1|Page
ANCC MED-SURG CERTIFICATION
EXAM WITH ACTUAL 2025 EXAM TIPS
A nurse is reviewing the medical record of
a client who is receiving heparin therapy
for treatment of DVT. Which of the
d following interventions should the nurse
anticipate taking if the client's aPTT is 96
seconds?a. Increase the heparin infusion
flow rate by 2 mL/hrb. continue to monitor
the heparin infusion as
prescribedc. request a prothrombin timed.
stop the heparin infusion
A nurse is providing teaching for a client
who is 2 days post-op following a heart
transplant. Which of the following
a statements should the nurse include in the
teaching?a. "you may no longer be able to
feel chest pain."b. "your level of activity
tolerance will not change."c. "after 6 months,
you will no longer need to restrict your
sodium intake."d. "you will be able to stop
taking
immunosuppressants after 12 months."
,2|Page
A nurse is assess a client in the emergency room who
has a
a bradydysrhythmia. Which of the following
findings should the nurse expect?A.
confusionB. friction rubC. hypertensionD.
dry skin
A nurse in the emergency department is
caring for a client who had an anterior MI. The
client's history reveals she is 1 week post- op
d open cholecystectomy. The nurse should
recognize that
which of the following interventions is
contraindicated?A. administering IV
morphine sulfateB. administering oxygen at 2
:/min via nasal cannulaC. helping the client to
the bedside commodeD. assisting with
thrombolytic therapy
A nurse is caring for a client who has
endocarditis. Which of the following
D
findings should the nurse recognize as a
potential complication?A. ventricular
depolarizationB. Guillain-Barre
syndromC. myelodysplastic syndromeD. Valvular
disease
, 3|Page
A nurse is caring for a client who presents to
the ER with a BP of 254/138 mmHg. The nurse
recognizes that the client is in a
C
hypertensive crisis. Which of the following actions
should the
nurse take first?A. obtain blood samples for
laboratory testingB. Tell the client to report
vision changesC. Place the head of the bed
at 45 degreesD. initiate an IV
a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to
a
monitor for and report which of the
following findings to the provider
immediately?a. slurred speechb. irregular
pulsec. dependent edemad. persistent fatigue
A nurse is assessing a client who has left-sided
HF. Which of the following manifestations
b
should the nurse expect to find?a. inc
abdominal girthb. weak peripheral pulsesc.
jugular vein distentiond. dependent
edema
a nurse is caring for a client who is being
treated for HF and has prescriptions for
b digoxin and furosemide. The nurse should
plan to monitor for which of the following
as an adverse effect of these
medications?a. SOBb. lightheadednessc.
dry coughd.
metallic taste
ANCC MED-SURG CERTIFICATION
EXAM WITH ACTUAL 2025 EXAM TIPS
A nurse is reviewing the medical record of
a client who is receiving heparin therapy
for treatment of DVT. Which of the
d following interventions should the nurse
anticipate taking if the client's aPTT is 96
seconds?a. Increase the heparin infusion
flow rate by 2 mL/hrb. continue to monitor
the heparin infusion as
prescribedc. request a prothrombin timed.
stop the heparin infusion
A nurse is providing teaching for a client
who is 2 days post-op following a heart
transplant. Which of the following
a statements should the nurse include in the
teaching?a. "you may no longer be able to
feel chest pain."b. "your level of activity
tolerance will not change."c. "after 6 months,
you will no longer need to restrict your
sodium intake."d. "you will be able to stop
taking
immunosuppressants after 12 months."
,2|Page
A nurse is assess a client in the emergency room who
has a
a bradydysrhythmia. Which of the following
findings should the nurse expect?A.
confusionB. friction rubC. hypertensionD.
dry skin
A nurse in the emergency department is
caring for a client who had an anterior MI. The
client's history reveals she is 1 week post- op
d open cholecystectomy. The nurse should
recognize that
which of the following interventions is
contraindicated?A. administering IV
morphine sulfateB. administering oxygen at 2
:/min via nasal cannulaC. helping the client to
the bedside commodeD. assisting with
thrombolytic therapy
A nurse is caring for a client who has
endocarditis. Which of the following
D
findings should the nurse recognize as a
potential complication?A. ventricular
depolarizationB. Guillain-Barre
syndromC. myelodysplastic syndromeD. Valvular
disease
, 3|Page
A nurse is caring for a client who presents to
the ER with a BP of 254/138 mmHg. The nurse
recognizes that the client is in a
C
hypertensive crisis. Which of the following actions
should the
nurse take first?A. obtain blood samples for
laboratory testingB. Tell the client to report
vision changesC. Place the head of the bed
at 45 degreesD. initiate an IV
a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to
a
monitor for and report which of the
following findings to the provider
immediately?a. slurred speechb. irregular
pulsec. dependent edemad. persistent fatigue
A nurse is assessing a client who has left-sided
HF. Which of the following manifestations
b
should the nurse expect to find?a. inc
abdominal girthb. weak peripheral pulsesc.
jugular vein distentiond. dependent
edema
a nurse is caring for a client who is being
treated for HF and has prescriptions for
b digoxin and furosemide. The nurse should
plan to monitor for which of the following
as an adverse effect of these
medications?a. SOBb. lightheadednessc.
dry coughd.
metallic taste
