ANCC MED-SURG CERTIFICATION LATEST
ACTUAL EXAM WITH CORRECT ANSWERS
GRADED A+
c Correct Answer What symptom does the nurse expect the client
with intussusception to exhibit? a. decrease in pulse b. extremely
elevated body temperature c. singultus (hiccups) d. frequent
bloody stools
false Correct Answer emotional stress is a risk factor for irritable
bowel syndrom (IBS)true false
d Correct Answer which ethnic group has a higher incidence of
colorectal cancer? a. Hispanic b. Asian c. Caucasian d. african-
american
b Correct Answer A nurse is assessing a client who has
peritonitis. Which of the following findings should the nurse
expect? a. bloody diarrhea b. board-like abdomen c. periumbilical
cyanosisd. increased bowel sounds
a, d, e Correct Answer a nurse is assessing a client who has
appendicitis. Which of the following findings should the nurse
expect? a. oral temp 38.4 b. WBC 6,000/mm3 c. bloody diarrhea
d. nausea and vomiting e. right lower quadrant pain
,a Correct Answer A nurse is assessing a client who is
postoperative following a gastrectomy. The nurse should identify
which of the following findings as an indication of acute gastric
dilation? a. hiccups b. elevated BP c. bradycardia d. left lower
quadrant pain
c Correct Answer A nurse is caring for a client who has hepatic
encephalopathy. The client asks the nurse if she can have a
larger portion of beef for dinner. Which of the following responses
by the nurse is appropriate?a. "Beef is too high in fat, but can i
request chicken as a substitute."b. "You need to increase your
fluid intake. Would you like beef and noodle soup? "c. "You should
limit your animal protein intake. Can I get you a veggie burger
instead?" d. "You need to limit calories. Would you like some
sugar-free gelatin?"
d Correct Answer Immunity that is developed by vaccination or
immunization is known as:a. natural active b. passive acquired c.
innate/native d. artificial active
c Correct Answer A patient with inflammation has a high
eosinophil count. The nurse recognizes that this finding most
likely indicated that:a. humoral and cell-mediated immunity is
being stimulatedb. the inflammatory response has been
stimulated by infection c. tissue damage has been caused by an
,allergen-antibody reaction d. the inflammation has become
chronic with persistent tissue damage
b Correct Answer Which cell types associated with the
inflammatory response participate in phagocytosis? a. neutrophils
and eosinophils b. macrophages and neutrophils c. macrophages
and eosinophilsd. eosinophils and basophils
b Correct Answer A nurse is providing discharge teaching for a
client who has chronic hepatitis C. which of the following
statements by the client indicates an understanding of the
teaching?a. "I will avoid alcohol until I'm no longer contagious. "b.
"I will avoid medications containing acetaminophen. "c. "I will
decrease my intake of calories. "d. "I will need treatment for 3
months."
c Correct Answer A nurse is providing discharge teaching for an
older adult client who has mild diverticulitis. which of the following
client statements indicates an understanding of the teaching? a. "I
may experience right lower quadrant pain. "b. "I will remain active
by working in my garden every day." c. "I should eat foods that
are low in fiber." d. "I will use a mild laxative every day."
a Correct Answer A nurse is providing discharge teaching for a
client who has GERD. Which of the following client statements
indicates the teaching was effective? a. "I will decrease the
amount of carbonated beverages I drink. "b. "I will avoid drinking
, liquids for 30 minutes after taking a chew-able antacid tablet."c. "I
will eat a snack before going to bed. "d. "I will lie down for at least
30 minutes after eating each meal."
d Correct Answer A nurse is reviewing the lab results of a client
who has hepatic cirrhosis. Which of the following lab findings
should the nurse report to the provider? a. Albumin 4.0 g/dL b.
INR 1.5c. Bilirubin 0.2 mg/dL d. Ammonia 180 mcg/dL
b Correct Answer A nurse is providing discharge teaching for a
client who has a new prescription for medications to treat peptic
ulcer disease. The nurse should identify that which of the
following medications inhibits gastric acid secretion? a. calcium
carbonate b. Famotidine c. aluminum hydroxide d. sucralfate
b Correct Answer A nurse is providing teaching about dietary
management to prevent dumping syndrome for a client who is
post-op following a gastrectomy. The nurse should encourage the
client to include which of the following foods in his diet? a.
lactose-reduced milk b. Eggs c. grape juice d. honey
c Correct Answer A nurse is providing discharge teaching for a
client following an ileostomy. The nurse should instruct the client
to report which of the following findings to the provider? a.
