ANCC Med Surg Certification Exam
Complete Questions and Answers
100% Verified Graded A+
1. A nurse is reviewing the medical record of a client who is receiving heparin
therapy for treatment of DVT. Which of the following interventions should the
nurse anticipate taking if the client's aPTT is 96 seconds?
a. Increase the heparin infusion flow rate by 2 mL/hr
b. continue to monitor the heparin infusion as prescribed
c. request a prothrombin time
d. stop the heparin infusion
Answer: d
2. 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
3. A nurse is assess a client in the emergency room who has a bradydysrhyth-
mia. Which of the following findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
Answer: a
4. 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 cholecys-
tectomy. The nurse should recognize that which of the following interventions is
contraindicated?
A. administering IV morphine sulfate
B. administering oxygen at 2
, Answer:/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
Answer: d
5. 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 depolarization
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
D. Valvular disease
Answer: D
6. 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 testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
, Answer: C
7. 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 speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
Answer: a
8. 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 girth
b. weak peripheral pulses
c. jugular vein distention
d. dependent edema
Answer: b
9. 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
Complete Questions and Answers
100% Verified Graded A+
1. A nurse is reviewing the medical record of a client who is receiving heparin
therapy for treatment of DVT. Which of the following interventions should the
nurse anticipate taking if the client's aPTT is 96 seconds?
a. Increase the heparin infusion flow rate by 2 mL/hr
b. continue to monitor the heparin infusion as prescribed
c. request a prothrombin time
d. stop the heparin infusion
Answer: d
2. 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
3. A nurse is assess a client in the emergency room who has a bradydysrhyth-
mia. Which of the following findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
Answer: a
4. 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 cholecys-
tectomy. The nurse should recognize that which of the following interventions is
contraindicated?
A. administering IV morphine sulfate
B. administering oxygen at 2
, Answer:/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
Answer: d
5. 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 depolarization
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
D. Valvular disease
Answer: D
6. 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 testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
, Answer: C
7. 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 speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
Answer: a
8. 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 girth
b. weak peripheral pulses
c. jugular vein distention
d. dependent edema
Answer: b
9. 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
