Nursing ACNS

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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:

1. You have agreed to participate in the Medicare health insurance program and work for a small privately owned physician office. Medicare paid 80% of the charges billed for a clinic visit when the patient was seen by the Adult Clinical Nurse Specialist. What could your employer do about the remaining 20% that is owed to the facility?

A) The facility is prohibited from billing the patient in this case.
B) The facility, on behalf of the Adult Clinical Nurse Specialist, can collect 100% if billed incident to the supervision Medical Doctor.
C) The facility can resubmit the bill for additional payment on behalf of the Family Clinical Nurse Specialist.
D) The facility can bill the patient for a percentage of the remainder on behalf of the Adult Clinical Nurse Specialist.

2. ANP Michelle has confirmed hematuria in one of her patients. What test can be performed to find the source of the problem and obtain a final diagnosis?

A) An ultrasound.
B) A urinalysis.
C) An X-ray.
D) Cystoscopy.

3. What can hyperprolactinemia be a sign of?

A) Pituitary adenoma.
B) Cerebellar disease.
C) Upper motor neurone lesion.
D) Lower motor neurone lesion.

4. Case managers perform all of the following duties EXCEPT for:

A) Facilitates services.
B) Monitors delivery of services.
C) Provides reimbursement.
D) Ensures delivery in a cost-effective manner.

5. What is indicated by increased oligoclonal bands in the CSF?

A) Meningitis.
B) Brain tumor.
C) Stroke.
D) MS (multiple sclerosis).

Solutions: