1
ANCC MED
ANCC MED-SURG CERTIFICATION EXAM
QUESTIONS WITH CORRECT VERIFIED
SOLUTIONS 100% GUARANTEED PASS
(LATEST UPDATE)
A nurse is watching a client's ECG monitor and notes that the client's rhythm has changed
from a normal sinus rhythm to supraventricular tachycardia. The client is conscious with a
HR of 200-210 bpm and has a faint radial pulse. The nurse should anticipate assisting with
which of the following interventions?a. delivery of precordial thumpb. vagal stimulationc.
administration of atropine IVd. defibrillation - ANS ✓b
A nurse is providing discharge teaching for a client who has HF. The nurse should instruct
the client to report which of the following findings immediately to the provider?a. weight
gain of 2 lb in 24 hrb. inc of 10 mmHg in systolic BPc. dyspnea with exertiond. dizziness
when rising quickly - ANS ✓a
A nurse is admitting a client who has a leg ulcer and a history of DM. The nurse should use
which of the following focused assessments to help differentiate between an arterial ulcer and
a venous stasis ulcer?a. explore the clients family history of peripheral vascular diseaseb.
note the presence or absence of pain at the ulcer sitec. inquire about the presence or absence
of claudicationd. ask if the client has had a recent infection - ANS ✓c
A nurse is reviewing the laboratory results of several clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which
laboratory values?a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dLb. Cholesterol
185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dLc. Cholesterol 190 mg/dL, HDL 25 mg/dL,
LDL 160 mg/dLd. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANS ✓c
a nurse is providing health teaching for a group of clients. Which of the following clients is at
risk for developing peripheral arterial disease?a. a client who has hypothyroidismb. a client
who has DMc. a client whose daily caloric intake consists of 25% fatd. a client who
consumes two bottles of beer a day - ANS ✓b
a nurse is planning a presentation about hypertension for a community women's group. which
of the following lifestyle modifications should the nurse include (select all that apply)a.
limited alcohol intakeb. regular exercise programc. dec Mg intaked. reduced K intakee.
smoking cessation - ANS ✓a, b, e
ANCC MED
, 2
ANCC MED
A nurse is caring for a client in the first 8 hr following coronary artery bypass graft surgery.
Which of the following client findings should the nurse report to the provider?a. mediastinal
drainage 100 mL/hrb. BP 160/80 mmHgc. Temp 37.1 (98.8)d. K 3.8 mEq/L - ANS ✓b
A nurse is caring for a client who has a history of angina and is schedules for a stress test at
1100. Which of the following statements by the client requires the nurse to contact the
provider for possible rescheduling?a. "I'm still hungry after the bowl of cereal I ate at 7am."b.
"I didn't take my heart pills this morning because the doctor told me not to."c. "I have had
chest pain a couple of times since I saw my doctor in the office last week."d. "I smoked a
cigarette this morning to calm my nerves about having this procedure." - ANS ✓d
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 - ANS ✓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." - ANS ✓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 - ANS ✓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 - ANS ✓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 -
ANS ✓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 - ANS ✓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
ANCC MED
, 3
ANCC MED
preferencesb. elevate the head of the bed 30 degreesc. assess client's swallowing reflexd.
review serum albumin level to determine appropriate diet - ANS ✓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 - ANS ✓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 - ANS
✓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." - ANS ✓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." - ANS ✓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 - ANS ✓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 - ANS ✓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." - ANS ✓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 - ANS ✓b
ANCC MED
ANCC MED
ANCC MED-SURG CERTIFICATION EXAM
QUESTIONS WITH CORRECT VERIFIED
SOLUTIONS 100% GUARANTEED PASS
(LATEST UPDATE)
A nurse is watching a client's ECG monitor and notes that the client's rhythm has changed
from a normal sinus rhythm to supraventricular tachycardia. The client is conscious with a
HR of 200-210 bpm and has a faint radial pulse. The nurse should anticipate assisting with
which of the following interventions?a. delivery of precordial thumpb. vagal stimulationc.
administration of atropine IVd. defibrillation - ANS ✓b
A nurse is providing discharge teaching for a client who has HF. The nurse should instruct
the client to report which of the following findings immediately to the provider?a. weight
gain of 2 lb in 24 hrb. inc of 10 mmHg in systolic BPc. dyspnea with exertiond. dizziness
when rising quickly - ANS ✓a
A nurse is admitting a client who has a leg ulcer and a history of DM. The nurse should use
which of the following focused assessments to help differentiate between an arterial ulcer and
a venous stasis ulcer?a. explore the clients family history of peripheral vascular diseaseb.
note the presence or absence of pain at the ulcer sitec. inquire about the presence or absence
of claudicationd. ask if the client has had a recent infection - ANS ✓c
A nurse is reviewing the laboratory results of several clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which
laboratory values?a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dLb. Cholesterol
185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dLc. Cholesterol 190 mg/dL, HDL 25 mg/dL,
LDL 160 mg/dLd. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANS ✓c
a nurse is providing health teaching for a group of clients. Which of the following clients is at
risk for developing peripheral arterial disease?a. a client who has hypothyroidismb. a client
who has DMc. a client whose daily caloric intake consists of 25% fatd. a client who
consumes two bottles of beer a day - ANS ✓b
a nurse is planning a presentation about hypertension for a community women's group. which
of the following lifestyle modifications should the nurse include (select all that apply)a.
limited alcohol intakeb. regular exercise programc. dec Mg intaked. reduced K intakee.
smoking cessation - ANS ✓a, b, e
ANCC MED
, 2
ANCC MED
A nurse is caring for a client in the first 8 hr following coronary artery bypass graft surgery.
Which of the following client findings should the nurse report to the provider?a. mediastinal
drainage 100 mL/hrb. BP 160/80 mmHgc. Temp 37.1 (98.8)d. K 3.8 mEq/L - ANS ✓b
A nurse is caring for a client who has a history of angina and is schedules for a stress test at
1100. Which of the following statements by the client requires the nurse to contact the
provider for possible rescheduling?a. "I'm still hungry after the bowl of cereal I ate at 7am."b.
"I didn't take my heart pills this morning because the doctor told me not to."c. "I have had
chest pain a couple of times since I saw my doctor in the office last week."d. "I smoked a
cigarette this morning to calm my nerves about having this procedure." - ANS ✓d
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 - ANS ✓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." - ANS ✓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 - ANS ✓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 - ANS ✓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 -
ANS ✓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 - ANS ✓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
ANCC MED
, 3
ANCC MED
preferencesb. elevate the head of the bed 30 degreesc. assess client's swallowing reflexd.
review serum albumin level to determine appropriate diet - ANS ✓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 - ANS ✓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 - ANS
✓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." - ANS ✓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." - ANS ✓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 - ANS ✓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 - ANS ✓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." - ANS ✓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 - ANS ✓b
ANCC MED
