• ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 2
NEW 2025/ 2026 ACTUAL EXAM TEST BANK|
ANCC MEDSURG-BC™ EXAM WITH COMPLETE
250 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the nurse
notes the absence of a thrill or bruit at the shunt site. What action should the nurse take?
A.
Advise the client that the shunt is intact and ready for dialysis as scheduled.
B.
Encourage the client to keep the shunt site elevated above the level of the heart.
P a g e 1 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
C.
Notify the health care provider of the findings immediately.
D.
Flush the site at least once with a heparinized saline solution. –
Correct Answer :C
Rationale:
Absence of a thrill or bruit indicates that the shunt may be obstructed. The nurse should notify the
health care provider so that intervention can be initiated to restore function of the shunt. Option A is
incorrect. Option B will not resolve the obstruction. An AV shunt is internal and cannot be flushed
without access using special needles.
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA).
What actions will the nurse include in the client's plan of care? (Select all that apply.)
A.
Frequent vital signs.
B.
Determine if the client is allergic to aspirin.
C.
Assist out of bed 2 hours after return from the procedure.
D.
Offer fluids of choice.
P a g e 2 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
E.
Assess distal pulses on the side of the procedure.
F.
Monitor infusion of IV nitroglycerine. –
Correct Answer :A, B, D, F
Rationale:
The client's incisional leg needs to stay straight for 6 to 8 hours to decrease the risk of hemorrhage
from the incision site. Pulses must be assessed bilaterally for a point of comparison. The remaining
actions are included in the care plan for the client after a PTCA.
The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds
the client unconscious on the floor. Which action should the nurse take first?
A.
Administer an antidysrhythmic medication.
B.
Start cardiopulmonary resuscitation.
C.
Prepare for mechanical ventilation.
D.
P a g e 3 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Assess the client's pulse oximetry.
- Correct Answer :B
Rationale:
Ventricular fibrillation is a life-threatening dysrhythmia, and CPR should be started immediately until
the crash cart arrives. Options A and C are appropriate, but CPR is the priority action until a defibrillator
is available, which is the most effective treatment for ventricular fibrillation. The client is dying, and
option D does not address the seriousness of this situation.
A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic studies
have shown a basal skull fracture in the middle fossa. Assessment on admission revealed both halo
and Battle signs. Which new symptom indicates that the client is likely to be experiencing a common
life-threatening complication associated with a basal skull fracture?
A.
Bilateral jugular venous distention
B.
Oral temperature of 102°F
C.
Intermittent focal motor seizures
D.
Intractable pain in the cervical region - Correct Answer :B
Rationale:Clients with basilar skull fractures are at high risk for infection of the brain, as indicated by an
increased oral temperature, because the fracture leaves the meninges open to bacterial invasion.
Clients may experience options C and D, but these findings do not pose as great a life-threatening risk
as infection. Jugular distention is not a typical complication of basal skull fractures.
P a g e 4 | 169
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 2
NEW 2025/ 2026 ACTUAL EXAM TEST BANK|
ANCC MEDSURG-BC™ EXAM WITH COMPLETE
250 REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!)
In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the nurse
notes the absence of a thrill or bruit at the shunt site. What action should the nurse take?
A.
Advise the client that the shunt is intact and ready for dialysis as scheduled.
B.
Encourage the client to keep the shunt site elevated above the level of the heart.
P a g e 1 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
C.
Notify the health care provider of the findings immediately.
D.
Flush the site at least once with a heparinized saline solution. –
Correct Answer :C
Rationale:
Absence of a thrill or bruit indicates that the shunt may be obstructed. The nurse should notify the
health care provider so that intervention can be initiated to restore function of the shunt. Option A is
incorrect. Option B will not resolve the obstruction. An AV shunt is internal and cannot be flushed
without access using special needles.
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA).
What actions will the nurse include in the client's plan of care? (Select all that apply.)
A.
Frequent vital signs.
B.
Determine if the client is allergic to aspirin.
C.
Assist out of bed 2 hours after return from the procedure.
D.
Offer fluids of choice.
P a g e 2 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
E.
Assess distal pulses on the side of the procedure.
F.
Monitor infusion of IV nitroglycerine. –
Correct Answer :A, B, D, F
Rationale:
The client's incisional leg needs to stay straight for 6 to 8 hours to decrease the risk of hemorrhage
from the incision site. Pulses must be assessed bilaterally for a point of comparison. The remaining
actions are included in the care plan for the client after a PTCA.
The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds
the client unconscious on the floor. Which action should the nurse take first?
A.
Administer an antidysrhythmic medication.
B.
Start cardiopulmonary resuscitation.
C.
Prepare for mechanical ventilation.
D.
P a g e 3 | 169
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Assess the client's pulse oximetry.
- Correct Answer :B
Rationale:
Ventricular fibrillation is a life-threatening dysrhythmia, and CPR should be started immediately until
the crash cart arrives. Options A and C are appropriate, but CPR is the priority action until a defibrillator
is available, which is the most effective treatment for ventricular fibrillation. The client is dying, and
option D does not address the seriousness of this situation.
A 25-year-old client was admitted yesterday after a motor vehicle collision. Neurodiagnostic studies
have shown a basal skull fracture in the middle fossa. Assessment on admission revealed both halo
and Battle signs. Which new symptom indicates that the client is likely to be experiencing a common
life-threatening complication associated with a basal skull fracture?
A.
Bilateral jugular venous distention
B.
Oral temperature of 102°F
C.
Intermittent focal motor seizures
D.
Intractable pain in the cervical region - Correct Answer :B
Rationale:Clients with basilar skull fractures are at high risk for infection of the brain, as indicated by an
increased oral temperature, because the fracture leaves the meninges open to bacterial invasion.
Clients may experience options C and D, but these findings do not pose as great a life-threatening risk
as infection. Jugular distention is not a typical complication of basal skull fractures.
P a g e 4 | 169
