Complete Exam Questions &
Update Verified 2026 | 2027 (Rated
This is primary certification offered by the American Nurses Credentialing Center (ANCC) for
medical-surgical nurses is the Medical-Surgical Nursing Board Certification (MEDSURG-BC™).
This credential validates the advanced clinical knowledge and professional skills of registered nurses
working in various medical-surgical settings. It covers the care of adult patients with complex acute
and chronic conditions, emphasizing:
Clinical Expertise: Assessment, diagnosis, planning, and evaluation.
Professional Role: Leadership, ethical considerations, and evidence-based practice.
Broad Scope: Applicable to nurses in inpatient units, outpatient departments, emergency rooms, and
telemetry.
The MEDSURG-BC Exam is a competency-based, 150-question multiple-choice assessment, with
125 items scored and 25 unscored.
Time Limit: 3 to 3.5 hours.
Content Domains: Assessment and Diagnosis (39%), Planning, Implementation, and Evaluation
(40%), and Professional Role (21%).
Passing Criteria: A minimum scaled score of 350 out of 500.
1
, Candidates must hold a current, active RN license and meet the following criteria:
Experience: Two years of full-time RN practice, including 2,000 hours in medical-surgical nursing
within the last three years.
Education: 30 hours of medical-surgical-related continuing education (CE) within the last three
years.
The certification is valid for five years. Renewal requires 75 CEUs and completion of specific
professional development categories.
Comparison: MEDSURG-BC vs. CMSRN
ANCC (MEDSURG-BC): Focuses heavily on professional roles and leadership.
MSNCB (CMSRN): Tends to focus more directly on bedside clinical excellence.
Quiz_________________?
"5 rights of delegation" -
ANSWER✅
1. Right task: The nurse determines an appropriate task to delegate for a specific patient. 2.
Right circumstance: The nurse has considered all relevant information to determine
appropriateness of delegation. ·
3. Right Person: The nurse chooses the right person based on education and skills to
perform the task. ·
4. Right direction: The nurse provides a clear description of the task, purpose, limits, and
expected outcomes. ·
5.Right supervision: The nurse must supervise, intervene as needed, and evaluate
performance.
Quiz_________________?
2
, A 26-year-old female client informs the nurse that she has had red, raised lesions at the base
of the tongue and on the inside of her mouth for the past 2 weeks. What question should
the nurse ask the client?a. "Have you seen a dentist recently?"b. "Do you smoke
cigarettes?"c. "Do you have a history of HIV?"d. "What type of work do you do?" -
ANSWER✅
c
Quiz_________________?
A 51-year-old female who is perimenopausal broke her arm after a fall in her home. She also
reports progressive fatigue, insomnia, and hot flashes. What question should the nurse ask
first to collect more data surrounding the client's health history?a. How often do you engage
in exercise?b. can you tell me about your diet?c. what medications are you currently
taking?d. do you have a history of heart disease? -
ANSWER✅
a
Quiz_________________?
A 59 year old man was admitted to the hospital with dysphagia, stating that he has been
having more difficulty swallowing food, even when he has chewed it throroughly and drinks
plenty of water. A CT scan shows an area for a possible esophageal tumor. The client
unergoes a biopsy and is awaiting results. The client asks, "what am I going to do if this is
cancer?" What is the most appropriate nursing response?a. "You will have surgery to
remove it."b. "I would choose to get radiation."c. "The doctor will go over the options with
you."d. "You sound as if you are concerned about the biopsy results." -
ANSWER✅
d
Quiz_________________?
A client had an open transverse colectomy 5 days ago. The nurse enters the client's room
and recognizes that the wound has eviscerated. After covering the wound with a sterile,
saline-soaked dressing, which of the following actions should the nurse take?a. go to the
3
, nurses station to seek assistanceb. reinsert the organs into the abdominal cavityc. place the
client in reverse Trendelenburg positiond. obtain vital signs to assess for shock -
ANSWER✅
d
Quiz_________________?
A client has recently been placed on corticosteroids as treatment for ulcerative colitis. the
nurse should monitor the client's laboratory results for evidence of which condition?a.
hypernatremiab. hypercalcemiac. hyperglycemiad. hyperkalemia -
ANSWER✅
c
Quiz_________________?
A client is admitted to the acute medical client care unit. The nurse reviews her admission
lab results. Which result supports a diagnosis of malnutrition?a. serum albumin 3.5 g/dLb.
hematocrit 37%c. Hemoglobin 12g/dLd. Prealbumin 13 mg/dL -
ANSWER✅
d
Quiz_________________?
A client is admitted with a diagnosis of acute stroke. The provider orders "diet as
tolerated." Before feeding this client, which nursing action is priority?a. determine client's
food preferencesb. elevate the head of the bed 30 degreesc. assess client's swallowing
reflexd. review serum albumin level to determine appropriate diet -
ANSWER✅
c
4
Update Verified 2026 | 2027 (Rated
This is primary certification offered by the American Nurses Credentialing Center (ANCC) for
medical-surgical nurses is the Medical-Surgical Nursing Board Certification (MEDSURG-BC™).
