ANCC MED-SURG CERTIFICATION
EXAM Questions and Answers Latest
Version 2025 GRADED A+
A nurse is caring for a client who has dilated cardiomyopathy. The client
reports increasing difficulty completing her daily 1-mile walks. The
nurse should recognize that this is a finding of which of the following?a.
left ventricular failureb. peripheral vasodilationc. pericardial effusiond.
dec vascular volume - Precise Answer ✔✔a
A nurse is caring for a client who is scheduled for a coronary artery
bypass graft in 2 hr. Which of the following client statements indicates a
need for further clarification by the nurse?a. "My arthritis is really
bothering me because I haven't taken my aspiring in a week."b. "My
blood pressure shouldn't be high because I took my BP medication this
morning."c. "I took my warfarin last night according to my usually
schedule."d. "I will check my BP because I took a reduced dose of
insulin this morning." - Precise Answer ✔✔c
A nurse is caring for a client who had an onset of chest pain 24 hr ago.
The nurse should recognize that an increase in which of the following is
diagnostic of a MI?a. myoglobinb. c-reactive proteinc. creatine kinase-
MBd. Homocysteine - Precise Answer ✔✔c
,a nurse is caring for a client who has a history of DVT and is receiving
warfarin. Which of the following client findings provides the nurse with
the best evidence regarding the effectiveness of the warfarin therapy?a.
hemoglobin 14 g/dLb. minimal bruising of extremitiesc. reduced
circumference of affected extremityd. INR 2.5 - Precise Answer ✔✔d
A client who has a new diagnosis of hypertension has a prescription for
an ACE inhibitor. The nurse instructs the client about adverse effects of
the medication. The client demonstrates an understanding of the
teaching by stating that he will notify his provider if he experiences
which of the following?a. tendon painb. persistent coughc. frequent
urinationd. constipation - Precise Answer ✔✔b
A client is being evaluated in the ED for a possible brain attack (stroke).
Assessment findings consistent with a brain attack include which of the
following? (select all that apply)a. facial droopb. slurred speechc.
weakness of affected extremityd. crackles in lungse. decreased urine
output - Precise Answer ✔✔a, b, c
A client is admitted with a diagnosis of acute stroke. The provider orders
"diet as tolerated." Before feeding this client, which nursing action is
priority?a. determine client's food preferencesb. elevate the head of the
bed 30 degreesc. assess client's swallowing reflexd. review serum
albumin level to determine appropriate diet - Precise Answer ✔✔c
Which of the following recommendations is best for the nurse to suggest
to a client as a way to keep BP under control?a. follow a regular exercise
programb. attend a stress-reduction support groupc. avoid use of tobacco
,and limit alcohol intaked. increase intake of fruits and veggies - Precise
Answer ✔✔a
which of the following assessment findings indicate to the nurse the
client is experiencing left-sided HF?a. fatigue and dyspneab. Cheyne-
Stokes breathing and orthostatic hypotensionc. liver tenderness and
peripheral edemad. anorexia and dependent edema - Precise Answer
✔✔a
the nurse is teaching a group of adult clients about risk for coronary
artery disease, especially MI. This nurse should instruct this group of
clients about which of the following as ways to decrease incidence of
CAD and MI? (select all that apply)a. "if you smoke, quit"b. "be sure to
consume at least 10% of your calories from saturates fats."c. "Engage in
moderate exercise for 20-30 minutes 3-5 times a week."d. "jog at a mild
pace for at least one hour a day."e. "check BP regularly." - Precise
Answer ✔✔a, c, e
Which client response requires a focused GI assessment?a. "I take
ibuprofen 600 mg three times a day for arthritis pain."b. "I experienced
occasional constipation."c. "I have had dentures for 3 years."d. "spicy
foods upset my stomach." - Precise Answer ✔✔a
After abdominal surgery, what is the most reliable assessment that
suggests return of peristaltic movement?a. presence of normal bowel
soundsb. client report of passing flatusc. client report of hungerd.
absence of nausea - Precise Answer ✔✔b
, when administering a new medication to an older client, the nurse
understands that:a. the dose may need to be increased to greater-than-
normal levelsb. close monitoring is needed because toxic levels may
developc. the dose may need to be decreased to lower-than-normal
levelsd. nausea and vomiting may develop rapidly and are common side
effects in older adults - Precise Answer ✔✔c
A 59 year old man was admitted to the hospital with dysphagia, stating
that he has been having more difficulty swallowing food, even when he
has chewed it throroughly and drinks plenty of water. A CT scan shows
an area for a possible esophageal tumor. The client unergoes a biopsy
and is awaiting results. The client asks, "what am I going to do if this is
cancer?" What is the most appropriate nursing response?a. "You will
have surgery to remove it."b. "I would choose to get radiation."c. "The
doctor will go over the options with you."d. "You sound as if you are
concerned about the biopsy results." - Precise Answer ✔✔d
The client with a long history of osteoarthritis is at risk for developing
GERD if he or she:a. weighs 220 poundsb. frequently takes NSAIDs for
painc. consumes food with calcium supplementationd. has limited
physical mobility - Precise Answer ✔✔b
A priority nursing intervention in the care of a client with a hiatal hernia
is:a. providing nutrition educationb. promoting regular exercisec.
