Learn with Nursing : ACNS training material for 100% pass

Updated: Sep 28, 2026

No. of Questions: 202 Questions & Answers with Testing Engine

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Nursing ACNS Exam Overview:

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/

Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Expertise in Adult Health40-50%- 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 Outcomes10-15%- 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 Practice8-12%- 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 Research10-15%- Clinical Scholarship and Publication
- Patient and Staff Education
- Research Utilization and Evidence Appraisal
- Data Analysis and Outcome Measurement
Topic 5: Leadership and Consultation15-20%- Consultation and Collaboration Skills
- Quality Improvement and Patient Safety
- Interprofessional Team Collaboration
- Healthcare Leadership Principles
- Change Management and Innovation

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

Question #1

The following statements are all true regarding the adult Critical Care Nurse's role except:

  • A. ANPs acknowledge that the family process is an interaction among family members that serves to promote mental and physical health.
  • B. The ANP focuses on the community for disease prevention and restoration of health in times of illness.
  • C. Adult-focused care is the specialized role of the adult Critical Care Nurse .
  • D. ANPs provide a comprehensive psychosocial approach to caring for individuals that fosters health-promoting lifestyles among family members.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #2

Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?

  • A. 2 plums.
  • B. 1 c apple juice.
  • C. 2 Tbsp raisins.
  • D. ½ c unsweetened canned fruit.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

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?

  • A. in 2-4 weeks
  • B. in 30 days
  • C. in 45 days
  • D. in 7-9 weeks
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

Lead screening during well-child examinations and cholesterol screening for adults are both examples of what type of prevention?

  • A. primary
  • B. secondary
  • C. tertiary
  • D. quaternary
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?

  • A. alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase
  • B. urinalysis, electrolytes
  • C. thyroid-stimulating hormone, triidothyronine, thyroxine
  • D. blood urea nitrogen, creatinine
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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