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

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

1. A 50 year old patient with hypertension has taken 25 mg of hydrochlorothiazide daily for the past 4 weeks. His blood pressure has decreased form 155/95 to 145/90. How should the nurse practitioner proceed?

A) Increase the hydrochlorothiazide to 50 mg daily.
B) Continue the hydrochlorothiazide at 25 mg daily.
C) Stop the hydrochlorothiazide and start a drug from a different class.
D) Add a drug from another class to the daily 25 mg hydrochlorothiazide.

2. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:

A) fluid or sodium excess
B) noncompliance with medication
C) the need for better blood pressure management
D) development of CHF

3. In Health Maintenance Organizations and Preferred Provider Organizations, providers are paid a monthly fee for each patient enrolled in their panel. What is this fee called?

A) Enrollment fee.
B) Reimbursement charge.
C) Capitation fee.
D) Premium.

4. After an 1 mg overnight dexamethasone suppression test, when should cortisol be tested?

A) Noon.
B) Midnight.
C) 3:00 PM
D) 8:00 AM

5. You are treating your patient with a 5HT4 agonist for his gastrointestinal disorder. Of the following, which would you prescribe?

A) Senna.
B) Tegaserod.
C) Alosetron.
D) Cisapride.

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