• ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM
NEWEST 2025/ 2026 ACTUAL EXAM TEST
BANK| ANCC MEDSURG-BC™ EXAM WITH
COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
102. An hour after I.V. furosemide (Lasix) is administered to a patient with heart failure, a
short burst of ventricular tachycardia appears on the cardiac monitor. Which electrolyte
imbalance should the nurse suspect?
A. Hypocalcemia
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, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia –
Correct Answer :102. Correct answer: C Furosemide is a potassium-depleting diuretic that
can cause hypokalemia.
In
turn, hypokalemia increases myocardial excitability, leading to ventricular tachycardia.
Hypocalcemia
(Option A), which slows conduction through the atrioventricular junction, can cause such
bradyarrhythmias as atrioventricular block. Hypermagnesemia (Option B) may lead to
bradycardia, not tachycardia.
Hypernatremia (Option D) may cause sinus tachycardia as a result of water loss.
103. What signs and symptoms of pneumonia might an elderly patient first have that a
younger patient is
unlikely to have?
A. Altered mental status and dehydration
B. Fever and chills
C. Hemoptysis and dyspnea
D. Pleuritic chest pain and cough –
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, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Correct Answer :103. Correct answer: A Although fever, chills, hemoptysis, dyspnea, cough,
and pleuritic chest pain (Options B, C, and D) are the common signs and symptoms of
pneumonia, an elderly patient may first appear with only an altered mental status and
dehydration resulting from a blunted immune response.
104. A patient with pneumonia develops dyspnea with a respiratory rate of 32 breaths/ minute
and difficulty expelling his secretions. The nurse auscultates his lung fields and hears bronchial
sounds in the left lower lobe. The nurse determines that the patient requires which treatment
first?
A. Antibiotics
B. Bed rest
C. Oxygen
D. Nutritional intake –
Correct Answer :104. Correct answer C The patient is having difficulty breathing and is
probably becoming hypoxic.
As an emergency measure, the nurse can provide oxygen without Waiting for a physician's
order. Antibiotics (Option A) may be warranted, but this isn't a nursing decision. The patient
should be maintained on bed rest (Option in) if he'le dyapneie to minimize his oxygen
demands, but providing additional oxygen will deal more immediately with this hi problem:
The patient will need nutritional support (Option D), but while dyspneic, he may be unable to
spare the energy needed to eat and at the same time maintain adequate oxygenation
105. A patient was given morphine for pain. He is sleeping and has a respiratory rate of 4
breaths/ minute. If action is not taken quickly, what reaction might he have?
A. An asthma attack
B. Respiratory arrest
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, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
C. Seizure
D. Waking up on his own –
Correct Answer :105. Correct answer: B Opioids such as morphine can cause respiratory
arrest if given in large quanti-
ties. It's unlikely the patient will have an asthma attack (Option A), a seizure (Option C), or
wake up on his own (Option D).
106. After a patient undergoes a gastric resection, what postoperative care need should take
priority?
A. Body image
B. Nutritional needs
C. Skin care
D. Spiritual needs –
Correct Answer :106. Correct answer: B After gastric resection, a patient may require total
parenteral nutrition or
jejunostomy tube feedings to maintain adequate nutritional status, which promotes healing.
Body image (Option A) isn't the major concern for the patient at this point because clothing
can cover the incision site. Although the patient needs wound care at the incision site to
prevent infection, he doesn't need additional skin care measures (Option C). If spiritual needs
(Option D) arise, they should be addressed when the patient demonstrates a readiness to
share those needs.
107. During the first few days of recovery from ostomy surgery for ulcerative colitis, which
aspect of patient care should take priority?
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CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM
NEWEST 2025/ 2026 ACTUAL EXAM TEST
BANK| ANCC MEDSURG-BC™ EXAM WITH
COMPLETE 250 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
102. An hour after I.V. furosemide (Lasix) is administered to a patient with heart failure, a
short burst of ventricular tachycardia appears on the cardiac monitor. Which electrolyte
imbalance should the nurse suspect?
A. Hypocalcemia
P a g e 1 | 134
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
B. Hypermagnesemia
C. Hypokalemia
D. Hypernatremia –
Correct Answer :102. Correct answer: C Furosemide is a potassium-depleting diuretic that
can cause hypokalemia.
In
turn, hypokalemia increases myocardial excitability, leading to ventricular tachycardia.
Hypocalcemia
(Option A), which slows conduction through the atrioventricular junction, can cause such
bradyarrhythmias as atrioventricular block. Hypermagnesemia (Option B) may lead to
bradycardia, not tachycardia.
Hypernatremia (Option D) may cause sinus tachycardia as a result of water loss.
103. What signs and symptoms of pneumonia might an elderly patient first have that a
younger patient is
unlikely to have?
A. Altered mental status and dehydration
B. Fever and chills
C. Hemoptysis and dyspnea
D. Pleuritic chest pain and cough –
P a g e 2 | 134
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Correct Answer :103. Correct answer: A Although fever, chills, hemoptysis, dyspnea, cough,
and pleuritic chest pain (Options B, C, and D) are the common signs and symptoms of
pneumonia, an elderly patient may first appear with only an altered mental status and
dehydration resulting from a blunted immune response.
104. A patient with pneumonia develops dyspnea with a respiratory rate of 32 breaths/ minute
and difficulty expelling his secretions. The nurse auscultates his lung fields and hears bronchial
sounds in the left lower lobe. The nurse determines that the patient requires which treatment
first?
A. Antibiotics
B. Bed rest
C. Oxygen
D. Nutritional intake –
Correct Answer :104. Correct answer C The patient is having difficulty breathing and is
probably becoming hypoxic.
As an emergency measure, the nurse can provide oxygen without Waiting for a physician's
order. Antibiotics (Option A) may be warranted, but this isn't a nursing decision. The patient
should be maintained on bed rest (Option in) if he'le dyapneie to minimize his oxygen
demands, but providing additional oxygen will deal more immediately with this hi problem:
The patient will need nutritional support (Option D), but while dyspneic, he may be unable to
spare the energy needed to eat and at the same time maintain adequate oxygenation
105. A patient was given morphine for pain. He is sleeping and has a respiratory rate of 4
breaths/ minute. If action is not taken quickly, what reaction might he have?
A. An asthma attack
B. Respiratory arrest
P a g e 3 | 134
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
C. Seizure
D. Waking up on his own –
Correct Answer :105. Correct answer: B Opioids such as morphine can cause respiratory
arrest if given in large quanti-
ties. It's unlikely the patient will have an asthma attack (Option A), a seizure (Option C), or
wake up on his own (Option D).
106. After a patient undergoes a gastric resection, what postoperative care need should take
priority?
A. Body image
B. Nutritional needs
C. Skin care
D. Spiritual needs –
Correct Answer :106. Correct answer: B After gastric resection, a patient may require total
parenteral nutrition or
jejunostomy tube feedings to maintain adequate nutritional status, which promotes healing.
Body image (Option A) isn't the major concern for the patient at this point because clothing
can cover the incision site. Although the patient needs wound care at the incision site to
prevent infection, he doesn't need additional skin care measures (Option C). If spiritual needs
(Option D) arise, they should be addressed when the patient demonstrates a readiness to
share those needs.
107. During the first few days of recovery from ostomy surgery for ulcerative colitis, which
aspect of patient care should take priority?
P a g e 4 | 134
