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Latest MCQs 2025 Updated Acute Care Clinical Nurse Specialist - Adult Gerontology exam Questions

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ACCNS-AG exam Format | ACCNS-AG Course Contents | ACCNS-AG Course Outline | ACCNS-AG exam Syllabus | ACCNS-AG exam 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 exam, 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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