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

1. Which of the following is true concerning state boards of nursing?

A) none of the above
B) State boards of nursing are only concerned with initial licensing of an ACCRN.
C) State boards of nursing ensure that the licensees meet minimum competency levels throughout their careers.
D) State boards of nursing have the same requirements, limits, and competence guidelines, and do not vary state to state.

2. You are assessing the patient who has had ulcerative colitis (UC) for 15 years. The Adult Clinical Nurse Specialist knows that after a decade of this disease, a person with UC is at increased risk for:

A) cancer of the large intestine
B) cancer of the esophagus
C) cancer of the small bowel
D) cancer of the stomach

3. How often should a patient flush the toilet after being given radioactive iodine?

A) Twice.
B) Once.
C) 4 times.
D) 3 times.

4. A hold order may be ordered for patients on insulin therapy if the glucose threshold is what?

A) <110 mg/dL.
B) <100 mg/dL.
C) <105 mg/dL.
D) <115 mg/dL.

5. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?

A) Immediately clamp the tube.
B) Immediately attempt to reinsert the tube.
C) Immediately cover the insertion site with Vaseline gauze.
D) Immediately insert a new tube.

Solutions: