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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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PDF Questions and Answers	: 1139 (Complete Set)
File Format	: PDF
Latest Update	: March 17, 2026
Files Delivery	: Instant (5 to 10 min.)
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Delivery Method	: get Account
Sample Download	: ACCNS-AG test PDF

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Online Test Engine Questions	: 1139
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Access Type	: Online
Latest Update	: March 17, 2026
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Desktop Test Engine Questions	: 1139
Software Version	: 3.0.9
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