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

1. A patient who is two weeks post-aortic valve replacement asks when he can resume his normal activities. He is recovering well and complying with his regimen of platelet inhibitors and blood pressure medication. He is especially keen to get back to playing on his community rugby team. What is the appropriate guidance for this patient?

A) Tell the patient that he can resume normal activity within 6 weeks of surgery.
B) Tell the patient that he can resume most activity within 3 months, but he must avoid contact sports due to the increased risk of bleeding due to his medication.
C) Tell the patient that he can resume normal activity whenever he feels ready.
D) Tell the patient that he can resume full activity within 3 months of surgery.

2. When caring for a patient nearing the end of life, it can sometimes be helpful to ask the patient about significant events and people in his or her life. This allows the patient to see the good he or she has done in life, to recall important memories, and to put his or her life in context. This exercise is known as which of the following?

A) Spiritual review.
B) Life assessment.
C) Spiritual assessment.
D) Life review.

3. A 29-year-old female is in the clinic with abdominal pain and admits to recent unprotected sex. On examination, the CNS discovers cervical motion tenderness and vaginal discharge. Cultures are obtained and sent to the laboratory. The following would also be necessary:

A) acyclovir (Zovirax) 400 mg PO bid x 7 days
B) penicillin G 2.4 million units IM
C) ceftriaxone (Rocephin) 125 mg IM and azithromycin (Zithromax) 400 mg PO bid x 7 days
D) metronidazole (Flagyl) 500 mg PO bid x 7 days

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

5. Which statement is true regarding the Varicella vaccine?

A) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
B) The vaccine provides minimal protection against invasive Varicella.
C) The Varicella vaccine provides temporary passive immunity to infection.
D) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.

Solutions: