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Last Updated: Oct 25, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
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Nursing ACNS Exam Overview:
| Certification Vendor: | American Nurses Credentialing Center (ANCC) |
|---|---|
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS-BC |
| Real Exam Qty: | Approximately 150 scored questions plus unscored pretest items (varies by exam form) |
| Exam Price: | $295 (ANA member) / $395 (non-member) |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Available Languages: | English |
| Passing Score: | Scaled score 350 (ANCC scoring scale 200–800) |
| Exam Format: | Multiple-choice, Computer-based testing (test center or remote proctoring depending on availability) |
| Exam Duration: | 240 minutes |
| Certificate Validity Period: | 5 years |
| Recommended Training: | ANCC Official Review and Practice Resources AACN / CNS Advanced Practice Review Courses |
| Exam Registration: | ANCC Certification Application and Registration Prometric Exam Scheduling |
| Sample Questions: | DOWNLOAD DEMO |
| Exam Way: | Computer-based examination delivered at authorized testing centers or via remote proctoring (availability may vary by region). |
| Pre Condition: | Active RN license and completion of graduate-level CNS education (MSN or DNP) with supervised clinical practicum hours in adult health. |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Topic 2: Evidence-Based Practice and Research | - Translation of research into clinical practice
|
| Topic 3: Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Topic 4: Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
| Topic 5: Professional Role Development | - Advanced practice nursing roles and ethics
|
Nursing ACNS Exam: What Candidates Want to Know
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) is an official American Nurses Credentialing Center (ANCC) certification exam, registered under the code ACNS. Passing it awards the Adult Health Clinical Nurse Specialist (ACNS-BC) certification, a credential at the Expert level. It also connects to Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC). The exam is demanding by design, and that difficulty is precisely what makes the credential meaningful for career development.
The Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) exam presents Approximately 150 scored questions plus unscored pretest items (varies by exam form) questions within 240 minutes. That is a brisk pace, and the candidates who handle it best are the ones who rehearsed it. Use the PracticeMaterial engine for full timed simulations, practice flagging and returning, and arrive on exam day with a pacing strategy already proven.
Passing Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) takes Scaled score 350 (ANCC scoring scale 200–800), and official registration costs $295 (ANA member) / $395 (non-member). Retakes bill the full $295 (ANA member) / $395 (non-member) again, so preparation is the least expensive insurance available. Let your PracticeMaterial practice scores guide the timing: book when you clear the requirement consistently, not occasionally.
Active RN license and completion of graduate-level CNS education (MSN or DNP) with supervised clinical practicum hours in adult health.
Policies get revised, so confirm the current requirements before you register on the official exam page.
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) registration is handled through the official channels below.
For scheduling purposes: the exam is delivered Computer-based examination delivered at authorized testing centers or via remote proctoring (availability may vary by region)..
Yes, American Nurses Credentialing Center (ANCC) recommends the following training for Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) candidates.
Complement any training with the 202 practice questions in the PracticeMaterial ACNS package, because repeated application is what turns course knowledge into a passing score.
Yes. PracticeMaterial offers a free demo of the Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) questions, so you can verify the quality personally before purchasing. Your purchase then includes a one-year service warranty: updates are free for 365 days, and after expiry you can extend the update service at a 50% discount.
Your money is protected by a 100% money-back guarantee with defined conditions. Take the Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) exam within 60 days of purchase; if you fail, you may claim a full refund, provided the exam matches your product. Attempts within 3 days of purchase are ineligible, as are downloaded-but-unused products, free materials, and expired orders; the candidate name must match the payer name. Submit a scanned enrollment slip and the official Score Report PDF within 2 days of the exam, and claims are processed within 7 days. You may instead wait for the update version or change to other exam material: exchange for two other exam products of equal value, free, with your original purchase keeping its update service.
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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) is organized into 5 official domains. The most heavily weighted are Systems Leadership and Quality Improvement, Evidence-Based Practice and Research, and Professional Role Development. The full breakdown appears above on this page; study the weightings and your preparation priorities set themselves.
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Of the following nursing models, which one addresses health promotion and suits the practice of the Adult Clinical Nurse Specialist?
- A. King's Interacting Systems Model
- B. Watson's Human Science and Human Model of Caring
- C. Neuman's Health Care Systems Model
- D. Pender' Health Promotion Model
Correct Answer: D 🗳️
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Niaspan 1 g would be prescribed when what class of drugs is required?
- A. HMG CoA.
- B. Niacin extended release.
- C. Fibrate.
- D. Bile acid sequestrant.
Correct Answer: B 🗳️
Explanation: Only visible for PracticeMaterial members. You can sign-up / login (it's free).
Which of the following is the major complication of aortic regurgitation?
- A. Aortic dissection.
- B. Aortic rupture.
- C. Myocardial infarction.
- D. Congestive heart failure.
Correct Answer: D 🗳️
Explanation: Only visible for PracticeMaterial members. You can sign-up / login (it's free).
There are several stages in the Trans-Theoretical Model of Change proposed by Prochashka and DiClemente, 1984. Which of the following is NOT one of the stages of change?
- A. Pre-contemplation
- B. Preparation
- C. Action
- D. Self-actualization
Correct Answer: D 🗳️
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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 easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.
- D. He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
Correct Answer: B 🗳️
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