providing medication educationd. instructing the client on signs and
symptoms of intestinal strangulation - Precise Answer ✔✔a
EXAM Questions and Answers Latest
Version 2025 GRADED A+
A nurse is caring for a client who has dilated cardiomyopathy. The client
reports increasing difficulty completing her daily 1-mile walks. The
nurse should recognize that this is a finding of which of the following?a.
left ventricular failureb. peripheral vasodilationc. pericardial effusiond.
dec vascular volume - Precise Answer ✔✔a
A nurse is caring for a client who is scheduled for a coronary artery
bypass graft in 2 hr. Which of the following client statements indicates a
need for further clarification by the nurse?a. "My arthritis is really
bothering me because I haven't taken my aspiring in a week."b. "My
blood pressure shouldn't be high because I took my BP medication this
morning."c. "I took my warfarin last night according to my usually
schedule."d. "I will check my BP because I took a reduced dose of
insulin this morning." - Precise Answer ✔✔c
A nurse is caring for a client who had an onset of chest pain 24 hr ago.
The nurse should recognize that an increase in which of the following is
diagnostic of a MI?a. myoglobinb. c-reactive proteinc. creatine kinase-
MBd. Homocysteine - Precise Answer ✔✔c
,a nurse is caring for a client who has a history of DVT and is receiving
warfarin. Which of the following client findings provides the nurse with
the best evidence regarding the effectiveness of the warfarin therapy?a.
hemoglobin 14 g/dLb. minimal bruising of extremitiesc. reduced
circumference of affected extremityd. INR 2.5 - Precise Answer ✔✔d
A client who has a new diagnosis of hypertension has a prescription for
an ACE inhibitor. The nurse instructs the client about adverse effects of
the medication. The client demonstrates an understanding of the
teaching by stating that he will notify his provider if he experiences
which of the following?a. tendon painb. persistent coughc. frequent
urinationd. constipation - Precise Answer ✔✔b
A client is being evaluated in the ED for a possible brain attack (stroke).
Assessment findings consistent with a brain attack include which of the
following? (select all that apply)a. facial droopb. slurred speechc.
weakness of affected extremityd. crackles in lungse. decreased urine
output - Precise Answer ✔✔a, b, c
A client is admitted with a diagnosis of acute stroke. The provider orders
"diet as tolerated." Before feeding this client, which nursing action is
priority?a. determine client's food preferencesb. elevate the head of the
bed 30 degreesc. assess client's swallowing reflexd. review serum
albumin level to determine appropriate diet - Precise Answer ✔✔c
Which of the following recommendations is best for the nurse to suggest
to a client as a way to keep BP under control?a. follow a regular exercise
programb. attend a stress-reduction support groupc. avoid use of tobacco
,and limit alcohol intaked. increase intake of fruits and veggies - Precise
Answer ✔✔a
which of the following assessment findings indicate to the nurse the
client is experiencing left-sided HF?a. fatigue and dyspneab. Cheyne-
Stokes breathing and orthostatic hypotensionc. liver tenderness and
peripheral edemad. anorexia and dependent edema - Precise Answer
✔✔a
the nurse is teaching a group of adult clients about risk for coronary
artery disease, especially MI. This nurse should instruct this group of
clients about which of the following as ways to decrease incidence of
CAD and MI? (select all that apply)a. "if you smoke, quit"b. "be sure to
consume at least 10% of your calories from saturates fats."c. "Engage in
moderate exercise for 20-30 minutes 3-5 times a week."d. "jog at a mild
pace for at least one hour a day."e. "check BP regularly." - Precise
Answer ✔✔a, c, e
Which client response requires a focused GI assessment?a. "I take
ibuprofen 600 mg three times a day for arthritis pain."b. "I experienced
occasional constipation."c. "I have had dentures for 3 years."d. "spicy
foods upset my stomach." - Precise Answer ✔✔a
After abdominal surgery, what is the most reliable assessment that
suggests return of peristaltic movement?a. presence of normal bowel
soundsb. client report of passing flatusc. client report of hungerd.
absence of nausea - Precise Answer ✔✔b
, when administering a new medication to an older client, the nurse
understands that:a. the dose may need to be increased to greater-than-
normal levelsb. close monitoring is needed because toxic levels may
developc. the dose may need to be decreased to lower-than-normal
levelsd. nausea and vomiting may develop rapidly and are common side
effects in older adults - Precise Answer ✔✔c
A 59 year old man was admitted to the hospital with dysphagia, stating
that he has been having more difficulty swallowing food, even when he
has chewed it throroughly and drinks plenty of water. A CT scan shows
an area for a possible esophageal tumor. The client unergoes a biopsy
and is awaiting results. The client asks, "what am I going to do if this is
cancer?" What is the most appropriate nursing response?a. "You will
have surgery to remove it."b. "I would choose to get radiation."c. "The
doctor will go over the options with you."d. "You sound as if you are
concerned about the biopsy results." - Precise Answer ✔✔d
The client with a long history of osteoarthritis is at risk for developing
GERD if he or she:a. weighs 220 poundsb. frequently takes NSAIDs for
painc. consumes food with calcium supplementationd. has limited
physical mobility - Precise Answer ✔✔b
A priority nursing intervention in the care of a client with a hiatal hernia
is:a. providing nutrition educationb. promoting regular exercisec.
providing medication educationd. instructing the client on signs and
symptoms of intestinal strangulation - Precise Answer ✔✔a
