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

1. Which statement is true regarding the Varicella vaccine?

A) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
B) The vaccine provides minimal protection against invasive Varicella.
C) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
D) The Varicella vaccine provides temporary passive immunity to infection.

2. You are providing care to a patient who has undergone heart surgery. He will be discharged soon. Which of the following is NOT appropriate patient education regarding wound care for this patient?

A) The patient should contact his doctor immediately if there is redness or oozing around the incision.
B) The patient should wash the incision with warm water and plain soap.
C) Some redness, oozing, and swelling around the incision will be normal.
D) The patient should keep the incision clean and dry.

3. The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?

A) Emesis.
B) Lavage.
C) Gavage.
D) Stomach pumping.

4. Of the following, what is expected of a patient undergoing conscious sedation?

A) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
B) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.
C) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
D) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.

5. A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?

A) Albuterol metered dose inhaler
B) nebulizer treatment
C) low - medium dose steroid metered dose inhaler
D) adrenaline injection

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