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

1. You are seeing a female patient who has undergone surgery and was bed-bound for a period of time. She has a clinical presentation that is suspicious of deep vein thrombophlebitis (DVT). Which of the following does the Adult Clinical Nurse Specialist find if she has a DVT?

A) severe leg pain
B) unilateral leg edema
C) warmth over the affected area
D) ecchymosis and joint swelling

2. A 52-year old female is in the office with a new-onset of reflux esophagitis. You are assessing her and asking pertinent questions. What do you expect to find with her that would support this diagnosis?

A) active H. pylori infection
B) recent initiation of estrogen-progestin hormonal therapy
C) recent weight loss and fatigue
D) a report of melena

3. Which of the following is considered a Ribonucleotide reductase inhibitor?

A) Hydroxyurea.
B) Estramustine.
C) Bexarotene.
D) Mitotane.

4. Which of the medications listed below could potentially exacerbate CHF in a susceptible individual?

A) furosemide
B) metformin
C) acetaminophen
D) metoprolol

5. How far should the external bumper of a PEG be from the abdominal wall?

A) 1 or 2 mm.
B) 3 or 4 mm.
C) 1 or 2 cm.
D) 3 or 4 cm

Solutions: