ANCC MED/SURG REVIEW
QUESTIONS FROM CLASS WITH
COMPLETE SOLUTIONS LATEST
EDITION 2026-2027 A+ GRADED
100% VERIFIED
The RN assesses the patient's body movements, posture, and gait. What part of the physical exam is
used to assess these areas?
A) Auscultation
B) Inspection
C) Palpation
D) Percussion - ANS -Inspection
The RN is developing a care plan for a patient. What is the end result from the data that they
obtained during the RN assessment?
A) Actualization of a care plan
B) Determining the patient response to the Rn care
C) Collection & Analysis of subjective data
D) ID of actual or potential health problems - ANS -ID of actual or potential health problems
The RN is prioritizing nursing interventions according to Maslow's Hierarchy of Needs. Which of the
following scenarios best demonstrates this theory?
A) State that having a care conference about a hospice patient is not necessary
B) Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is
scheduled for PT
C) inform pt that they must get their AM care now, just as the breakfast tray is being delivered
,D) Request that the chaplain leave the pt's room so that the RN can obtain pm VS> - ANS -B)
Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled
for PT
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35, HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis - ANS -D) Compensated metabolic acidosis
RN educating patient who has CKD and recently suffered an episode of CHF. MD prescribed a low
sodium and low potassium diet, as the patient is on lisinopril & spironolactone. pt asks you to him
some common foods that are high in potassium, that he should omit from his diet. Which of the
following responses is the best by the RN?
A) bananas, eggs, milk high in K & should be used sparingly in a low K diet
B)salt substitutes, dried apricots and potatoes should be consumed sparingly in a low K diet
C) coconut h20 apples and oranges
D) avocados, eggs, milk - ANS -B)salt substitutes, dried apricots and potatoes should be consumed
sparingly in a low K diet
JK has distended neck veins, visible at the angle of the jaw. Based on this assessment finding, you
anticipate:
A) Impending respiratory distress
B) Diuretics may be increased
C) Reduced tissue O2 delivery
D) Impaired cardiac contractility - ANS -B) Diuretics may be increased
When assessing a patient w/ anemia from acute blood loss, the RN would epect to find which of the
following?
A) Sudden onsent of sx - hypotension & tachycardia
b) exertional dyspnea, poor nutrition and hypotension
, C) Sudden onset of symptoms - glossitis and tachycardia
D) Fatigue, neuropathy and tachycardia - ANS -A) Sudden onsent of sx - hypotension & tachycardia
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
C) is breathing faster/depper than normal
D) aspirin overdose - ANS -C) is breathing faster/depper than normal
pt vomiting would be expected to have
A) hypocalcemia
B) Hypercholeremia
C) Metabolic acidosis
D) Hypokalemia - ANS -D) Hypokalemia
PT receiving IVF through an AC line in the LA, RN notes that the site is tender to palpation and has a
red streak extending into the biceps. Which of the following interventions should the RN perform
first?
A) Warm compress
B) Start IV on R Arm
C) Notify Charge RN
D) DC Iv - ANS -D) DC Iv
RN is about to give the pt a scheduled tube feeding. Which of the following would cause the RN to
hold the feeding and reassess in 1-2 hours?
A) Residual <50 ml
B) Residual b/w 60-75
C) residual near 100ml
D) Residual >200 - ANS -D) Residual >200
QUESTIONS FROM CLASS WITH
COMPLETE SOLUTIONS LATEST
EDITION 2026-2027 A+ GRADED
100% VERIFIED
The RN assesses the patient's body movements, posture, and gait. What part of the physical exam is
used to assess these areas?
A) Auscultation
B) Inspection
C) Palpation
D) Percussion - ANS -Inspection
The RN is developing a care plan for a patient. What is the end result from the data that they
obtained during the RN assessment?
A) Actualization of a care plan
B) Determining the patient response to the Rn care
C) Collection & Analysis of subjective data
D) ID of actual or potential health problems - ANS -ID of actual or potential health problems
The RN is prioritizing nursing interventions according to Maslow's Hierarchy of Needs. Which of the
following scenarios best demonstrates this theory?
A) State that having a care conference about a hospice patient is not necessary
B) Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is
scheduled for PT
C) inform pt that they must get their AM care now, just as the breakfast tray is being delivered
,D) Request that the chaplain leave the pt's room so that the RN can obtain pm VS> - ANS -B)
Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled
for PT
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35, HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis - ANS -D) Compensated metabolic acidosis
RN educating patient who has CKD and recently suffered an episode of CHF. MD prescribed a low
sodium and low potassium diet, as the patient is on lisinopril & spironolactone. pt asks you to him
some common foods that are high in potassium, that he should omit from his diet. Which of the
following responses is the best by the RN?
A) bananas, eggs, milk high in K & should be used sparingly in a low K diet
B)salt substitutes, dried apricots and potatoes should be consumed sparingly in a low K diet
C) coconut h20 apples and oranges
D) avocados, eggs, milk - ANS -B)salt substitutes, dried apricots and potatoes should be consumed
sparingly in a low K diet
JK has distended neck veins, visible at the angle of the jaw. Based on this assessment finding, you
anticipate:
A) Impending respiratory distress
B) Diuretics may be increased
C) Reduced tissue O2 delivery
D) Impaired cardiac contractility - ANS -B) Diuretics may be increased
When assessing a patient w/ anemia from acute blood loss, the RN would epect to find which of the
following?
A) Sudden onsent of sx - hypotension & tachycardia
b) exertional dyspnea, poor nutrition and hypotension
, C) Sudden onset of symptoms - glossitis and tachycardia
D) Fatigue, neuropathy and tachycardia - ANS -A) Sudden onsent of sx - hypotension & tachycardia
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
C) is breathing faster/depper than normal
D) aspirin overdose - ANS -C) is breathing faster/depper than normal
pt vomiting would be expected to have
A) hypocalcemia
B) Hypercholeremia
C) Metabolic acidosis
D) Hypokalemia - ANS -D) Hypokalemia
PT receiving IVF through an AC line in the LA, RN notes that the site is tender to palpation and has a
red streak extending into the biceps. Which of the following interventions should the RN perform
first?
A) Warm compress
B) Start IV on R Arm
C) Notify Charge RN
D) DC Iv - ANS -D) DC Iv
RN is about to give the pt a scheduled tube feeding. Which of the following would cause the RN to
hold the feeding and reassess in 1-2 hours?
A) Residual <50 ml
B) Residual b/w 60-75
C) residual near 100ml
D) Residual >200 - ANS -D) Residual >200
