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

ACNS real exams

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Jun 02, 2026

Q & A: 202 Questions and Answers

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

1. Which of the following is accurate of the respiratory status of a patient in the compensatory stage of shock?

A) >20 breaths / min.
B) Requires intubation.
C) None of these.
D) Rapid, shallow respirations; crackles.


2. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?

A) 1 oz of skinless chicken breast.
B) 2 egg whites.
C) 2 whole eggs.
D) 2 sardines.


3. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

A) decreased VT
B) all of the above
C) O2 desaturation by blood gas analysis or pulse oximetry
D) increasing PaCO2


4. A patient has an ADH level of 4.2 pg/mL. What does this indicate?

A) DI.
B) Myxedema.
C) SIADH.
D) Levels are normal.


5. What can hyperprolactinemia be a sign of?

A) Pituitary adenoma.
B) Upper motor neurone lesion.
C) Cerebellar disease.
D) Lower motor neurone lesion.


Solutions:

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

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