ADULT-GERONTOLOGY
CLINICAL NURSE SPECIALIST
(AGCNS)/ANCC
CERTIFICATION EXAM Q&A
(LATEST 2022/2023)
1
, 1. The nurse is monitoring the client’s laboratory values. Which laboratory report is diagnostic for a
urinary tract infection (UTI)?
A. Hemogram
B. Urinalysis
C. Urine Culture
D. Metanephrines
2. The nurse is caring for a client diagnosed with chronic renal failure (CRF). Which antecedents
would the nurse assess? Select all that apply.
A. Current diet.
B. Diabetes.
C. Hypertension.
D. Fluid restitions.
E. Race
3. The client is in the intensive care department (ICD) after a motor-vehicle accident in which the
client lost an estimated three (3) units of blood. Which action by the nurse could prevent the client
from developing acute renal failure?
A. Take and document the client’s vital signs every hour.
B. Assess the client’s dressings every two (2) hours.
C. Check the client’s urinary output every shift.
D. Maintain the client’s blood pressure greater than 100/60.
4. The nurse has identified the concept of urinary elimination for a client. Which information is
most important for the nurse to provide to the health-care provider the next day? Day One (Shift
Time) Oral (in mL) Intravenous (in mL) Urine (in mL) Nasogastric Tube (in mL) Other (Specific) (in
mL) 0701-1500 2100 1000 435 Emesis 40 1501-2300 1500 1000 375 2301-0700 200 1000 500
Total 3800 3000 1310 40
A. The client vomited 40 mL on the day shift.
B. The client has an adequate oral intake, and IV fluids are not needed.
2
CLINICAL NURSE SPECIALIST
(AGCNS)/ANCC
CERTIFICATION EXAM Q&A
(LATEST 2022/2023)
1
, 1. The nurse is monitoring the client’s laboratory values. Which laboratory report is diagnostic for a
urinary tract infection (UTI)?
A. Hemogram
B. Urinalysis
C. Urine Culture
D. Metanephrines
2. The nurse is caring for a client diagnosed with chronic renal failure (CRF). Which antecedents
would the nurse assess? Select all that apply.
A. Current diet.
B. Diabetes.
C. Hypertension.
D. Fluid restitions.
E. Race
3. The client is in the intensive care department (ICD) after a motor-vehicle accident in which the
client lost an estimated three (3) units of blood. Which action by the nurse could prevent the client
from developing acute renal failure?
A. Take and document the client’s vital signs every hour.
B. Assess the client’s dressings every two (2) hours.
C. Check the client’s urinary output every shift.
D. Maintain the client’s blood pressure greater than 100/60.
4. The nurse has identified the concept of urinary elimination for a client. Which information is
most important for the nurse to provide to the health-care provider the next day? Day One (Shift
Time) Oral (in mL) Intravenous (in mL) Urine (in mL) Nasogastric Tube (in mL) Other (Specific) (in
mL) 0701-1500 2100 1000 435 Emesis 40 1501-2300 1500 1000 375 2301-0700 200 1000 500
Total 3800 3000 1310 40
A. The client vomited 40 mL on the day shift.
B. The client has an adequate oral intake, and IV fluids are not needed.
2
