ANCC MED-SURG CERTIFICATION
PRACTICE EXAM Questions and
Answers Latest Version 2025 TOP
RATED A+
An older client diagnosed with bacterial gastroenteritis reports
abdominal cramping, diarrhea, nausea, and vomiting, and fatigue for the
past 24 hours. The nurse should monitor the client for what priority
assessment?a. dehydrationb. hypokalemiac. hypernatremiad. perineal
skin breakdown - Precise Answer ✔✔a
A client has recently been placed on corticosteroids as treatment for
ulcerative colitis. the nurse should monitor the client's laboratory results
for evidence of which condition?a. hypernatremiab. hypercalcemiac.
hyperglycemiad. hyperkalemia - Precise Answer ✔✔c
What priority laboratory analysis should the nurse review when caring
for a client with Crohn's disease?a. c-reactive proteinb. serum albuminc.
hemoglobind. potassium - Precise Answer ✔✔c
A client is admitted to the acute medical client care unit. The nurse
reviews her admission lab results. Which result supports a diagnosis of
,malnutrition?a. serum albumin 3.5 g/dLb. hematocrit 37%c. Hemoglobin
12g/dLd. Prealbumin 13 mg/dL - Precise Answer ✔✔d
Upon assessment the client is noted to have conjunctival xerosis, dry
skin, follicular hyperkeratosis and bright magenta (purple) tongue.
Which vitamin deficiency does the nurse suspect?A. Vit AB. Vit CC.
Vit DD. Vit K - Precise Answer ✔✔a
what is a potential outcome when administering total parenteral nutrition
(TPN)?a. infectionb. hyperglycemiac. electrolyte imbalanced.
dehydration - Precise Answer ✔✔b
an older adult with anemia requests help with his menu choices. What
type of food should the client be encouraged to eat?a. one-half cup of
prunesb. skim milkc. wheat breadd. oranges - Precise Answer ✔✔b
What percentage of adults in the US are obese (BMI>30)?a. 14%b.
21%c. 34%d. 47% - Precise Answer ✔✔c
A client receiving chemotherapy for treatment of cancer is at greatest
risk for developing:a. Stomatitisb. Xerostomac. oral abscessd.
candidiasis - Precise Answer ✔✔a
A 26-year-old female client informs the nurse that she has had red,
raised lesions at the base of the tongue and on the inside of her mouth
for the past 2 weeks. What question should the nurse ask the client?a.
,"Have you seen a dentist recently?"b. "Do you smoke cigarettes?"c. "Do
you have a history of HIV?"d. "What type of work do you do?" - Precise
Answer ✔✔c
An older client with poor oral hygiene was admitted after a fall in which
he sustained a fractured hip. What is the priority nursing intervention?a.
initiate oral care every 6 hoursb. implement aspiration precautionsc. use
lemon glycerin swabs to moisten the mouth as neededd. request a
consult with a registered dietitian - Precise Answer ✔✔a
A nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. Which of the following prescriptions should the
nurse clarify with the provider?a. 0.45% sodium chloride IVb. Milk of
Magnesiac. Ciprofloxacind. Potassium - Precise Answer ✔✔b
A nurse is caring for a client who has GERD and a new prescription for
metoclopramide. The nurse should plan to monitor for which of the
following adverse effects?a. Thrombocytopeniab. hearing lossc.
hypotensiond. ataxia - Precise Answer ✔✔d
A nurse is caring for a client who has colorectal cancer and is recieving
chemotherapy. The client asks the nurse why blood is being drawn for a
carcinoembryonic antigen (CEA) level. Which of the following
responses by the nurse is appropriate?a. "The CEA determines the
current stage of you colon cancer."b. "The CEA determines the efficacy
of your chemotherapy."c. "The CEA determines if the neutrophil count
is below the expected reference range."d. "The CEA determines if you
, are experiencing occult bleeding from the GI tract." - Precise Answer
✔✔b
A nurse is providing discharge teaching for a client who has chronic
cholecystitis. Which of the following food selections by the client
indicated the teaching was effective?a. unsalted nutsb. bolognac.
cheddar cheesed. bananas - Precise Answer ✔✔d
A nurse is providing discharge for a client who has gastritis and a new
prescription for famotidine. Which of the following client statements
indicated the teaching was effective?a. "I should make sure the water I
drink is filtered."b. "I should expect immediate pain relief after starting
this therapy."c. "I will drink iced tea with my meals and snacks."d. "I
will monitor by blood glucose level regularly while taking this
medication." - Precise Answer ✔✔a
What symptom does the nurse expect the client with intussusception to
exhibit?a. decrease in pulseb. extremely elevated body temperaturec.
singultus (hiccups)d. frequent bloody stools - Precise Answer ✔✔c
emotional stress is a risk factor for irritable bowel syndrom (IBS)true
false - Precise Answer ✔✔false
which ethnic group has a higher incidence of colorectal cancer?a.
