ANCC MED SURG BC CERTIFICATION EXAM WITH
LATEST REVIEWED QUESTIONS AND CORRECT
ANSWERS 2026 GRADED A+
A 19-year-old college student who presents with sudden onset of headache that is
associated with neck stiffness and fever has been admitted to the hospital. In caring for the
patient with meningitis, the nurse understands that which of the following observations is
correct?
A. The presence of a skin rash eliminates the diagnosis of viral meningitis.
B. Brain herniation after lumbar puncture is more common in immunosuppressed patients.
C. The csf protein level is decreased in bacterial meningitis.
D. The mcv4 vaccine has dramatically decreased the incidence of meningitis in patients in
long-term care facilities. - a n s w e r ⬛
✓ b. Brain herniation after lumbar puncture is more
com-mon in immunosuppressed patients.
Skin rash cannot differentiate; csf protein level increases
Which assessment data is of greatest concern when present in a patient with pneumonia?
A. Capillary refill greater than 3 seconds
B. 9000 wbc
C. Rr 20 breaths per minute
D. Productive cough - a n s w e r ⬛
✓ a. Capillary refill greater than 3 seconds
The medsurg nurse provides patient education before administering a new treatment for a
patient with mg. Which description provided by the nurse accurately describes the reason
for administering immunosuppressive therapy for this patient?
A. It decreases autoantibody production.
1
,B. It promotes excretion of autoantibodies.
C. It increases autoantibody production.
D. It blocks autoantibody receptors. - a n s w e r ⬛
✓ b. It promotes excretion of autoantibodies.
Which treatment intervention should be implemented in the plan of care for a patient with
acute renal failure?
A. Sulfonylureas
B. Intravenous contrast studies
C. Bed rest
D. High protein diet - a n s w e r ✓
⬛ c. Bed rest
The nurse is caring for a patient in the medical-surgical unit who has manifestations of diver-
tiluclitis. The patient asks the nurse to explain the difference between diverticulosis and di-
vertilulitis. Which of the following statements is correct?
A. Diverticulosis rarely occurs in adults.
B. Diverticulitis is associated with chronic nsaid use.
C. The initial treatment for divertilulitis is surgery to remove the affected bowel segment.
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis. - an-
swer⬛ ✓ d. The patient's age at onset of diverticulosis is associated with the risk of diverticu-
litis.
Diverticulitis is caused by infection of the diverticula due to impacted fecaliths and other cel-
lular debris.
The nurse is caring for a patient with a non-st elevation myocardial infarction (nstemi). Using
the thombolysis in myocardial infarction tool, which of the following categories would the
nurse not assess?
2
,A. Age
B. St deviation on ecg
C. Left bbb
D. Prior aspirin intake - a n s w e r ⬛
✓ b. St deviation on ecg
The nurse is caring for a pt who was admitted 3 hrs after sustaining electrical burns. The pa-
tient is aaox4 and vital signs are bp 136/70, hr 86, nsr, t 97.6, 97%, rr 18 breaths. The pa-
tient's skin is intact with one area of redness over the anterior chest wall. Two hours after
admission, the patient is in cardiac arrest. What is the most likely cause of this complication>
A. Hypovolemic shock
B. Hypoxia
C. Myocardial perforation
D, myonecrosis of skeletal muscle - a n s w e r ⬛
✓ d, myonecrosis of skeletal muscle
To detect cholecystitis in a child with sickle cell disease, the nurse should be alert for which
assessment finding?
A. Localized abdominal tenderness
B. Generalized abdominal pain
C. Left upper quadrant pain
D. Rebound abdominal tenderness - answer⬛
⬛ b. Generalized abdominal pain
✓
It's usually ruq pain but an already sick person will feel generalized pain
Which of the following test results is consistent with pulmonary edema of a non-cardiogenic
origin?
A. Cxr with b/l pulm infiltrates
3
, B. Elevated blood levels of b-type natriuretic peptide
C. Abg analysis revealing hypoxemia
D. A pulmonary artery wedge pressure of 12 mmhg - a n s w e r ⬛
✓ d. A pulmonary
artery wedge pressure of 12 mmhg
Which phase of the nursing process provokes the nurse to prioritize diagnoses
A. Assessment
B. Analysis
C. Planning
D. Implementation - a n s w e r ⬛
✓ c. Planning
The nurse is caring for a 52 year old female patient with metabolic syndrome. Which of the
following is the nurse not likely to assess?
A. Low hdl
B. High triglyceride level
C. Fatty deposits on the upper back
D. History of a stroke - answer⬛
⬛ c. Fatty deposits on the upper back
✓
The nurse is developing a taching plan for a patient with newly diagnosed t2dm. Which of
the following symptoms of hyperglycemia would the nurse include?
