Nursing ACNS Exam Details & Actual Exam Questions
- Exam Code/Number: ACNS
- Exam Name/Title: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
- Certification Provider: Nursing
- Corresponding Certification: Nursing ANCC
- Exam Questions: 202
- Updated On: Aug,03 2026
- Certification Level: Specialist / Advanced Practice
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Exam Questions
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(27 Up Votes)Nursing ACNS Exam Overview:
| Certification Vendor: | ANCC (American Nurses Credentialing Center) |
| Exam Name: | ANCC Adult Health Clinical Nurse Specialist Certification Examination |
| Exam Number: | ACNS |
| Exam Price: | $295 – $375 (ANA member: $295; Non-member: $375; includes $140 admin fee) |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Passing Score: | 350 (scaled score, range 0–500) |
| Related Certifications: | Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) |
| Exam Format: | Computer-based, Multiple-choice questions |
| Exam Duration: | 210 minutes |
| Available Languages: | English |
| Recommended Training: | National Association of Clinical Nurse Specialists (NACNS) ANCC Official Study Resources |
| Exam Registration: | ANCC Official Registration Prometric Test Scheduling |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at Prometric centers; available year-round within 120-day testing window after approval |
| Pre Condition: | 1. Current, active RN license; 2. Master's, Post-Graduate Certificate or DNP from accredited Adult Health CNS program (CCNE/ACEN/CNEA); 3. Minimum 500 faculty-supervised clinical hours; 4. Completion of graduate-level core courses: advanced pathophysiology, health assessment, pharmacology |
| Official Syllabus URL: | https://www.nursingworld.org/our-certifications/cns-in-adult-health-renewal/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Practice | 46% | - Care Planning and Implementation - Health Promotion and Disease Prevention - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Evaluation of Outcomes |
| Topic 2: Role and Professional Responsibility | 33% | - Ethics and Legal Aspects - Education and Mentorship - Evidence-Based Practice and Research - Clinical Leadership and Consultation - Quality Improvement and Safety |
| Topic 3: Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Resource Management - Healthcare Delivery Models |
| Topic 4: APRN Core Competencies | 16% | - Advanced Pharmacology - Advanced Health Assessment - Advanced Pathophysiology |
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