This credential validates the advanced clinical knowledge and professional skills of registered nurses
working in various medical-surgical settings. It covers the care of adult patients with complex acute
and chronic conditions, emphasizing:
Clinical Expertise: Assessment, diagnosis, planning, and evaluation.
Professional Role: Leadership, ethical considerations, and evidence-based practice.
Broad Scope: Applicable to nurses in inpatient units, outpatient departments, emergency rooms, and
telemetry.
The MEDSURG-BC Exam is a competency-based, 150-question multiple-choice assessment, with
125 items scored and 25 unscored.
Time Limit: 3 to 3.5 hours.
Content Domains: Assessment and Diagnosis (39%), Planning, Implementation, and Evaluation
(40%), and Professional Role (21%).
Passing Criteria: A minimum scaled score of 350 out of 500.
1
, Candidates must hold a current, active RN license and meet the following criteria:
Experience: Two years of full-time RN practice, including 2,000 hours in medical-surgical nursing
within the last three years.
Education: 30 hours of medical-surgical-related continuing education (CE) within the last three
years.
The certification is valid for five years. Renewal requires 75 CEUs and completion of specific
professional development categories.
Comparison: MEDSURG-BC vs. CMSRN
ANCC (MEDSURG-BC): Focuses heavily on professional roles and leadership.
MSNCB (CMSRN): Tends to focus more directly on bedside clinical excellence.
Quiz_________________?
"5 rights of delegation" -
ANSWER✅
1. Right task: The nurse determines an appropriate task to delegate for a specific patient. 2.
Right circumstance: The nurse has considered all relevant information to determine
appropriateness of delegation. ·
3. Right Person: The nurse chooses the right person based on education and skills to
perform the task. ·
4. Right direction: The nurse provides a clear description of the task, purpose, limits, and
expected outcomes. ·
5.Right supervision: The nurse must supervise, intervene as needed, and evaluate
performance.
Quiz_________________?
2
, A 26-year-old female client informs the nurse that she has had red, raised lesions at the base
of the tongue and on the inside of her mouth for the past 2 weeks. What question should
the nurse ask the client?a. "Have you seen a dentist recently?"b. "Do you smoke
cigarettes?"c. "Do you have a history of HIV?"d. "What type of work do you do?" -
ANSWER✅
c
Quiz_________________?
A 51-year-old female who is perimenopausal broke her arm after a fall in her home. She also
reports progressive fatigue, insomnia, and hot flashes. What question should the nurse ask
first to collect more data surrounding the client's health history?a. How often do you engage
in exercise?b. can you tell me about your diet?c. what medications are you currently
taking?d. do you have a history of heart disease? -
ANSWER✅
a
Quiz_________________?
A 59 year old man was admitted to the hospital with dysphagia, stating that he has been
having more difficulty swallowing food, even when he has chewed it throroughly and drinks
plenty of water. A CT scan shows an area for a possible esophageal tumor. The client
unergoes a biopsy and is awaiting results. The client asks, "what am I going to do if this is
cancer?" What is the most appropriate nursing response?a. "You will have surgery to
remove it."b. "I would choose to get radiation."c. "The doctor will go over the options with
you."d. "You sound as if you are concerned about the biopsy results." -
ANSWER✅
d
Quiz_________________?
A client had an open transverse colectomy 5 days ago. The nurse enters the client's room
and recognizes that the wound has eviscerated. After covering the wound with a sterile,
saline-soaked dressing, which of the following actions should the nurse take?a. go to the
3
, nurses station to seek assistanceb. reinsert the organs into the abdominal cavityc. place the
client in reverse Trendelenburg positiond. obtain vital signs to assess for shock -
ANSWER✅
d
Quiz_________________?
A client has recently been placed on corticosteroids as treatment for ulcerative colitis. the
nurse should monitor the client's laboratory results for evidence of which condition?a.
hypernatremiab. hypercalcemiac. hyperglycemiad. hyperkalemia -
ANSWER✅
c
Quiz_________________?
A client is admitted to the acute medical client care unit. The nurse reviews her admission
lab results. Which result supports a diagnosis of malnutrition?a. serum albumin 3.5 g/dLb.
hematocrit 37%c. Hemoglobin 12g/dLd. Prealbumin 13 mg/dL -
ANSWER✅
d
Quiz_________________?
A client is admitted with a diagnosis of acute stroke. The provider orders "diet as
tolerated." Before feeding this client, which nursing action is priority?a. determine client's
food preferencesb. elevate the head of the bed 30 degreesc. assess client's swallowing
reflexd. review serum albumin level to determine appropriate diet -
ANSWER✅
c
4
