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Updated: Sep 05, 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 |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Certificate Validity Period: | 5 years |
| Passing Score: | 350 (scaled score, range 0–500) |
| Exam Price: | $295 – $375 (ANA member: $295; Non-member: $375; includes $140 admin fee) |
| Available Languages: | English |
| Exam Duration: | 210 minutes |
| Exam Format: | Multiple-choice questions, Computer-based |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| 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% | - Quality Improvement and Safety - Education and Mentorship - Clinical Leadership and Consultation - Ethics and Legal Aspects - Evidence-Based Practice and Research |
| Clinical Practice | 46% | - Health Promotion and Disease Prevention - Evaluation of Outcomes - Health Assessment and Diagnosis - Care Planning and Implementation - Pharmacologic and Nonpharmacologic Management |
| Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Healthcare Delivery Models - Resource Management |
| APRN Core Competencies | 16% | - Advanced Pharmacology - Advanced Pathophysiology - Advanced Health Assessment |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Question 1
You are volunteering at a homeless clinic to gain clinical experience. The CNS knows that which statement is true regarding this?
A. Volunteerism negates susceptibility to lawsuits.
B. Malpractice coverage will be provided by the state where the clinic is located.
C. Malpractice insurance is not necessary when working volunteer status.
D. Malpractice insurance will be needed.
Question 2
Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?
A. 1 c apple juice.
B. 2 plums.
C. ½ c unsweetened canned fruit.
D. 2 Tbsp raisins.
Question 3
Which of the following is true concerning state boards of nursing?
A. State boards of nursing are only concerned with initial licensing of an ACCRN.
B. State boards of nursing have the same requirements, limits, and competence guidelines, and do not vary state to state.
C. none of the above
D. State boards of nursing ensure that the licensees meet minimum competency levels throughout their careers.
Question 4
A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:
A. addition of a calcium channel blocker to the patient's medications
B. streptokinase therapy
C. referral for hospitalization for evaluation of heart function
D. prescription for furosemide (Lasix) 40 mg PO qd
Question 5
The CNS is prescribing a prostaglandin analog for his patient. Of the following, which would the CNS prescribe?
A. Zaditor 0.25%.
B. Debrox 6.5%.
C. Travatan 0.004%.
D. Atropine.
Solutions:
| Question 1 Answer: D | Question 2 Answer: A | Question 3 Answer: D | Question 4 Answer: C | Question 5 Answer: C |
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