Prepare with Nursing ACNS exam practice material, pass for sure
Updated: Sep 13, 2026
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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 |
| Exam Price: | $395 (ANCC members), $295 (ANA members), $395 (non-members) |
| 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 |
| Passing Score: | 350 scaled score (out of 500 possible) |
| Exam Duration: | 180-240 |
| Exam Format: | Multiple-choice questions, Computer-based test (CBT) |
| Available Languages: | English |
| 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:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education and Research | 10-15% | - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal - Clinical Scholarship and Publication - Patient and Staff Education |
| Topic 2: Clinical Expertise in Adult Health | 40-50% | - Diagnostics and Laboratory Interpretation - Health Assessment and Promotion - Therapeutic Interventions and Treatments - Pathophysiology and Clinical Management - Acute and Chronic Disease Management - Pharmacology for Adult Populations |
| Topic 3: Systems and Outcomes | 10-15% | - Healthcare Informatics and Technology - Resource Management and Cost-Effectiveness - Regulatory Compliance and Standards - Healthcare Delivery Systems - Risk Management and Quality Assurance |
| Topic 4: Foundations of Advanced Practice | 8-12% | - Professional Ethics and Legal Issues - Healthcare Policy and Advocacy - Evidence-Based Practice Principles - Theoretical Foundations of Nursing - Advanced Practice Role Development |
| Topic 5: Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Quality Improvement and Patient Safety - Change Management and Innovation - Interprofessional Team Collaboration - Healthcare Leadership Principles |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Which of the following is accurate of the respiratory status of a patient in the compensatory stage of shock?
- A. Requires intubation.
- B. Rapid, shallow respirations; crackles.
- C. >20 breaths / min.
- D. None of these.
Correct Answer: C 🗳️
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What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?
- A. Speak slowly and loudly.
- B. Arrange for an interpreter.
- C. Use gestures and pictures that are available.
- D. Speak to the patient and family together in hopes that some communication will occur.
Correct Answer: B 🗳️
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The information contained with the National Practitioner Data Bank includes all of the following except:
- A. record of clinical privileges
- B. practitioner's licensure
- C. the practitioner's home address
- D. malpractice payment history
Correct Answer: C 🗳️
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A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?
- A. low - medium dose steroid metered dose inhaler
- B. nebulizer treatment
- C. adrenaline injection
- D. Albuterol metered dose inhaler
Correct Answer: D 🗳️
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What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?
- A. ergotamine (Ergostat) 2 mg SL
- B. ketorolac (Toradol) 100 mg IM
- C. amitriptyline (Elavil) 100 mg PO
- D. sumatriptan (Imitrex) 6 mg IM
Correct Answer: A 🗳️
Explanation: Only visible for Test4Sure members. You can sign-up / login (it's free).
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