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

1. What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?

A) amitriptyline (Elavil) 100 mg PO
B) sumatriptan (Imitrex) 6 mg IM
C) ergotamine (Ergostat) 2 mg SL
D) ketorolac (Toradol) 100 mg IM

2. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

A) prescription for furosemide (Lasix) 40 mg PO qd
B) streptokinase therapy
C) referral for hospitalization for evaluation of heart function
D) addition of a calcium channel blocker to the patient's medications

3. What is a hordeolum?

A) Chronic inflammation of the sweat glands of the eyelids.
B) Painful acute bacterial infection of a hair follicle on the eyelid.
C) A yellow triangular thickening of the conjunctiva that extends across the cornea.
D) Damage to the corneal epithelium due shingles or herpes infection.

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

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

5. Normal HCO3 is which of the following?

A) 15 - 22 mEq/L
B) 22 - 26 mEq/L
C) 37 - 44 mEq/L
D) 10 - 17 mEq/L

Solutions: