ANCC Med-Surg Certification EXAM QUESTIONS AND
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d - ANSWER-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. Thrombocytopenia
b. hearing loss
c. hypotension
d. ataxia
b - ANSWER-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."
d - ANSWER-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 nuts
b. bologna
c. cheddar cheese
d. bananas
a - ANSWER-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."
c - ANSWER-What symptom does the nurse expect the client with intussusception to exhibit?
a. decrease in pulse
b. extremely elevated body temperature
c. singultus (hiccups)
d. frequent bloody stools
false - ANSWER-emotional stress is a risk factor for irritable bowel syndrom (IBS)true false
d - ANSWER-which ethnic group has a higher incidence of colorectal cancer?
a. hispanic
b. asian
c. caucasian
d. african-american
b - ANSWER-A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect?
a. bloody diarrhea
b. board-like abdomen
c. periumbilical cyanosis
d. increased bowel sounds
a, d, e - ANSWER-a nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (select all that apply)
a. oral temp 38.4
b. WBC 6,000/mm3
c. bloody diarrhea
d. nausea and vomiting
,e. right lower quadrant pain
a - ANSWER-A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should
identify which of the following findings as an indication of acute gastric dilation?
a. hiccups
b. elevated BP
c. bradycardia
d. left lower quadrant pain
c - ANSWER-A nurse is caring for a client who has hepatic encephalopathy. The client asks the nurse if
she can have a larger portion of beef for dinner. Which of the following responses by the nurse is
appropriate?
a. "Beef is too high in fat, but can i request chicken as a substitute."
b. "You need to increase your fluid intake. Would you like beef and noodle soup?"
c. "You should limit your animal protein intake. Can I get you a veggie burger instead?"
d. "You need to limit calories. Would you like some sugar-free gelatin?"
d - ANSWER-Immunity that is developed by vaccination or immunization is known as:
a. natural active
b. passive acquired
c. innate/native
d. artificial active
c - ANSWER-A patient with inflammation has a high eosinophil count. The nurse recognizes that this
finding most likely indicated that:
a. humoral and cell-mediated immunity is being stimulated
b. the inflammatory response has been stimulated by infection
c. tissue damage has been caused by an allergen-antibody reaction
d. the inflammation has become chronic with persistent tissue damage
, b - ANSWER-Which cell types associated with the inflammatory response participate in phagocytosis?
a. neutrophils and eosinophils
b. macrophages and neutrophils
c. macrophages and eosinophils
d. eosinophils and basophils
b - ANSWER-A nurse is providing discharge teaching for a client who has chronic hepatitis C. which of the
following statements by the client indicates an understanding of the teaching?
a. "I will avoid alcohol until I'm no longer contagious."
b. "I will avoid medications containing acetaminophen."
c. "I will decrease my intake of calories."
d. "I will need treatment for 3 months."
c - ANSWER-A nurse is providing discharge teaching for an older adult client who has mild diverticulitis.
which of the following client statements indicates an understanding of the teaching?
a. "I may experience right lower quadrant pain."
b. "I will remain active by working in my garden every day."
c. "I should eat foods that are low in fiber."
d. "I will use a mild laxative every day."
a - ANSWER-A nurse is providing discharge teaching for a client who has GERD. Which of the following
client statements indicates the teaching was effective?
a. "I will decrease the amount of carbonated beverages I drink."
b. "I will avoid drinking liquids for 30 minutes after taking a chew-able antacid tablet."
c. "I will eat a snack before going to bed."
d. "I will lie down for at least 30 minutes after eating each meal."
d - ANSWER-A nurse is reviewing the lab results of a client who has hepatic cirrhosis. Which of the
following lab findings should the nurse report to the provider?
a. Albumin 4.0 g/dL
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d - ANSWER-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. Thrombocytopenia
b. hearing loss
c. hypotension
d. ataxia
b - ANSWER-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."
d - ANSWER-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 nuts
b. bologna
c. cheddar cheese
d. bananas
a - ANSWER-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."
c - ANSWER-What symptom does the nurse expect the client with intussusception to exhibit?
a. decrease in pulse
b. extremely elevated body temperature
c. singultus (hiccups)
d. frequent bloody stools
false - ANSWER-emotional stress is a risk factor for irritable bowel syndrom (IBS)true false
d - ANSWER-which ethnic group has a higher incidence of colorectal cancer?
a. hispanic
b. asian
c. caucasian
d. african-american
b - ANSWER-A nurse is assessing a client who has peritonitis. Which of the following findings should the
nurse expect?
a. bloody diarrhea
b. board-like abdomen
c. periumbilical cyanosis
d. increased bowel sounds
a, d, e - ANSWER-a nurse is assessing a client who has appendicitis. Which of the following findings
should the nurse expect? (select all that apply)
a. oral temp 38.4
b. WBC 6,000/mm3
c. bloody diarrhea
d. nausea and vomiting
,e. right lower quadrant pain
a - ANSWER-A nurse is assessing a client who is postoperative following a gastrectomy. The nurse should
identify which of the following findings as an indication of acute gastric dilation?
a. hiccups
b. elevated BP
c. bradycardia
d. left lower quadrant pain
c - ANSWER-A nurse is caring for a client who has hepatic encephalopathy. The client asks the nurse if
she can have a larger portion of beef for dinner. Which of the following responses by the nurse is
appropriate?
a. "Beef is too high in fat, but can i request chicken as a substitute."
b. "You need to increase your fluid intake. Would you like beef and noodle soup?"
c. "You should limit your animal protein intake. Can I get you a veggie burger instead?"
d. "You need to limit calories. Would you like some sugar-free gelatin?"
d - ANSWER-Immunity that is developed by vaccination or immunization is known as:
a. natural active
b. passive acquired
c. innate/native
d. artificial active
c - ANSWER-A patient with inflammation has a high eosinophil count. The nurse recognizes that this
finding most likely indicated that:
a. humoral and cell-mediated immunity is being stimulated
b. the inflammatory response has been stimulated by infection
c. tissue damage has been caused by an allergen-antibody reaction
d. the inflammation has become chronic with persistent tissue damage
, b - ANSWER-Which cell types associated with the inflammatory response participate in phagocytosis?
a. neutrophils and eosinophils
b. macrophages and neutrophils
c. macrophages and eosinophils
d. eosinophils and basophils
b - ANSWER-A nurse is providing discharge teaching for a client who has chronic hepatitis C. which of the
following statements by the client indicates an understanding of the teaching?
a. "I will avoid alcohol until I'm no longer contagious."
b. "I will avoid medications containing acetaminophen."
c. "I will decrease my intake of calories."
d. "I will need treatment for 3 months."
c - ANSWER-A nurse is providing discharge teaching for an older adult client who has mild diverticulitis.
which of the following client statements indicates an understanding of the teaching?
a. "I may experience right lower quadrant pain."
b. "I will remain active by working in my garden every day."
c. "I should eat foods that are low in fiber."
d. "I will use a mild laxative every day."
a - ANSWER-A nurse is providing discharge teaching for a client who has GERD. Which of the following
client statements indicates the teaching was effective?
a. "I will decrease the amount of carbonated beverages I drink."
b. "I will avoid drinking liquids for 30 minutes after taking a chew-able antacid tablet."
c. "I will eat a snack before going to bed."
d. "I will lie down for at least 30 minutes after eating each meal."
d - ANSWER-A nurse is reviewing the lab results of a client who has hepatic cirrhosis. Which of the
following lab findings should the nurse report to the provider?
a. Albumin 4.0 g/dL
