• ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 1
NEW 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!!)
A nurse is caring for several clients at risk for overhydration. The nurse assesses the older
client with which finding first?
A) Has had diabetes mellitus for 12 years
P a g e 1 | 214
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently –
Correct Answer :C
Blood replacement therapy involves intravenous fluid administration, which inherently
increases the risk for overhydration. The fact that the fluid consists of packed red blood cells
greatly increases the risk, because this fluid increases the colloidal oncotic pressure of the
blood, causing fluid to move from interstitial and intracellular spaces into the plasma volume.
An older adult may not have sufficient cardiac or renal reserve to manage this extra fluid.
The client with a stroke was admitted to a medical-surgical unit. Which tasks does the nurse
delegate to the unlicensed assistive personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan. –
Correct Answer :C
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, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse needs to know the five rights of delegation: right task, right circumstances, right
person, right communication, and right supervision. Unlicensed assistive personnel can help
with feeding, but only the nurse can care plan, assess the level of consciousness, and evaluate
the oxygenation of the client.
Interrelated concepts to the professional nursing role a nurse manager would consider when
addressing concerns about the quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology. –
Correct Answer :D
The interrelated concepts to the professional role of a nurse include health promotion,
leadership, technology/informatics, quality, collaboration, and communication. Adherence,
culture, developmental level, family dynamics, and motivation are considered interrelated
concepts to patient attributes and preference.
During orientation to an emergency department, the nurse educator would be concerned if
the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
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, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
D) Physical agility –
Correct Answer :D
Physical agility is not a risk factor for impaired thermoregulation. The nurse educator would
use this information to plan additional teaching to include medical conditions and gait
disturbance as risk factors for hypothermia, because their bodies have a reduced ability to
generate heat. Impaired cognition is a risk factor. Recreational or occupational exposure is a
risk factor. Temperature extremes are risk factors for impaired thermoregulation.
An older adult client is in physical restraints. Which intervention by the nurse is the priority?
A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for feeding.
C) Assess the client twice each shift while keeping the restraints in place.
D) Assess the client every 30 to 60 minutes, releasing restraints every 2 hours. –
Correct Answer :D
The application of restraints can have serious consequences. Thus, the nurse should check
the client every 30 to 60 minutes, releasing the restraints every 2 hours for positioning and
toileting. The other answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be compromised. Assessing
every hour and releasing the restraints every 2 hours is in compliance with federal policy for
monitoring clients in restraints.
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CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 1
NEW 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!!)
A nurse is caring for several clients at risk for overhydration. The nurse assesses the older
client with which finding first?
A) Has had diabetes mellitus for 12 years
P a g e 1 | 214
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently –
Correct Answer :C
Blood replacement therapy involves intravenous fluid administration, which inherently
increases the risk for overhydration. The fact that the fluid consists of packed red blood cells
greatly increases the risk, because this fluid increases the colloidal oncotic pressure of the
blood, causing fluid to move from interstitial and intracellular spaces into the plasma volume.
An older adult may not have sufficient cardiac or renal reserve to manage this extra fluid.
The client with a stroke was admitted to a medical-surgical unit. Which tasks does the nurse
delegate to the unlicensed assistive personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan. –
Correct Answer :C
P a g e 2 | 214
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse needs to know the five rights of delegation: right task, right circumstances, right
person, right communication, and right supervision. Unlicensed assistive personnel can help
with feeding, but only the nurse can care plan, assess the level of consciousness, and evaluate
the oxygenation of the client.
Interrelated concepts to the professional nursing role a nurse manager would consider when
addressing concerns about the quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology. –
Correct Answer :D
The interrelated concepts to the professional role of a nurse include health promotion,
leadership, technology/informatics, quality, collaboration, and communication. Adherence,
culture, developmental level, family dynamics, and motivation are considered interrelated
concepts to patient attributes and preference.
During orientation to an emergency department, the nurse educator would be concerned if
the new nurse listed which of the following as a risk factor for impaired thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
P a g e 3 | 214
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
D) Physical agility –
Correct Answer :D
Physical agility is not a risk factor for impaired thermoregulation. The nurse educator would
use this information to plan additional teaching to include medical conditions and gait
disturbance as risk factors for hypothermia, because their bodies have a reduced ability to
generate heat. Impaired cognition is a risk factor. Recreational or occupational exposure is a
risk factor. Temperature extremes are risk factors for impaired thermoregulation.
An older adult client is in physical restraints. Which intervention by the nurse is the priority?
A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for feeding.
C) Assess the client twice each shift while keeping the restraints in place.
D) Assess the client every 30 to 60 minutes, releasing restraints every 2 hours. –
Correct Answer :D
The application of restraints can have serious consequences. Thus, the nurse should check
the client every 30 to 60 minutes, releasing the restraints every 2 hours for positioning and
toileting. The other answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be compromised. Assessing
every hour and releasing the restraints every 2 hours is in compliance with federal policy for
monitoring clients in restraints.
P a g e 4 | 214
