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Last Updated: Jun 27, 2026

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

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

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


2. A patient who is described as having a pleural friction rub will exhibit which of the following?

A) A low-pitched, grating sound on inhalation or exhalation.
B) Whistling, high-pitched breath sounds.
C) A high-pitched harsh sound on inhalation.
D) Hollow, high-pitched breath sounds.


3. Of the following, which is an example of an impaired absorption reason contributing to iron deficiency?

A) Goodpasture syndrome.
B) Multiple gestation.
C) Gastrectomy.
D) Epistaxis.


4. How many daily servings of fruit should a patient on the 2,000 calorie ADA diet consume?

A) 6 servings.
B) 2 servings.
C) 5 servings.
D) 3 servings.


5. A Nurse Practitioner vicariously involved in a dispute between a patient and another provider (an anesthesiologist) by means of being a witness. The Nurse Practitioner provides the patient legal advice on how to prove causation in court. What does the Nurse Practitioner's action of giving legal advice to the patient PRIMARILY demonstrate?

A) Inappropriate action that falls outside a nurse's scope of practice.
B) Breach of duty of nursing standards.
C) Appropriate action that falls within a nurse's scope of practice.
D) Ethical action to protect a patient's welfare.


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: A

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