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Acute Care Clinical Nurse Specialist - Adult Gerontology Practice Test

ACCNS-AG test Format | Course Contents | Course Outline | test Syllabus | test Objectives

Exam Code: ACCNS-AG
Exam Name: Acute Care Clinical Nurse Specialist - Adult Gerontology
Exam format: Computer-based- linear (fixed form)
Number of Questions: 175 multiple choice questions
Number of scored items: 150 scored questions (25 are unscored “pretest” items used for statistical data)
Time allotted: 3½ hours (3.5 hours)
Passing score / cut score: 94 correct out of the 150 scored items
Certification valid for: 5 years

Cardiovascular
- Acute coronary syndrome
- Acute inflammatory disease (e.g.- myocarditis-endocarditis- pericarditis)
- Cardiac surgery
- On-pump
- Off-pump
- Valve procedures
- Hybrid procedures
- Revascularization procedures
- Cardiac tamponade
- Cardiac trauma (blunt and penetrative)
- Cardiogenic shock
- Cardiomyopathies (e.g.- hypertrophic- dilated-restrictive- idiopathic)
- Coronary artery disease
- 9Dyslipidemia
- Dysrhythmias
- Heart failure
- Acute
- Chronic
- Advanced
- Hypertension
- Hypertensive urgencies or emergencies
- Peripheral vascular insufficiency (e.g.- acutearterial occlusion- carotid artery stenosis-endarterectomy- peripheral stents andFem-Pop bypass)
- Pulmonary edema
- Ruptured or dissecting aneurysm
- Structural heart defects and disease (acquiredand congenital)
- Mechanical circulatory support
- IABP
- VA ECMO
- VV ECMO
- Impella
- LVAD
Respiratory
- Acute pulmonary embolus
- Acute respiratory distress syndrome (ARDS)
- Acute respiratory failure
- Air-leak syndromes (e.g.- pneumothorax-pulmonary interstitial emphysema-pneumopericardium- pneumomediastinum)
- Airway obstruction (e.g.- angioedema- mucusplug- air space-occupying lesions)
- Aspiration
- Asthma/reactive airway disease
- Chronic lung disease (e.g.- COPD exacerbation-interstitial pulmonary fibrosis- cystic fibrosis)
- Chronic respiratory failure (e.g.- ventilatordependency)
- Obstructive sleep apnea
- Pulmonary hemorrhage
- Pulmonary arterial hypertension
- Pulmonary infections (e.g.- pneumonia-tuberculosis)
- Thoracic surgery (e.g.- lung reduction-pneumonectomy- lobectomy- tracheal- lungtransplant)
- Thoracic and pulmonary trauma andinjuries (e.g.- lung contusions- fractured ribs-hemothorax)
- Restrictive lung disease (e.g.- obesityhypoventilation- tumor metastasis- pulmonaryfibrosis)
- Pleural effusion
Endocrine/Hematology/Gastrointestinal/Renal/Integumentary
- Endocrine
- Adrenal disorders
- Diabetes mellitus
- Diabetic ketoacidosis (DKA) and hyperglycemichyperosmolar state (HHS)
- Hyperglycemia
- Hypoglycemia
- 6Pituitary disorders
- Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
- Diabetes insipidus (DI)
- Thyroid disorders
- Hematology/Immunology/Oncology
- AIDS and HIV
- Anemias (e.g.- microcytic- macrocytic)
- Autoimmune diseases
- Coagulopathies (e.g.- VTE- DIC-hypercoagulable states)
- Congenital and acquired immunosuppression
- HELLP syndrome
- Myelosuppression (e.g.- neutropenia- anemia-thrombocytopenia)
- Sickle cell disease
- Gastrointestinal
- Abdominal trauma
- GI hemorrhage
- Bowel infarction/obstruction/perforation
