ANCC Med-Surg Certification Exam
Questions and Answers Graded A+
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/hrb. continue to monitor the heparin infusion as
prescribedc. request a prothrombin timed. stop the heparin infusion - Correct
answer-d
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." - Correct 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 - Correct answer-a
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,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 - Correct 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 - Correct 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 - Correct 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 - Correct answer-a
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,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 - Correct 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 - Correct 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 - Correct 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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." - Correct 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 -
Correct 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) -
Correct 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 - Correct answer-d
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers Graded A+
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/hrb. continue to monitor the heparin infusion as
prescribedc. request a prothrombin timed. stop the heparin infusion - Correct
answer-d
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." - Correct 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 - Correct answer-a
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,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 - Correct 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 - Correct 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 - Correct 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 - Correct answer-a
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,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 - Correct 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 - Correct 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 - Correct 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 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." - Correct 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 -
Correct 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) -
Correct 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 - Correct answer-d
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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
