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Updated: Sep 12, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
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Nursing ACNS Exam Overview:
| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
|---|---|
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS-BC |
| Available Languages: | English |
| Certificate Validity Period: | 5 years |
| Exam Price: | $295 (ANA member) / $395 (non-member) |
| Passing Score: | Scaled score 350 (ANCC scoring scale 200–800) |
| Real Exam Qty: | Approximately 150 scored questions plus unscored pretest items (varies by exam form) |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Exam Duration: | 240 minutes |
| Exam Format: | Computer-based testing (test center or remote proctoring depending on availability), Multiple-choice |
| Recommended Training: | ANCC Official Review and Practice Resources AACN / CNS Advanced Practice Review Courses |
| Exam Registration: | ANCC Certification Application and Registration Prometric Exam Scheduling |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based examination delivered at authorized testing centers or via remote proctoring (availability may vary by region). |
| Pre Condition: | Active RN license and completion of graduate-level CNS education (MSN or DNP) with supervised clinical practicum hours in adult health. |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
|
| Professional Role Development | - Advanced practice nursing roles and ethics
|
| Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?
- A. ketorolac (Toradol) 100 mg IM
- B. ergotamine (Ergostat) 2 mg SL
- C. sumatriptan (Imitrex) 6 mg IM
- D. amitriptyline (Elavil) 100 mg PO
Correct Answer: B 🗳️
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Of the following which is a promotility agent you'd prescribe for your patient's gastrointestinal disorder?
- A. Alosetron.
- B. Senna.
- C. Metoclopramide.
- D. Tegaserod.
Correct Answer: C 🗳️
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You are conducting an abdominal assessment on a patient. During palpation, the patient complains that she is experiencing pain when you release pressure, though not during the palpation itself. This is known as what?
- A. Release pain.
- B. Rebound pain.
- C. Phantom pain.
- D. Quadrant pain.
Correct Answer: B 🗳️
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What does a nurse consider when applying research utilization?
- A. Safety, effectiveness, cost, and impact.
- B. Safety and cost.
- C. Cost, effectiveness, and safety.
- D. Safety and effectiveness.
Correct Answer: A 🗳️
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The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?
- A. Complete blood count (CBC)
- B. Fasting blood glucose level.
- C. Urine keytone analysis.
- D. Glycosylated hemoglobin level.
Correct Answer: D 🗳️
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Online Test Engine can supports Windows / Mac / Android / iOS, etc., because it is the software based on WEB browser. You can use it on any electronic device and practice with self-paced.
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