ANCC MEDICAL SURGICAL NURSING
COMBINED EXAMS COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is providing teaching for a client who is 2 days post-op
following a heart transplant. Which of the following statements
should the nurse include in the teaching?a. "you may no longer be
able to feel chest pain."b. "your level of activity tolerance will not
change."c. "after 6 months, you will no longer need to restrict your
sodium intake."d. "you will be able to stop taking
immunosuppressants after 12 months.".
Answer: a
◉ A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse
expect?A. confusionB. friction rubC. hypertensionD. dry skin.
Answer: a
◉ A nurse in the emergency department is caring for a client who
had an anterior MI. The client's history reveals she is 1 week post-op
open cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?A. administering IV
morphine sulfateB. administering oxygen at 2 :/min via nasal
cannulaC. helping the client to the bedside commodeD. assisting
with thrombolytic therapy.
,Answer: d
◉ A nurse is caring for a client who has endocarditis. Which of the
following findings should the nurse recognize as a potential
complication?A. ventricular depolarizationB. Guillain-Barre
syndromC. myelodysplastic syndromeD. Valvular disease.
Answer: D
◉ A nurse is caring for a client who presents to the ER with a BP of
254/138 mmHg. The nurse recognizes that the client is in a
hypertensive crisis. Which of the following actions should the nurse
take first?A. obtain blood samples for laboratory testingB. Tell the
client to report vision changesC. Place the head of the bed at 45
degreesD. initiate an IV.
Answer: C
◉ a nurse is caring for a client who has HF and is experiencing AF.
The nurse should plan to monitor for and report which of the
following findings to the provider immediately?a. slurred speechb.
irregular pulsec. dependent edemad. persistent fatigue.
Answer: a
◉ A nurse is assessing a client who has left-sided HF. Which of the
following manifestations should the nurse expect to find?a. inc
,abdominal girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema.
Answer: b
◉ a nurse is caring for a client who is being treated for HF and has
prescriptions for digoxin and furosemide. The nurse should plan to
monitor for which of the following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry coughd. metallic taste.
Answer: b
◉ a nurse is monitoring a client following coronary artery bypass
graft surgery. Which of the following findings can indicate cardiac
tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82
mmHg on inspiration and 154/90 mmHg on expirationd. sinus
rhythm with occasional premature atrial contraction and HR
88/min.
Answer: c
◉ A nurse is preparing a client for coroncary angiography. The nurse
should report which of the following findings to the provider prior
to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral
arterial diseasec. urine output 200 mL/4 hrd. previous allergic
reaction to shellfish.
Answer: d
, ◉ A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure?a. "I can't get rid
of these hiccups."b. "I feel dizzy when i stand."c. "My incision site
stings."d. "I have a headache.".
Answer: a
◉ A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a.
apply the new patch to the same site as the previous patchb. place
the patch on an area of skin away from skin folds and jointsc. keep
the patch on 24 hr per dayd. replace the patch at the onset of angina.
Answer: b
◉ A nurse is caring for a client in the first hour following an aortic
aneurysm repair. Which of the following findings can indicate shock
and should be reported to the provider?a. serosanguinous drainage
on dressingb. severe pain with coughingc. urine output of 20
mL/hrd. increase in temp from 36.C (98.2F)- 37.5C (99.5F).
Answer: c
◉ A nurse caring for a client following an abdominal aortic
aneurysm resection. Which of the following is the priority
assessment for this client?a. neck vein distentionb. bowel soundsc.
peripheral edemad. urine output.
COMBINED EXAMS COMPREHENSIVE
QUESTIONS AND CORRECT ANSWERS
◉ A nurse is providing teaching for a client who is 2 days post-op
following a heart transplant. Which of the following statements
should the nurse include in the teaching?a. "you may no longer be
able to feel chest pain."b. "your level of activity tolerance will not
change."c. "after 6 months, you will no longer need to restrict your
sodium intake."d. "you will be able to stop taking
immunosuppressants after 12 months.".
Answer: a
◉ A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse
expect?A. confusionB. friction rubC. hypertensionD. dry skin.
Answer: a
◉ A nurse in the emergency department is caring for a client who
had an anterior MI. The client's history reveals she is 1 week post-op
open cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?A. administering IV
morphine sulfateB. administering oxygen at 2 :/min via nasal
cannulaC. helping the client to the bedside commodeD. assisting
with thrombolytic therapy.
,Answer: d
◉ A nurse is caring for a client who has endocarditis. Which of the
following findings should the nurse recognize as a potential
complication?A. ventricular depolarizationB. Guillain-Barre
syndromC. myelodysplastic syndromeD. Valvular disease.
Answer: D
◉ A nurse is caring for a client who presents to the ER with a BP of
254/138 mmHg. The nurse recognizes that the client is in a
hypertensive crisis. Which of the following actions should the nurse
take first?A. obtain blood samples for laboratory testingB. Tell the
client to report vision changesC. Place the head of the bed at 45
degreesD. initiate an IV.
Answer: C
◉ a nurse is caring for a client who has HF and is experiencing AF.
The nurse should plan to monitor for and report which of the
following findings to the provider immediately?a. slurred speechb.
irregular pulsec. dependent edemad. persistent fatigue.
Answer: a
◉ A nurse is assessing a client who has left-sided HF. Which of the
following manifestations should the nurse expect to find?a. inc
,abdominal girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema.
Answer: b
◉ a nurse is caring for a client who is being treated for HF and has
prescriptions for digoxin and furosemide. The nurse should plan to
monitor for which of the following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry coughd. metallic taste.
Answer: b
◉ a nurse is monitoring a client following coronary artery bypass
graft surgery. Which of the following findings can indicate cardiac
tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82
mmHg on inspiration and 154/90 mmHg on expirationd. sinus
rhythm with occasional premature atrial contraction and HR
88/min.
Answer: c
◉ A nurse is preparing a client for coroncary angiography. The nurse
should report which of the following findings to the provider prior
to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral
arterial diseasec. urine output 200 mL/4 hrd. previous allergic
reaction to shellfish.
Answer: d
, ◉ A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure?a. "I can't get rid
of these hiccups."b. "I feel dizzy when i stand."c. "My incision site
stings."d. "I have a headache.".
Answer: a
◉ A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a.
apply the new patch to the same site as the previous patchb. place
the patch on an area of skin away from skin folds and jointsc. keep
the patch on 24 hr per dayd. replace the patch at the onset of angina.
Answer: b
◉ A nurse is caring for a client in the first hour following an aortic
aneurysm repair. Which of the following findings can indicate shock
and should be reported to the provider?a. serosanguinous drainage
on dressingb. severe pain with coughingc. urine output of 20
mL/hrd. increase in temp from 36.C (98.2F)- 37.5C (99.5F).
Answer: c
◉ A nurse caring for a client following an abdominal aortic
aneurysm resection. Which of the following is the priority
assessment for this client?a. neck vein distentionb. bowel soundsc.
peripheral edemad. urine output.
