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ANCC Med-Surg Exam – Verified Questions and Correct Answers (2025/2026 Update) | Grade A Study Guide

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This document provides the newest 2025/2026 update of the ANCC Medical-Surgical Nursing Certification Exam, featuring verified questions and 100% correct solutions. It covers essential topics such as patient care management, pathophysiology, pharmacology, clinical decision-making, and professional nursing practice. Designed for nurses preparing for ANCC Med-Surg certification, this Grade A study guide ensures comprehensive preparation and guaranteed accuracy.

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Uploaded on
March 31, 2025
Number of pages
7
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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1
ANCC MED




ANCC MEDSURG EXAM (2025/ 2026
UPDATE) QUESTIONS & ANSWERS| GRADE A|
100% CORRECT (VERIFIED SOLUTIONS)


Growth hormone-releasing hormone (GHRH) stimulates - ANS ✓GH release from the
anterior pituitary.

Adrenocorticotropic hormone (ACTH) stimulates - ANS ✓the production and release of
adrenocortical hormones (glucocorticoids, mineralocorticoids, androgens).

anisocoria - ANS ✓unequal pupil size

potential complications of myasthenia gravis - ANS ✓Cholinergic Crisis
Myasthenia Crisis
Aspiration Pneumonia

urine creatinine clearance test - ANS ✓most accurate measure of glomerular filtration rate
(GFR)

Women are more likely to die from asthma (true or false) - ANS ✓True

type 2 diabetes mellitus medications is to be taken with the very first bite of each meal - ANS
✓Acarbose (Precose) and Miglitol
= alpha-glucosidase inhibitors.

A patient begins vomiting dark vomitus with a "coffee ground" appearance. The nurse
recognizes that which of the following is most likely - ANS ✓The patient has been bleeding
internally for some time.

melena most likely to indicate? - ANS ✓A slow gastrointestinal bleed

mechanism of action of furosemide (Lasix) - ANS ✓Sodium reabsorption is decreased in the
loop of Henle, which causes more urine to be retained in the urinary system, increasing urine
production.

24-hour urine test for metanephrine on a patient - used in the diagnosis of - ANS
✓Pheochromocytomas

Cushing's syndrome - ANS ✓Oversecretion of adrenocortical hormones



ANCC MED

, 2
ANCC MED




Adrenocortical hypofunction - ANS ✓Addison's disease

Grave's disease - ANS ✓describes an immune condition causing excessive secretion of
thyroid stimulating hormone (TSH).

Buck's traction - ANS ✓is a skin traction that is applied to a leg

posterior lobe of the pituitary gland is the smaller lobe and secretes two major hormones -
ANS ✓oxytocin and antidiuretic hormone (ADH)

most important section of the chest tube drainage system is the - ANS ✓water seal chamber
because it prevents air from entering the chest cavity during inhalation and allows air to
escape during expiration. It also assists in re-establishing and maintaining negative air
pressure.

patient with acute kidney failure, and during the shift, the patient becomes more confused and
irritable. The nurse understands that the most likely cause of the change in behavior is due to:
- ANS ✓elevated BUN is indicative of uremia, which is toxic to the CNS and causes mental
cloudiness and confusion and can result in a loss of consciousness

COPD: Chronic bronchitis - ANS ✓ong-term cough with mucus production

COPD: emphysema - ANS ✓involves the destruction of the lungs over time.

Symptoms of hypoglycemia related to the autonomicnervous system include: - ANS
✓Tachycardia
Tremors
Palpitations
Nausea
Sweating
Hunger

Neuroglycopenic symptoms refer to a shortage of glucose in the brain; these symptoms affect
the function of neurons, and alter brain function and behavior, and include: - ANS ✓Impaired
thought processes
Stupor
Coma
Seizures

Diagnosing hyperthyroidism - ANS ✓Radioiodine Uptake (RAIU) is a nuclear medicine test
in which the rate at which the thyroid gland uptakes radioactive iodine is measured

disseminated intravascular coagulation (DIC)? - ANS ✓This leads to increased blood clotting
throughout the body in the form of microclotting. This depletes clotting factors throughout
the body, causing bleeding to occur. The microclotting that occurs also leads to decreased



ANCC MED

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