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Updated: Aug 12, 2026
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Nursing ACNS Exam Overview:
| Certification Vendor: | ANCC (American Nurses Credentialing Center) |
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Format: | Computer-based, Multiple-choice questions |
| Available Languages: | English |
| Certificate Validity Period: | 5 years |
| Passing Score: | 350 (scaled score, range 0–500) |
| Exam Duration: | 210 minutes |
| Exam Price: | $295 – $375 (ANA member: $295; Non-member: $375; includes $140 admin fee) |
| Recommended Training: | National Association of Clinical Nurse Specialists (NACNS) ANCC Official Study Resources |
| Exam Registration: | ANCC Official Registration Prometric Test Scheduling |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; available year-round within 120-day testing window after approval |
| Pre Condition: | 1. Current, active RN license; 2. Master's, Post-Graduate Certificate or DNP from accredited Adult Health CNS program (CCNE/ACEN/CNEA); 3. Minimum 500 faculty-supervised clinical hours; 4. Completion of graduate-level core courses: advanced pathophysiology, health assessment, pharmacology |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/cns-in-adult-health-renewal/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Role and Professional Responsibility | 33% | - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Ethics and Legal Aspects - Education and Mentorship - Quality Improvement and Safety |
| Clinical Practice | 46% | - Care Planning and Implementation - Evaluation of Outcomes - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Health Promotion and Disease Prevention |
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pharmacology - Advanced Pathophysiology |
| Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Healthcare Delivery Models - Resource Management |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?
A) Position and suction patient to establish airway.
B) Assess patient's breathing depth and rate.
C) none of the above
D) If obtunded, comatose and there's no gag reflex, intubate the patient.
2. Which of the following is the most common cause of blockages in the small intestine?
A) Inflammatory bowel disease.
B) Cancer.
C) Scar tissue.
D) Crohn's disease.
3. When counseling a patient on side effects of her medication, a question comes up. What is the best way to manage and alleviate a common side effect of trazodone?
A) Take this medication in the morning
B) Take this medication at bedtime.
C) Eat more fiber while on this medication.
D) Drink a big glass of water with each dose.
4. The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?
A) Fasting blood glucose level.
B) Glycosylated hemoglobin level.
C) Urine keytone analysis.
D) Complete blood count (CBC)
5. Edema is defined as what?
A) Swelling.
B) Dysfunction.
C) Temperature.
D) Color.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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Online Test Engine can supports Windows / Mac / Android / iOS, etc., because it is the software based on WEB browser. You can use it on any electronic device and practice with self-paced.
Online Test Engine supports offline practice, while the precondition is that you should run it with the internet at the first time.
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PDF Version: can be read under the Adobe reader, or many other free readers, including OpenOffice, Foxit Reader and Google Docs.
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