A. Tremors, fatigue, dizziness
B. Excessive urination, excessive thirst, confusion
C. Anxiety, blurred vision, headache
D. Slurred speech, sweating, fainting - a n s w e r ⬛
✓ b. Excessive urination, excessive thirst,
con-fusion
4
LATEST REVIEWED QUESTIONS AND CORRECT
ANSWERS 2026 GRADED A+
A 19-year-old college student who presents with sudden onset of headache that is
associated with neck stiffness and fever has been admitted to the hospital. In caring for the
patient with meningitis, the nurse understands that which of the following observations is
correct?
A. The presence of a skin rash eliminates the diagnosis of viral meningitis.
B. Brain herniation after lumbar puncture is more common in immunosuppressed patients.
C. The csf protein level is decreased in bacterial meningitis.
D. The mcv4 vaccine has dramatically decreased the incidence of meningitis in patients in
long-term care facilities. - a n s w e r ⬛
✓ b. Brain herniation after lumbar puncture is more
com-mon in immunosuppressed patients.
Skin rash cannot differentiate; csf protein level increases
Which assessment data is of greatest concern when present in a patient with pneumonia?
A. Capillary refill greater than 3 seconds
B. 9000 wbc
C. Rr 20 breaths per minute
D. Productive cough - a n s w e r ⬛
✓ a. Capillary refill greater than 3 seconds
The medsurg nurse provides patient education before administering a new treatment for a
patient with mg. Which description provided by the nurse accurately describes the reason
for administering immunosuppressive therapy for this patient?
A. It decreases autoantibody production.
1
,B. It promotes excretion of autoantibodies.
C. It increases autoantibody production.
D. It blocks autoantibody receptors. - a n s w e r ⬛
✓ b. It promotes excretion of autoantibodies.
Which treatment intervention should be implemented in the plan of care for a patient with
acute renal failure?
A. Sulfonylureas
B. Intravenous contrast studies
C. Bed rest
D. High protein diet - a n s w e r ✓
⬛ c. Bed rest
The nurse is caring for a patient in the medical-surgical unit who has manifestations of diver-
tiluclitis. The patient asks the nurse to explain the difference between diverticulosis and di-
vertilulitis. Which of the following statements is correct?
A. Diverticulosis rarely occurs in adults.
B. Diverticulitis is associated with chronic nsaid use.
C. The initial treatment for divertilulitis is surgery to remove the affected bowel segment.
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis. - an-
swer⬛ ✓ d. The patient's age at onset of diverticulosis is associated with the risk of diverticu-
litis.
Diverticulitis is caused by infection of the diverticula due to impacted fecaliths and other cel-
lular debris.
The nurse is caring for a patient with a non-st elevation myocardial infarction (nstemi). Using
the thombolysis in myocardial infarction tool, which of the following categories would the
nurse not assess?
2
,A. Age
B. St deviation on ecg
C. Left bbb
D. Prior aspirin intake - a n s w e r ⬛
✓ b. St deviation on ecg
The nurse is caring for a pt who was admitted 3 hrs after sustaining electrical burns. The pa-
tient is aaox4 and vital signs are bp 136/70, hr 86, nsr, t 97.6, 97%, rr 18 breaths. The pa-
tient's skin is intact with one area of redness over the anterior chest wall. Two hours after
admission, the patient is in cardiac arrest. What is the most likely cause of this complication>
A. Hypovolemic shock
B. Hypoxia
C. Myocardial perforation
D, myonecrosis of skeletal muscle - a n s w e r ⬛
✓ d, myonecrosis of skeletal muscle
To detect cholecystitis in a child with sickle cell disease, the nurse should be alert for which
assessment finding?
A. Localized abdominal tenderness
B. Generalized abdominal pain
C. Left upper quadrant pain
D. Rebound abdominal tenderness - answer⬛
⬛ b. Generalized abdominal pain
✓
It's usually ruq pain but an already sick person will feel generalized pain
Which of the following test results is consistent with pulmonary edema of a non-cardiogenic
origin?
A. Cxr with b/l pulm infiltrates
3
, B. Elevated blood levels of b-type natriuretic peptide
C. Abg analysis revealing hypoxemia
D. A pulmonary artery wedge pressure of 12 mmhg - a n s w e r ⬛
✓ d. A pulmonary
artery wedge pressure of 12 mmhg
Which phase of the nursing process provokes the nurse to prioritize diagnoses
A. Assessment
B. Analysis
C. Planning
D. Implementation - a n s w e r ⬛
✓ c. Planning
The nurse is caring for a 52 year old female patient with metabolic syndrome. Which of the
following is the nurse not likely to assess?
A. Low hdl
B. High triglyceride level
C. Fatty deposits on the upper back
D. History of a stroke - answer⬛
⬛ c. Fatty deposits on the upper back
✓
The nurse is developing a taching plan for a patient with newly diagnosed t2dm. Which of
the following symptoms of hyperglycemia would the nurse include?
A. Tremors, fatigue, dizziness
B. Excessive urination, excessive thirst, confusion
C. Anxiety, blurred vision, headache
D. Slurred speech, sweating, fainting - a n s w e r ⬛
✓ b. Excessive urination, excessive thirst,
con-fusion
4
