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Nursing ACNS Exam Syllabus Topics:

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

1. Electronic medical records are gaining acceptance in use and practice. Which of the following is true concerning the electronic medical record?

A) There are no concerns regarding the security of electronic medical records with the implementation of HIPAA.
B) Federal and state governments and major medical institutions are not in favor of electronic medical records.
C) There is no current legislation that applies to electronic medical records.
D) The research involving electronic medical records shows controversial results.

2. The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS) have regulations governing research activities on human subjects. The CNS understands that the principle investigator is responsible for:

A) Reporting to the Institutional Review Board if a subject is injured during the course of the study.
B) All of the above.
C) Securing a signed consent form allowing the research.
D) Going before the Institutional Review Board to present the study and gain approval to proceed with subject recruitment.

3. When using a manometer with an artificial airway, what is the acceptable cuff pressure?

A) <30 cm H2O.
B) <20 cm H2O.
C) <50 cm H2O.
D) <25 cm H2O.

4. What does a nurse consider when applying research utilization?

A) Safety and effectiveness.
B) Cost, effectiveness, and safety.
C) Safety, effectiveness, cost, and impact.
D) Safety and cost.

5. A patient who is described as having a pleural friction rub will exhibit which of the following?

A) A high-pitched harsh sound on inhalation.
B) Whistling, high-pitched breath sounds.
C) A low-pitched, grating sound on inhalation or exhalation.
D) Hollow, high-pitched breath sounds.

Solutions: