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

1. What can hyperprolactinemia be a sign of?

A) Lower motor neurone lesion.
B) Pituitary adenoma.
C) Cerebellar disease.
D) Upper motor neurone lesion.

2. Amy is giving instructions to one of her patients about how to properly care for her central IV line at home. The patient states her husband has come with her and will be taking care of her at home. What should Amy do in order to acknowledge what the patient has told her?

A) Advise the patient she needs to care for the line herself.
B) Nod her head and continuing speaking to her patient.
C) Tell the patient she will explain the instructions to him at a later date.
D) Include the husband in the home care instructions.

3. How often should peripheral lines be changed?

A) 24 to 48 hours
B) every week
C) 72 hours
D) every 24 hours

4. Niaspan 1 g would be prescribed when what class of drugs is required?

A) Fibrate.
B) Niacin extended release.
C) Bile acid sequestrant.
D) HMG CoA.

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

Solutions: