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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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ACCNS-AG PDF sample MCQs

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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?
1. Gastritis
2. Cirrhosis
holecystitis ancreatitis
wer: A
anation: Gastritis is a gastrointestinal disorder characterized by mmation of the lining of the digestive tract, particularly the stomach. ons B, C, D, and E are all gastrointestinal disorders but do not specifi ve inflammation of the digestive tract.
stion: 2
ch of the following endocrine disorders is caused by an insufficient uction of insulin?
ype 1 diabetes mellitus ype 2 diabetes mellitus ushing's syndrome
Diverticulitis
3. C
4. P
Ans Expl
infla
Opti cally
invol
Que
Whi prod
1. T
2. T
3. C
4. Addison's disease
5. 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
therosclerosis yocardial infarction rrhythmia
eart failure ngina pectoris
wer: D
anation: Heart failure is a condition in which the heart is unable to pu gh blood to meet the body's demands. It is often associated with impa cardial function and reduced cardiac output. Options A, B, C, and E a ed to cardiovascular health, but they do not specifically describe the ition of heart failure.
stion: 4
ch of the following hematological disorders is characterized by an
Which of the following conditions is characterized by impaired myocardial function and reduced cardiac output?
1. A
2. M
3. A
4. H
5. A
Ans
Expl mp
enou ired
myo re all
relat cond
Que
Whi
abnormal increase in the number of white blood cells?
1. Anemia
2. Leukemia
3. Thrombocytopenia
4. Hemophilia
5. 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.
stion: 5
ch of the following is considered a clinical judgment skill? dministering medications
ssessing vital signs erforming wound dressings
nalyzing patient data to make decisions ocumenting patient information
wer: D
anation: Clinical judgment involves the ability to analyze and interpre nt data to make informed decisions about their care. Options A, B, C, volve specific tasks or procedures, but they do not directly address the al thinking and decision-making skills necessary for clinical judgmen
stion: 6
Que
Whi
1. A
2. A
3. P
4. A
5. D
Ans
Expl t
patie and
E in
critic t.
Que
Which of the following neurological conditions is characterized by progressive degeneration of nerve cells in the brain and spinal cord?
1. Parkinson's disease
2. Multiple sclerosis
3. Alzheimer's disease
4. Epilepsy
5. Stroke Answer: C
itions but do not specifically involve the degeneration of nerve cells s zheimer's disease.
stion: 7
ch of the following musculoskeletal conditions is characterized by mmation and degeneration of the joints?
steoporosis steoarthritis heumatoid arthritis out
bromyalgia wer: C
anation: Rheumatoid arthritis is a chronic autoimmune disease acterized by inflammation and degeneration of the joints. Options A, B
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 cond een
in Al
Que
Whi infla
1. O
2. O
3. R
4. G
5. Fi
Ans Expl
char , 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?
1. Renal failure
2. Urinary tract infection
3. Glomerulonephritis
4. Polycystic kidney disease
anation: Nephrolithiasis refers to the formation of kidney stones. Opti C,and D are all renal/genitourinary conditions, but they do not
fically involve the formation of kidney stones.
stion: 9
ch of the following is a characteristic feature of chronic obstructive onary disease (COPD)?
irway inflammation creased lung compliance ormal spirometry values
ncreased peak expiratory flow rate mproved exercise tolerance
wer: A
Nephrolithiasis Answer: E
Expl ons
A, B,
speci
Que
Whi pulm
1. A
2. In
3. N
4. I
5. I
Ans
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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