• ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 3
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!!)
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial
meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare
provider?
A. Lumbar puncture
B. Skull radiography
C. Magnetic resonance imaging (MRI)
D. Computerized tomography (CT) scan
P a g e 1 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Answer: A. Lumbar puncture
Rationale: A lumbar puncture allows the collection of cerebrospinal fluid to confirm the
diagnosis of bacterial meningitis.
A nurse is educating a patient with Type 2 diabetes mellitus and peripheral neuropathy. What
advice should the nurse give?
A. Shoes should be worn outside the house, but it is fine to be barefoot inside
B. Family members can assist with regular foot exams
C. Heating pads are useful if used on the lowest setting
D. Aching feet may be soaked in lukewarm water for one hour or more
Answer: B. Family members can assist with regular foot exams
Rationale: Regular foot exams help detect injuries early, as patients may have sensory loss.
An overweight young adult diagnosed with type 2 diabetes mellitus is admitted for a hernia
repair. The patient reports feeling very weak and jittery. What actions should the nurse take?
(Select all that apply)
A. Check fingerstick glucose level
B. Assess skin temperature and moisture
C. Administer a PRN dose of regular insulin
D. Document anxiety on the surgical checklistE. Measure pulse and blood pressure
Answer: A, B, E
Rationale: Check for hypoglycemia, assess for sweating, and monitor vitals to ensure stability.
P a g e 2 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse is providing discharge teaching to an older adult patient hospitalized for treatment
of venous leg ulcers. Which instructions should the nurse include in the teaching plan? (Select
all that apply.)
A. Eat a diet that is high in protein and vitamins A and C
B. Maintain bed rest as much as possible
C. Keep legs elevated when sitting or lying down
D. Inspect ankles daily for areas of darkening skin
E. Apply intermittent cold compresses four times daily
Answer: A, C, D
Rationale: Protein helps heal wounds, elevation reduces swelling, and inspecting skin helps
detect worsening conditions.
A patient with small cell carcinoma of the lung is admitted with SIADH. The patient's serum
sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. What
intervention should the nurse implement?
A. Maintain the prescribed fluid restriction
B. Withhold the next scheduled dose of treatment
C. Increase neurologic checks to every 2 hours
D. Assess for increasing fluid volume overload
Answer: A. Maintain the prescribed fluid restriction
Rationale: Fluid restriction helps manage SIADH by preventing further sodium dilution.
P a g e 3 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse is assessing a patient's understanding of the DASH diet. Which patient behavior
suggests adherence to this diet?
A. The patient exclusively consumes lactose-free dairy products
B. The patient meticulously cleans and peels all fresh fruits and vegetables
C. The patient enjoys fat-free yogurt as an occasional snack
D. The patient has eliminated grains from their diet
Answer: C. The patient enjoys fat-free yogurt as an occasional snack
Rationale: The DASH diet recommends low-fat dairy products like yogurt.
What information should the nurse include in the teaching plan for a patient diagnosed with
gastroesophageal reflux disease (GERD)?
A. The patient should adjust their food intake to three full meals per day with no snacks
B. The patient should avoid participating in any aerobic exercise programs
C. The patient should sleep without pillows at night to maintain neck alignment
D. The patient should wear loose, comfortable clothing to minimize symptoms
Answer: D. The patient should wear loose, comfortable clothing to minimize symptoms
Rationale: Tight clothing increases pressure on the abdomen, worsening GERD symptoms.
The nurse is teaching a patient with chronic obstructive pulmonary disease (COPD) about huff
coughing to clear secretions. During the patient's return demonstration, the patient exhales
using pursed lips. What should the nurse do next?
A. Advise the patient that the procedure is being performed correctly
B. Tell the patient to take several shallow breaths before the next exhalation
C. Instruct the patient to inhale deeply and then quickly and forcefully exhale 2 to 3 times
D. Position the patient in the semi-Fowler's position and apply oxygen
P a g e 4 | 94
CERTIFICATION 08/28/2026
EXAM
ANCC MED SURG CERTIFICATION EXAM 3
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!!)