- Gastroesophageal reflux
- Gastrointestinal infectious disorders
- GI motility disorders (e.g.- constipation-diarrhea- ileus- gastroparesis)
- GI surgeries
- Hepatorenal syndrome
- Liver disease (e.g.- hepatitis- hepatic failure)
- Malnutrition
- Nausea/vomiting
- Pancreatitis
- Peptic ulcer disease
- Renal/Genitourinary
- Acute kidney injury (AKI)
- Chronic kidney disease (CKD)
- Contrast-induced nephropathy
- Electrolyte imbalances
- Fluid volume imbalances
- Incontinence
- Infections (e.g.- UTI- PID- STIs)
- GU Trauma
- Integumentary
- Exfoliative skin disorders (e.g.- StevensJohnson syndrome)
- Extravasation
- Pressure injuries
- Wounds (surgical and nonsurgical)
Musculoskeletal/Neurology/Psychosocial
- Musculoskeletal
- Mobility disorders (e.g.- immobility- debilitysecondary to acute- chronic or critical illness)
- Infections (e.g.- necrotizing fasciitis-osteomyelitis)
- Neuromuscular dysfunction related to illness
- Osteoarthritis
- Spinal disease (e.g.- scoliosis- kyphosis- discdisease)
- Musculoskeletal trauma
- Neurology
- Brain death
- Cerebral salt wasting
- Encephalopathy
- Head and brain trauma/injury
- Hydrocephalus
- Intracranial hypertension
- Intracerebral hemorrhage
- Neurologic infectious diseases
- Seizure disorders
- Space-occupying lesions
- Spinal cord injury
- Stroke
- Vascular malformation
Psychosocial/Behavioral/Cognitive Health Issues
- Aggression
- Agitation
- Anxiety disorders (e.g.- PTSD- OCD- fears-phobias)
- Capacity for decision-making
- Delirium
- Dementia
- Maltreatment
- Medical nonadherence
- Mood disorders (e.g.- depression)
- Personality disorders (e.g.- anti-socialbehaviors- schizophrenia)
- Post-ICU syndrome
- Substance use disorder
- Suicidal behavior
Factors Influencing Health Status (risk assessment- prevention and wellness)
- Advance care planning
- Cancer prevention (e.g.- tobacco cessation-sunscreen)
- Caregiver burden
- Life stage transitions
- Immunizations
- Mental health screenings (e.g.- depression-suicidal ideation- eating disorders)
- Nutrition and weight management
- Pain prevention and management
- Prudent heart living
- Risk-taking behaviors (e.g.- substance use-unprotected sex)
- Secondary prevention (e.g.- cardiac rehab-pulmonary rehab)
- Sleep hygiene
- Vulnerable population screens(e.g.- intimate partner violence- human trafficking)
- Social determinants of health (e.g.- access to care- socioeconomic factors- health literacy)
- Population health
- Team-based care
Multisystem
- Acid-base imbalances
- Bariatric care issues
- Burns
- Compartment syndrome
- Distributive shock (e.g.- anaphylaxis-neurogenic)
- End-of-life issues
- Failure to thrive
- Hospital-acquired conditions (e.g.- CAUTI-CLABSI- falls- pressure injuries)
- Hypovolemic shock
- Hypoxic ischemic encephalopathy
- Infectious diseases (e.g.- viral- bacterial)
- Methemoglobinemia
- Multisystem trauma
- Nonfatal drowning
- Pain
- Palliative care issues
- Rhabdomyolysis
- Sensory impairment (e.g.- hearing loss)
- Sepsis/septic shock and MODS
- Toxic exposures- ingestions and inhalations(e.g.- overdose- carbon monoxide- lead-asbestos)
- Transgender care issues
- Withdrawal (e.g.- alcohol- opioids-benzodiazepines)
- Antimicrobial stewardship