intolerance to high-fiber foods b. liquid ileostomy output c. dark
purple stoma d. sensation of burning during bowel elimination
ACTUAL EXAM WITH CORRECT ANSWERS
GRADED A+
c Correct Answer What symptom does the nurse expect the client
with intussusception to exhibit? a. decrease in pulse b. extremely
elevated body temperature c. singultus (hiccups) d. frequent
bloody stools
false Correct Answer emotional stress is a risk factor for irritable
bowel syndrom (IBS)true false
d Correct Answer which ethnic group has a higher incidence of
colorectal cancer? a. Hispanic b. Asian c. Caucasian d. african-
american
b Correct Answer A nurse is assessing a client who has
peritonitis. Which of the following findings should the nurse
expect? a. bloody diarrhea b. board-like abdomen c. periumbilical
cyanosisd. increased bowel sounds
a, d, e Correct Answer a nurse is assessing a client who has
appendicitis. Which of the following findings should the nurse
expect? a. oral temp 38.4 b. WBC 6,000/mm3 c. bloody diarrhea
d. nausea and vomiting e. right lower quadrant pain
,a Correct Answer A nurse is assessing a client who is
postoperative following a gastrectomy. The nurse should identify
which of the following findings as an indication of acute gastric
dilation? a. hiccups b. elevated BP c. bradycardia d. left lower
quadrant pain
c Correct Answer A nurse is caring for a client who has hepatic
encephalopathy. The client asks the nurse if she can have a
larger portion of beef for dinner. Which of the following responses
by the nurse is appropriate?a. "Beef is too high in fat, but can i
request chicken as a substitute."b. "You need to increase your
fluid intake. Would you like beef and noodle soup? "c. "You should
limit your animal protein intake. Can I get you a veggie burger
instead?" d. "You need to limit calories. Would you like some
sugar-free gelatin?"
d Correct Answer Immunity that is developed by vaccination or
immunization is known as:a. natural active b. passive acquired c.
innate/native d. artificial active
c Correct Answer A patient with inflammation has a high
eosinophil count. The nurse recognizes that this finding most
likely indicated that:a. humoral and cell-mediated immunity is
being stimulatedb. the inflammatory response has been
stimulated by infection c. tissue damage has been caused by an
,allergen-antibody reaction d. the inflammation has become
chronic with persistent tissue damage
b Correct Answer Which cell types associated with the
inflammatory response participate in phagocytosis? a. neutrophils
and eosinophils b. macrophages and neutrophils c. macrophages
and eosinophilsd. eosinophils and basophils
b Correct Answer A nurse is providing discharge teaching for a
client who has chronic hepatitis C. which of the following
statements by the client indicates an understanding of the
teaching?a. "I will avoid alcohol until I'm no longer contagious. "b.
"I will avoid medications containing acetaminophen. "c. "I will
decrease my intake of calories. "d. "I will need treatment for 3
months."
c Correct Answer A nurse is providing discharge teaching for an
older adult client who has mild diverticulitis. which of the following
client statements indicates an understanding of the teaching? a. "I
may experience right lower quadrant pain. "b. "I will remain active
by working in my garden every day." c. "I should eat foods that
are low in fiber." d. "I will use a mild laxative every day."
a Correct Answer A nurse is providing discharge teaching for a
client who has GERD. Which of the following client statements
indicates the teaching was effective? a. "I will decrease the
amount of carbonated beverages I drink. "b. "I will avoid drinking
, liquids for 30 minutes after taking a chew-able antacid tablet."c. "I
will eat a snack before going to bed. "d. "I will lie down for at least
30 minutes after eating each meal."
d Correct Answer A nurse is reviewing the lab results of a client
who has hepatic cirrhosis. Which of the following lab findings
should the nurse report to the provider? a. Albumin 4.0 g/dL b.
INR 1.5c. Bilirubin 0.2 mg/dL d. Ammonia 180 mcg/dL
b Correct Answer A nurse is providing discharge teaching for a
client who has a new prescription for medications to treat peptic
ulcer disease. The nurse should identify that which of the
following medications inhibits gastric acid secretion? a. calcium
carbonate b. Famotidine c. aluminum hydroxide d. sucralfate
b Correct Answer A nurse is providing teaching about dietary
management to prevent dumping syndrome for a client who is
post-op following a gastrectomy. The nurse should encourage the
client to include which of the following foods in his diet? a.
lactose-reduced milk b. Eggs c. grape juice d. honey
c Correct Answer A nurse is providing discharge teaching for a
client following an ileostomy. The nurse should instruct the client
to report which of the following findings to the provider? a.
intolerance to high-fiber foods b. liquid ileostomy output c. dark
purple stoma d. sensation of burning during bowel elimination