The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial
meningitis. Which diagnostic procedure should the nurse prepare the client for the healthcare
provider?
A. Lumbar puncture
B. Skull radiography
C. Magnetic resonance imaging (MRI)
D. Computerized tomography (CT) scan
P a g e 1 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
Answer: A. Lumbar puncture
Rationale: A lumbar puncture allows the collection of cerebrospinal fluid to confirm the
diagnosis of bacterial meningitis.
A nurse is educating a patient with Type 2 diabetes mellitus and peripheral neuropathy. What
advice should the nurse give?
A. Shoes should be worn outside the house, but it is fine to be barefoot inside
B. Family members can assist with regular foot exams
C. Heating pads are useful if used on the lowest setting
D. Aching feet may be soaked in lukewarm water for one hour or more
Answer: B. Family members can assist with regular foot exams
Rationale: Regular foot exams help detect injuries early, as patients may have sensory loss.
An overweight young adult diagnosed with type 2 diabetes mellitus is admitted for a hernia
repair. The patient reports feeling very weak and jittery. What actions should the nurse take?
(Select all that apply)
A. Check fingerstick glucose level
B. Assess skin temperature and moisture
C. Administer a PRN dose of regular insulin
D. Document anxiety on the surgical checklistE. Measure pulse and blood pressure
Answer: A, B, E
Rationale: Check for hypoglycemia, assess for sweating, and monitor vitals to ensure stability.
P a g e 2 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse is providing discharge teaching to an older adult patient hospitalized for treatment
of venous leg ulcers. Which instructions should the nurse include in the teaching plan? (Select
all that apply.)
A. Eat a diet that is high in protein and vitamins A and C
B. Maintain bed rest as much as possible
C. Keep legs elevated when sitting or lying down
D. Inspect ankles daily for areas of darkening skin
E. Apply intermittent cold compresses four times daily
Answer: A, C, D
Rationale: Protein helps heal wounds, elevation reduces swelling, and inspecting skin helps
detect worsening conditions.
A patient with small cell carcinoma of the lung is admitted with SIADH. The patient's serum
sodium level increases from 120 mEq/L to 125 mEq/L as they respond to treatment. What
intervention should the nurse implement?
A. Maintain the prescribed fluid restriction
B. Withhold the next scheduled dose of treatment
C. Increase neurologic checks to every 2 hours
D. Assess for increasing fluid volume overload
Answer: A. Maintain the prescribed fluid restriction
Rationale: Fluid restriction helps manage SIADH by preventing further sodium dilution.
P a g e 3 | 94
, • ANCC MED SURG
CERTIFICATION 08/28/2026
EXAM
The nurse is assessing a patient's understanding of the DASH diet. Which patient behavior
suggests adherence to this diet?
A. The patient exclusively consumes lactose-free dairy products
B. The patient meticulously cleans and peels all fresh fruits and vegetables
C. The patient enjoys fat-free yogurt as an occasional snack
D. The patient has eliminated grains from their diet
Answer: C. The patient enjoys fat-free yogurt as an occasional snack
Rationale: The DASH diet recommends low-fat dairy products like yogurt.
What information should the nurse include in the teaching plan for a patient diagnosed with
gastroesophageal reflux disease (GERD)?
A. The patient should adjust their food intake to three full meals per day with no snacks
B. The patient should avoid participating in any aerobic exercise programs
C. The patient should sleep without pillows at night to maintain neck alignment
D. The patient should wear loose, comfortable clothing to minimize symptoms
Answer: D. The patient should wear loose, comfortable clothing to minimize symptoms
Rationale: Tight clothing increases pressure on the abdomen, worsening GERD symptoms.
The nurse is teaching a patient with chronic obstructive pulmonary disease (COPD) about huff
coughing to clear secretions. During the patient's return demonstration, the patient exhales
using pursed lips. What should the nurse do next?
A. Advise the patient that the procedure is being performed correctly
B. Tell the patient to take several shallow breaths before the next exhalation
C. Instruct the patient to inhale deeply and then quickly and forcefully exhale 2 to 3 times
D. Position the patient in the semi-Fowler's position and apply oxygen
P a g e 4 | 94
