ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
d - correct answer- 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
a - correct answer- 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."
a - correct answer- A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
d - correct answer- 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 sulfate
B. administering oxygen at 2 :/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
D - correct answer- 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
,ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
D. Valvular disease
C - correct answer- 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
a - correct answer- 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
b - correct answer- 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
b - correct answer- 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. SOB
b. lightheadedness
c. dry cough
,ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
d. metallic taste
c - correct answer- a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on expiration
d. sinus rhythm with occasional premature atrial contraction and HR 88/min
d - correct answer- A nurse is preparing a client for coronary angiography. The nurse should
report which of the following findings to the provider prior to the procedure?
a. hemoglobin 14.4 g/dL
b. history of peripheral arterial disease
c. urine output 200 mL/4 hr
d. previous allergic reaction to shellfish
a - correct answer- 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."
b - correct answer- 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 patch
b. place the patch on an area of skin away from skin folds and joints
c. keep the patch on 24 hr per day
d. replace the patch at the onset of angina
c - correct answer- 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?
, ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
a. serosanguinous drainage on dressing
b. severe pain with coughing
c. urine output of 20 mL/hr
d. increase in temp from 36.C (98.2F)- 37.5C (99.5F)
d - correct answer- 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 distention
b. bowel sounds
c. peripheral edema
d. urine output
b - correct answer- A nurse is watching a client's ECG monitor and notes that the client's
rhythm has changed from a normal sinus rhythm to supraventricular tachycardia. The client is
conscious with a HR of 200-210 bpm and has a faint radial pulse. The nurse should anticipate
assisting with which of the following interventions?
a. delivery of precordial thump
b. vagal stimulation
c. administration of atropine IV
d. defibrillation
a - correct answer- A nurse is providing discharge teaching for a client who has HF. The nurse
should instruct the client to report which of the following findings immediately to the provider?
a. weight gain of 2 lb in 24 hr
b. inc of 10 mmHg in systolic BP
c. dyspnea with exertion
d. dizziness when rising quickly
c - correct answer- A nurse is admitting a client who has a leg ulcer and a history of DM. The
nurse should use which of the following focused assessments to help differentiate between an
arterial ulcer and a venous stasis ulcer?
a. explore the clients family history of peripheral vascular disease
b. note the presence or absence of pain at the ulcer site
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
d - correct answer- 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
a - correct answer- 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."
a - correct answer- A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
d - correct answer- 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 sulfate
B. administering oxygen at 2 :/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
D - correct answer- 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
,ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
D. Valvular disease
C - correct answer- 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
a - correct answer- 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
b - correct answer- 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
b - correct answer- 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. SOB
b. lightheadedness
c. dry cough
,ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
d. metallic taste
c - correct answer- a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on expiration
d. sinus rhythm with occasional premature atrial contraction and HR 88/min
d - correct answer- A nurse is preparing a client for coronary angiography. The nurse should
report which of the following findings to the provider prior to the procedure?
a. hemoglobin 14.4 g/dL
b. history of peripheral arterial disease
c. urine output 200 mL/4 hr
d. previous allergic reaction to shellfish
a - correct answer- 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."
b - correct answer- 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 patch
b. place the patch on an area of skin away from skin folds and joints
c. keep the patch on 24 hr per day
d. replace the patch at the onset of angina
c - correct answer- 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?
, ANCC MED SURG CERTIFICATION EXAM ACTUAL EXAM COMPLETE 200 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWER- S) / ALREADY GRADED A+
a. serosanguinous drainage on dressing
b. severe pain with coughing
c. urine output of 20 mL/hr
d. increase in temp from 36.C (98.2F)- 37.5C (99.5F)
d - correct answer- 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 distention
b. bowel sounds
c. peripheral edema
d. urine output
b - correct answer- A nurse is watching a client's ECG monitor and notes that the client's
rhythm has changed from a normal sinus rhythm to supraventricular tachycardia. The client is
conscious with a HR of 200-210 bpm and has a faint radial pulse. The nurse should anticipate
assisting with which of the following interventions?
a. delivery of precordial thump
b. vagal stimulation
c. administration of atropine IV
d. defibrillation
a - correct answer- A nurse is providing discharge teaching for a client who has HF. The nurse
should instruct the client to report which of the following findings immediately to the provider?
a. weight gain of 2 lb in 24 hr
b. inc of 10 mmHg in systolic BP
c. dyspnea with exertion
d. dizziness when rising quickly
c - correct answer- A nurse is admitting a client who has a leg ulcer and a history of DM. The
nurse should use which of the following focused assessments to help differentiate between an
arterial ulcer and a venous stasis ulcer?
a. explore the clients family history of peripheral vascular disease
b. note the presence or absence of pain at the ulcer site