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Nursing
ACCNS-AG
AACN Acute Care Clinical Nurse Specialist - Adult
Gerontology
https://killexams.com/pass4sure/exam-detail/ACCNS-AG
Question: 1
Which of the following gastrointestinal disorders is characterized by
inflammation of the lining of the digestive tract?
A. Gastritis
B. Cirrhosis
C. Diverticulitis
D. Cholecystitis
E. Pancreatitis
Answer: A
Explanation: Gastritis is a gastrointestinal disorder characterized by
inflammation of the lining of the digestive tract, particularly the stomach.
Options B, C, D, and E are all gastrointestinal disorders but do not specifically
involve inflammation of the digestive tract.
Question: 2
Which of the following endocrine disorders is caused by an insufficient
production of insulin?
A. Type 1 diabetes mellitus
B. Type 2 diabetes mellitus
C. Cushing's syndrome
D. Addison's disease
E. Hyperthyroidism
Answer: A
Explanation: Type 1 diabetes mellitus is caused by an autoimmune destruction
of the insulin-producing cells in the pancreas, leading to an insufficient
production of insulin. Options B, C, D, and E are associated with other
endocrine disorders but do not involve a primary deficiency in insulin
production.
Question: 3
Which of the following conditions is characterized by impaired myocardial
function and reduced cardiac output?
A. Atherosclerosis
B. Myocardial infarction
C. Arrhythmia
D. Heart failure
E. Angina pectoris
Answer: D
Explanation: Heart failure is a condition in which the heart is unable to pump
enough blood to meet the body's demands. It is often associated with impaired
myocardial function and reduced cardiac output. Options A, B, C, and E are all
related to cardiovascular health, but they do not specifically describe the
condition of heart failure.
Question: 4
Which of the following hematological disorders is characterized by an
abnormal increase in the number of white blood cells?
A. Anemia
B. Leukemia
C. Thrombocytopenia
D. Hemophilia
E. Sickle cell disease
Answer: B
Explanation: Leukemia is a hematological disorder characterized by an
abnormal increase in the number of white blood cells. Options A, C, D, and E
are all related to hematological disorders but do not involve an abnormal
increase in white blood cells.
Question: 5
Which of the following is considered a clinical judgment skill?
A. Administering medications
B. Assessing vital signs
C. Performing wound dressings
D. Analyzing patient data to make decisions
E. Documenting patient information
Answer: D
Explanation: Clinical judgment involves the ability to analyze and interpret
patient data to make informed decisions about their care. Options A, B, C, and
E involve specific tasks or procedures, but they do not directly address the
critical thinking and decision-making skills necessary for clinical judgment.
Question: 6
Which of the following neurological conditions is characterized by progressive
degeneration of nerve cells in the brain and spinal cord?
A. Parkinson's disease
B. Multiple sclerosis
C. Alzheimer's disease
D. Epilepsy
E. Stroke
Answer: C
Explanation: Alzheimer's disease is a neurological condition characterized by
progressive degeneration of nerve cells in the brain and spinal cord, leading to
memory loss and cognitive decline. Options A, B, D, and E are all neurological
conditions but do not specifically involve the degeneration of nerve cells seen
in Alzheimer's disease.
Question: 7
Which of the following musculoskeletal conditions is characterized by
inflammation and degeneration of the joints?
A. Osteoporosis
B. Osteoarthritis
C. Rheumatoid arthritis
D. Gout
E. Fibromyalgia
Answer: C
Explanation: Rheumatoid arthritis is a chronic autoimmune disease
characterized by inflammation and degeneration of the joints. Options A, B, D,
and E are all musculoskeletal conditions but do not specifically involve
inflammation and degeneration of the joints as seen in rheumatoid arthritis.
Question: 8
Which of the following renal/genitourinary conditions is characterized by the
formation of kidney stones?
A. Renal failure
B. Urinary tract infection
C. Glomerulonephritis
D. Polycystic kidney disease
E. Nephrolithiasis
Answer: E
Explanation: Nephrolithiasis refers to the formation of kidney stones. Options
A, B, C,and D are all renal/genitourinary conditions, but they do not
specifically involve the formation of kidney stones.
Question: 9
Which of the following is a characteristic feature of chronic obstructive
pulmonary disease (COPD)?
A. Airway inflammation
B. Increased lung compliance
C. Normal spirometry values
D. Increased peak expiratory flow rate
E. Improved exercise tolerance
Answer: A
Explanation: Airway inflammation is a characteristic feature of chronic
obstructive pulmonary disease (COPD). It leads to the narrowing of the airways
and difficulty in breathing. Options B, C, D, and E are not consistent with the
pathophysiology and clinical presentation of COPD.
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Acute Care Clinical Nurse Specialist - Adult Gerontology Practice Test

ACCNS-AG test Format | Course Contents | Course Outline | test Syllabus | test Objectives

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