Nursing ACNS

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

1. Which of the following would NOT be a question you would ask during a patient's cultural assessment?

A) Can you tell me a little bit about what your daily routine looks like?
B) How many people live in your household?
C) What foods do you eat in a typical day?
D) Do you have medical insurance?

2. You have agreed to participate in the Medicare health insurance program and work for a small privately owned physician office. Medicare paid 80% of the charges billed for a clinic visit when the patient was seen by the Adult Clinical Nurse Specialist. What could your employer do about the remaining 20% that is owed to the facility?

A) The facility can resubmit the bill for additional payment on behalf of the Family Clinical Nurse Specialist.
B) The facility can bill the patient for a percentage of the remainder on behalf of the Adult Clinical Nurse Specialist.
C) The facility, on behalf of the Adult Clinical Nurse Specialist, can collect 100% if billed incident to the supervision Medical Doctor.
D) The facility is prohibited from billing the patient in this case.

3. What should be disposed of during an autotransfusion?

A) Clotted blood.
B) Blood.
C) Reinfused blood.
D) Fused blood.

4. What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?

A) Use gestures and pictures that are available.
B) Speak to the patient and family together in hopes that some communication will occur.
C) Speak slowly and loudly.
D) Arrange for an interpreter.

5. You are providing patient education to a female patient who has been diagnosed with herpes simplex 2. She asks about engaging in sexual activity and what type of precautions she must take to avoid infecting her male partner. Which of the following is an appropriate response to this patient?

A) The patient can engage in normal sexual activity as long as she uses condoms and refrains from sexual activity during an outbreak.
B) The patient must refrain from all sexual activity.
C) The patient can engage in sexual activity without a condom as long as there are no lesions present.
D) The patient can engage in normal sexual activity at any time as long as she uses condoms.

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