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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:
A) referral for hospitalization for evaluation of heart function
B) prescription for furosemide (Lasix) 40 mg PO qd
C) streptokinase therapy
D) addition of a calcium channel blocker to the patient's medications
2. Lead screening during well-child examinations and cholesterol screening for adults are both examples of what type of prevention?
A) secondary
B) quaternary
C) tertiary
D) primary
3. Hematocrit is also known as what?
A) PCV. (packed cell volume)
B) MCV. (mean cell volume)
C) PVC. (premature ventricular contraction)
D) MVC.(mean value of cells)
4. Your 30-year-old female patient suffers from asthm
a. You understand that all of the following are considered maintenance medications except:
A) mast cell stabilizers
B) steroids
C) short-acting B2 agonists
D) leukotriene inhibitors
5. The CNS understands that she will be treating patients with Title XIX Medicaid of the Social Security Act. The following are accurate statements regarding Medicaid with the exception of:
A) This is a federal and state matching program.
B) Medical assistance is provided to low income persons under this.
C) Providers are allowed to collect from these patients if Medicaid denies the claim.
D) Medicaid pays for health care and prescription drugs.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: C |







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