hispanicb. asianc. caucasiand. african-american - Precise Answer ✔✔d
PRACTICE EXAM Questions and
Answers Latest Version 2025 TOP
RATED A+
An older client diagnosed with bacterial gastroenteritis reports
abdominal cramping, diarrhea, nausea, and vomiting, and fatigue for the
past 24 hours. The nurse should monitor the client for what priority
assessment?a. dehydrationb. hypokalemiac. hypernatremiad. perineal
skin breakdown - Precise Answer ✔✔a
A client has recently been placed on corticosteroids as treatment for
ulcerative colitis. the nurse should monitor the client's laboratory results
for evidence of which condition?a. hypernatremiab. hypercalcemiac.
hyperglycemiad. hyperkalemia - Precise Answer ✔✔c
What priority laboratory analysis should the nurse review when caring
for a client with Crohn's disease?a. c-reactive proteinb. serum albuminc.
hemoglobind. potassium - Precise Answer ✔✔c
A client is admitted to the acute medical client care unit. The nurse
reviews her admission lab results. Which result supports a diagnosis of
,malnutrition?a. serum albumin 3.5 g/dLb. hematocrit 37%c. Hemoglobin
12g/dLd. Prealbumin 13 mg/dL - Precise Answer ✔✔d
Upon assessment the client is noted to have conjunctival xerosis, dry
skin, follicular hyperkeratosis and bright magenta (purple) tongue.
Which vitamin deficiency does the nurse suspect?A. Vit AB. Vit CC.
Vit DD. Vit K - Precise Answer ✔✔a
what is a potential outcome when administering total parenteral nutrition
(TPN)?a. infectionb. hyperglycemiac. electrolyte imbalanced.
dehydration - Precise Answer ✔✔b
an older adult with anemia requests help with his menu choices. What
type of food should the client be encouraged to eat?a. one-half cup of
prunesb. skim milkc. wheat breadd. oranges - Precise Answer ✔✔b
What percentage of adults in the US are obese (BMI>30)?a. 14%b.
21%c. 34%d. 47% - Precise Answer ✔✔c
A client receiving chemotherapy for treatment of cancer is at greatest
risk for developing:a. Stomatitisb. Xerostomac. oral abscessd.
candidiasis - Precise Answer ✔✔a
A 26-year-old female client informs the nurse that she has had red,
raised lesions at the base of the tongue and on the inside of her mouth
for the past 2 weeks. What question should the nurse ask the client?a.
,"Have you seen a dentist recently?"b. "Do you smoke cigarettes?"c. "Do
you have a history of HIV?"d. "What type of work do you do?" - Precise
Answer ✔✔c
An older client with poor oral hygiene was admitted after a fall in which
he sustained a fractured hip. What is the priority nursing intervention?a.
initiate oral care every 6 hoursb. implement aspiration precautionsc. use
lemon glycerin swabs to moisten the mouth as neededd. request a
consult with a registered dietitian - Precise Answer ✔✔a
A nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. Which of the following prescriptions should the
nurse clarify with the provider?a. 0.45% sodium chloride IVb. Milk of
Magnesiac. Ciprofloxacind. Potassium - Precise Answer ✔✔b
A nurse is caring for a client who has GERD and a new prescription for
metoclopramide. The nurse should plan to monitor for which of the
following adverse effects?a. Thrombocytopeniab. hearing lossc.
hypotensiond. ataxia - Precise Answer ✔✔d
A nurse is caring for a client who has colorectal cancer and is recieving
chemotherapy. The client asks the nurse why blood is being drawn for a
carcinoembryonic antigen (CEA) level. Which of the following
responses by the nurse is appropriate?a. "The CEA determines the
current stage of you colon cancer."b. "The CEA determines the efficacy
of your chemotherapy."c. "The CEA determines if the neutrophil count
is below the expected reference range."d. "The CEA determines if you
, are experiencing occult bleeding from the GI tract." - Precise Answer
✔✔b
A nurse is providing discharge teaching for a client who has chronic
cholecystitis. Which of the following food selections by the client
indicated the teaching was effective?a. unsalted nutsb. bolognac.
cheddar cheesed. bananas - Precise Answer ✔✔d
A nurse is providing discharge for a client who has gastritis and a new
prescription for famotidine. Which of the following client statements
indicated the teaching was effective?a. "I should make sure the water I
drink is filtered."b. "I should expect immediate pain relief after starting
this therapy."c. "I will drink iced tea with my meals and snacks."d. "I
will monitor by blood glucose level regularly while taking this
medication." - Precise Answer ✔✔a
What symptom does the nurse expect the client with intussusception to
exhibit?a. decrease in pulseb. extremely elevated body temperaturec.
singultus (hiccups)d. frequent bloody stools - Precise Answer ✔✔c
emotional stress is a risk factor for irritable bowel syndrom (IBS)true
false - Precise Answer ✔✔false
which ethnic group has a higher incidence of colorectal cancer?a.
hispanicb. asianc. caucasiand. african-american - Precise Answer ✔✔d
