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

1. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Change the patient's diet back to clear liquid if she has progressed to full liquid.
B) Assure the patient that this is normal after CABG and attempt to make her comfortable.
C) Administer an antinausea medication and attempt to make the patient comfortable.
D) Notify her doctor immediately so she can be assessed for GI bleeding.

2. The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS) have regulations governing research activities on human subjects. The CNS understands that the principle investigator is responsible for:

A) All of the above.
B) Securing a signed consent form allowing the research.
C) Reporting to the Institutional Review Board if a subject is injured during the course of the study.
D) Going before the Institutional Review Board to present the study and gain approval to proceed with subject recruitment.

3. Which of the following types of drugs is Brethine associated with?

A) Ipratropium.
B) Pirbuterol.
C) Terbutaline.
D) Metaproterenol.

4. 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

5. Of the following nursing models, which one addresses health promotion and suits the practice of the Adult Clinical Nurse Specialist?

A) Pender' Health Promotion Model
B) Neuman's Health Care Systems Model
C) Watson's Human Science and Human Model of Caring
D) King's Interacting Systems Model

Solutions: