Updated: Sep 28, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
Download Limit: Unlimited
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| Certification Vendor: | ANCC |
|---|---|
| Exam Name: | Adult Health Clinical Nurse Specialist Certification |
| Exam Number: | ACNS |
| Real Exam Qty: | 150-175 questions |
| Passing Score: | 350 scaled score (out of 500 possible) |
| Available Languages: | English |
| Exam Price: | $395 (ANCC members), $295 (ANA members), $395 (non-members) |
| Exam Format: | Computer-based test (CBT), Multiple-choice questions |
| Related Certifications: | ACCNS-AG (Adult-Gerontology Clinical Nurse Specialist) A-GNP (Adult-Gerontology Nurse Practitioner) CPNS (Clinical Nurse Specialist Perioperative) |
| Certificate Validity Period: | 5 years |
| Exam Duration: | 180-240 |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at PSI Testing Centers; Online proctored option may be available |
| Pre Condition: | Valid registered nurse (RN) license; Master's degree in nursing or higher from an accredited program; Minimum 500 supervised clinical hours in the CNS role; coursework in advanced pathophysiology, pharmacology, and health assessment; 2+ years of relevant nursing experience recommended |
| Official Syllabus URL: | https://www.nursingworld.org/certification/adult-health-clinical-nurse-specialist/ |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Expertise in Adult Health | 40-50% | - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation - Therapeutic Interventions and Treatments - Acute and Chronic Disease Management - Health Assessment and Promotion |
| Topic 2: Systems and Outcomes | 10-15% | - Risk Management and Quality Assurance - Healthcare Informatics and Technology - Healthcare Delivery Systems - Regulatory Compliance and Standards - Resource Management and Cost-Effectiveness |
| Topic 3: Foundations of Advanced Practice | 8-12% | - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Professional Ethics and Legal Issues - Advanced Practice Role Development - Evidence-Based Practice Principles |
| Topic 4: Education and Research | 10-15% | - Clinical Scholarship and Publication - Patient and Staff Education - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement |
| Topic 5: Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Quality Improvement and Patient Safety - Interprofessional Team Collaboration - Healthcare Leadership Principles - Change Management and Innovation |
The following statements are all true regarding the adult Critical Care Nurse's role except:
Correct Answer: B 🗳️
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Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?
Correct Answer: B 🗳️
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A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?
Correct Answer: D 🗳️
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Lead screening during well-child examinations and cholesterol screening for adults are both examples of what type of prevention?
Correct Answer: B 🗳️
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When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?
Correct Answer: A 🗳️
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