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ANCC Med-Surg Certification Questions
and Correct Answers/ Latest Update /
Already Graded
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
Ans: 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."
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Ans: 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. confusion
B. friction rub
C. hypertension
D. dry skin
Ans: a
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
Ans: d
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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
Ans: 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 testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
Ans: 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?
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a. slurred speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
Ans: a
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
Ans: 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. SOB
b. lightheadedness
c. dry cough
All rights reserved © 2025/ 2026 |
ANCC Med-Surg Certification Questions
and Correct Answers/ Latest Update /
Already Graded
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
Ans: 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."
All rights reserved © 2025/ 2026 |
, Page |2
Ans: 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. confusion
B. friction rub
C. hypertension
D. dry skin
Ans: a
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
Ans: d
All rights reserved © 2025/ 2026 |
, Page |3
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
Ans: 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 testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
Ans: 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?
All rights reserved © 2025/ 2026 |
, Page |4
a. slurred speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
Ans: a
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
Ans: 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. SOB
b. lightheadedness
c. dry cough
All rights reserved © 2025/ 2026 |
