ANCC MEDICAL SURGICAL NURSING
ACTUAL SCRIPT WITH 100 PERCENT
CORRECT ANSWERS
◉ A nurse is caring for a client who is post-op following a total hip
arthroplasty. Which of the following assessment data indicated
the client is at an increased risk for infection?a. use of herbal
remediesb. long-term use of corticosteroidsc. excessive exposure
to sunlightd. diet high in cholesterol
Answer: b
◉ A nurse is assessing a client who is 2 days post-op following a
total prostatectomy. The nurse notes the client's right calf is red,
edematous, and warm to the touch. Which of the following actions
should the nurse take?a. apply an ice pack to the clients right
calfb. elevate the client's right extremityc. administer testosterone
to the clientd. gently massage the client's right half
Answer: b
◉ Which client response during a genitoreproductive history
requires further exploration by the nurse?a. "I have had one
pregnancy and one child"b. "I began my menses at age 14"c. "I
would rather not answer questions about by sex life with my
husband."d. "My breasts hurt in the beginning of my menstrual
cycle."
Answer: c
,◉ Which ethnic group has a higher frequency of developing
testicular cancer?a. caucasianb. african americanc.
hispanic/latinod. asian american
Answer: a
◉ A woman on oral contraceptives reports increasing fatigue and
shortness of breath over the past 6 months. The nurse should
evaluate the client's diet for deficiency in what nutrients?a.
proteinb. vit b1 and folic acidc. vit a and cd. vit b6 and b12
Answer: d
◉ What is the estimated number of deaths in males each year
attributed to breast cancer in the US?a. 100b. 225c. 450d. 600
Answer: c
◉ A premenopausal woman reports a mass in her right breast.
She also has greenish-brown discharge from the nipple, redness
and swelling over the mass, and palpable axillary lymph nodes.
The nurse suspects that the client's condition is:a. pre cancerousb.
cancerousc. benignd. infectious
Answer: c
◉ Which age group of woman has the greatest odds of being
diagnosed with breast cancer?a. 30s b. 40sc. 50sd. 60s
Answer: d
,◉ which ethnic group has the highest incidence of melanoma?a.
asianb. african americanc. whited. hispanic/latino
Answer: c
◉ evaporation of the water contained in the sweat from eccrine
sweat glands can cause the body to lose how much fluid in a single
day?a. 500 mLb. 1-2 Lc. 5-7 Ld. 10-12 L
Answer: d
◉ true/false- Dandruff can cause hair loss.
Answer: true
◉ which physical change may be expected by the client who has
undergone a total abdominal hysterectomy?a. the client will no
longer have a periodb. vaginal drainage may be bloody for the first
monthc. although the ovaries were removed, no menopausal
symptoms will be experiencedd. nutrition education to avoid
weight gain is necessary
Answer: a
◉ 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
◉ which female reproductive cancer claims the most lives?a.
breastb. ovarianc. cervicald. endometrial
Answer: b
◉ A client presents to the ED with urticaria covering his legs and
arms after hiking in the woods. In addition to applying a topical
antihistamine, interventions for symptom relief may include:a.
taking a warm showerb. taking a cool showerc. applying used tea
bags over the lesionsd. applying alcohol to the lesions
Answer: b
◉ upon removing a dressing from a client's wound, a pronounced
odor is present. What should the nurse do?a. notify the physician
of a possible wound infectionb. clean the wound and reassess for
presence of infectionc. culture the wound and anticipate an order
for antibioticsd. no action is necessary at this time
Answer: b
◉ An older adult client has been brought to the hospital for
generalized weakness after a fall in the nursing home. He is
confused, unable to eat independently, and cannot turn himself in
bed. Assessment reveals a pressure ulser over his coccyx that is 3
cm wide and 4 cm long, with eschar present. Which technique will
ACTUAL SCRIPT WITH 100 PERCENT
CORRECT ANSWERS
◉ A nurse is caring for a client who is post-op following a total hip
arthroplasty. Which of the following assessment data indicated
the client is at an increased risk for infection?a. use of herbal
remediesb. long-term use of corticosteroidsc. excessive exposure
to sunlightd. diet high in cholesterol
Answer: b
◉ A nurse is assessing a client who is 2 days post-op following a
total prostatectomy. The nurse notes the client's right calf is red,
edematous, and warm to the touch. Which of the following actions
should the nurse take?a. apply an ice pack to the clients right
calfb. elevate the client's right extremityc. administer testosterone
to the clientd. gently massage the client's right half
Answer: b
◉ Which client response during a genitoreproductive history
requires further exploration by the nurse?a. "I have had one
pregnancy and one child"b. "I began my menses at age 14"c. "I
would rather not answer questions about by sex life with my
husband."d. "My breasts hurt in the beginning of my menstrual
cycle."
Answer: c
,◉ Which ethnic group has a higher frequency of developing
testicular cancer?a. caucasianb. african americanc.
hispanic/latinod. asian american
Answer: a
◉ A woman on oral contraceptives reports increasing fatigue and
shortness of breath over the past 6 months. The nurse should
evaluate the client's diet for deficiency in what nutrients?a.
proteinb. vit b1 and folic acidc. vit a and cd. vit b6 and b12
Answer: d
◉ What is the estimated number of deaths in males each year
attributed to breast cancer in the US?a. 100b. 225c. 450d. 600
Answer: c
◉ A premenopausal woman reports a mass in her right breast.
She also has greenish-brown discharge from the nipple, redness
and swelling over the mass, and palpable axillary lymph nodes.
The nurse suspects that the client's condition is:a. pre cancerousb.
cancerousc. benignd. infectious
Answer: c
◉ Which age group of woman has the greatest odds of being
diagnosed with breast cancer?a. 30s b. 40sc. 50sd. 60s
Answer: d
,◉ which ethnic group has the highest incidence of melanoma?a.
asianb. african americanc. whited. hispanic/latino
Answer: c
◉ evaporation of the water contained in the sweat from eccrine
sweat glands can cause the body to lose how much fluid in a single
day?a. 500 mLb. 1-2 Lc. 5-7 Ld. 10-12 L
Answer: d
◉ true/false- Dandruff can cause hair loss.
Answer: true
◉ which physical change may be expected by the client who has
undergone a total abdominal hysterectomy?a. the client will no
longer have a periodb. vaginal drainage may be bloody for the first
monthc. although the ovaries were removed, no menopausal
symptoms will be experiencedd. nutrition education to avoid
weight gain is necessary
Answer: a
◉ 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
◉ which female reproductive cancer claims the most lives?a.
breastb. ovarianc. cervicald. endometrial
Answer: b
◉ A client presents to the ED with urticaria covering his legs and
arms after hiking in the woods. In addition to applying a topical
antihistamine, interventions for symptom relief may include:a.
taking a warm showerb. taking a cool showerc. applying used tea
bags over the lesionsd. applying alcohol to the lesions
Answer: b
◉ upon removing a dressing from a client's wound, a pronounced
odor is present. What should the nurse do?a. notify the physician
of a possible wound infectionb. clean the wound and reassess for
presence of infectionc. culture the wound and anticipate an order
for antibioticsd. no action is necessary at this time
Answer: b
◉ An older adult client has been brought to the hospital for
generalized weakness after a fall in the nursing home. He is
confused, unable to eat independently, and cannot turn himself in
bed. Assessment reveals a pressure ulser over his coccyx that is 3
cm wide and 4 cm long, with eschar present. Which technique will
