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

1. The CNS is treating a patient who has been prescribed allopurinol for gout. He has facial swelling, and blisters on his mouth nose and eyes. He tells her that he has had a sore throat and fever for a few days. Which of the following conditions would you suspect?

A) Stevens-Johnson syndrome
B) meningococcemia
C) rocky mountain spotted fever
D) shingles


2. Where should the thyroid be palpated?

A) Between the cricoid bone and the greater trochanter notch.
B) Between the cricoid cartilage and the suprasternal notch.
C) Between the hyoid bone and the suprasternal notch.
D) Between the hyoid cartilage and the greater trochanter notch.


3. Before proceeding with a craniotomy, which drug is normally administered to relax the brain?

A) Aspirin.
B) Dornase alfa.
C) Corticosteroids.
D) Mannitol.


4. 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) migraine with aura
D) age-related headache


5. When should a chest tube be milked?

A) Every 3 hours.
B) Every week.
C) With MD orders.
D) Every day.


Solutions:

Question # 1
Answer: A
Question # 2
Answer: B
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: C

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