycemia include the use of all of the following medications except:

A) niacin
B) angiotensin receptor blockers
C) thiazide diuretics
D) corticosteroids

3. A patient who demonstrates a high-pitched harsh sound on inhalation is described as having which of the following?

A) Sibilant breath sounds.
B) Bronchial breath sounds.
C) Vesicular breath sounds.
D) Stridor breath sounds.

4. After an 1 mg overnight dexamethasone suppression test, when should cortisol be tested?

A) 8:00 AM
B) 3:00 PM
C) Midnight.
D) Noon.

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

Solutions: