- Exam Code: ACNS
- Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
- Updated: May 31, 2026
- Q & A: 202 Questions and Answers
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1. A 29-year-old female is in the clinic with abdominal pain and admits to recent unprotected sex. On examination, the CNS discovers cervical motion tenderness and vaginal discharge. Cultures are obtained and sent to the laboratory. The following would also be necessary:
A) penicillin G 2.4 million units IM
B) metronidazole (Flagyl) 500 mg PO bid x 7 days
C) ceftriaxone (Rocephin) 125 mg IM and azithromycin (Zithromax) 400 mg PO bid x 7 days
D) acyclovir (Zovirax) 400 mg PO bid x 7 days
2. Which of the following is NOT an indication of an infection at a drain site?
A) Fever over 101 degrees F.
B) Swelling.
C) Cloudy discharge.
D) Blood in early drainage.
3. A patient who demonstrates a high-pitched harsh sound on inhalation is described as having which of the following?
A) Bronchial breath sounds.
B) Vesicular breath sounds.
C) Sibilant breath sounds.
D) Stridor breath sounds.
4. Which of the following is the major complication of aortic regurgitation?
A) Myocardial infarction.
B) Congestive heart failure.
C) Aortic rupture.
D) Aortic dissection.
5. 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) amitriptyline (Elavil) 100 mg PO
D) sumatriptan (Imitrex) 6 mg IM
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: B |
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