Instantly download ACNS updated real questions
Pass your actual test at first attempt with Nursing ACNS training material
Updated: Sep 16, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
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Nursing ACNS Exam Overview:
| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
|---|---|
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS-BC |
| Exam Price: | $295 (ANA member) / $395 (non-member) |
| Real Exam Qty: | Approximately 150 scored questions plus unscored pretest items (varies by exam form) |
| Certificate Validity Period: | 5 years |
| Exam Duration: | 240 minutes |
| Available Languages: | English |
| Passing Score: | Scaled score 350 (ANCC scoring scale 200–800) |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Exam Format: | Multiple-choice, Computer-based testing (test center or remote proctoring depending on availability) |
| Recommended Training: | AACN / CNS Advanced Practice Review Courses ANCC Official Review and Practice Resources |
| Exam Registration: | ANCC Certification Application and Registration Prometric Exam Scheduling |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based examination delivered at authorized testing centers or via remote proctoring (availability may vary by region). |
| Pre Condition: | Active RN license and completion of graduate-level CNS education (MSN or DNP) with supervised clinical practicum hours in adult health. |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Professional Role Development | - Advanced practice nursing roles and ethics
|
| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
| Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
|
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
You are providing care to a patient who presented with extreme fatigue and weakness. His hair is dry and coarse. He reports having difficulty losing some recently gained weight in spite of regular exercise and a healthy diet. He also says that he gets very cold easily. This patient is displaying symptoms of which of the following?
- A. Cushing's syndrome.
- B. Hypothyroidism.
- C. Hyperthyroidism.
- D. Addison's disease.
Correct Answer: B 🗳️
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A cardiomyopathy of unknown etiology is classified as what?
- A. Dilated.
- B. Hypertrophic.
- C. Idiopathic.
- D. Restrictive.
Correct Answer: C 🗳️
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What must be monitored when a patient is taking Mannitol?
- A. Blood in drainage.
- B. Blood glucose.
- C. CSF osmolarity.
- D. Cheyne-Stoke.
Correct Answer: C 🗳️
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Your 30-year-old female patient suffers from asthm
a. You understand that all of the following are considered maintenance medications except:
- A. short-acting B2 agonists
- B. mast cell stabilizers
- C. leukotriene inhibitors
- D. steroids
Correct Answer: A 🗳️
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Report ____ immediately if a patient has an EVD (external ventricular drain).
- A. All of the above.
- B. Hypertension.
- C. ICP.
- D. CSF output.
Correct Answer: A 🗳️
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By Curitis
As much as i remember, the new questions in the ACNS exam are about 2 similar questions. I was confused by them. But all the other questons are the same, so i still passed the exam with ease.
By Fabian
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