ANCC Med/Surg Review Questions And
Correct answers 2025\2026
The RN assesses the patient's body movements, posture, and gait. What part of the physical exam is
used to assess these areas?
A) Auscultation
B) Inspection
C) Palpation
D) Percussion - correct answerInspection
The RN is developing a care plan for a patient. What is the end result from the data that they obtained
during the RN assessment?
A) Actualization of a care plan
B) Determining the patient response to the Rn care
C) Collection & Analysis of subjective data
D) ID of actual or potential health problems - correct answerID of actual or potential health problems
The RN is prioritizing nursing interventions according to Maslow's Hierarchy of Needs. Which of the
following scenarios best demonstrates this theory?
A) State that having a care conference about a hospice patient is not necessary
B) Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled
for PT
C) inform pt that they must get their AM care now, just as the breakfast tray is being delivered
D) Request that the chaplain leave the pt's room so that the RN can obtain pm VS> - correct answerB)
Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled for
PT
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35, HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
,C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis - correct answerD) Compensated metabolic acidosis
RN educating patient who has CKD and recently suffered an episode of CHF. MD prescribed a low
sodium and low potassium diet, as the patient is on lisinopril & spironolactone. pt asks you to him some
common foods that are high in potassium, that he should omit from his diet. Which of the following
responses is the best by the RN?
A) bananas, eggs, milk high in K & should be used sparingly in a low K diet
B)salt substitutes, dried apricots and potatoes should be consumed sparingly in a low K diet
C) coconut h20 apples and oranges
D) avocados, eggs, milk - correct answerB)salt substitutes, dried apricots and potatoes should be
consumed sparingly in a low K diet
JK has distended neck veins, visible at the angle of the jaw. Based on this assessment finding, you
anticipate:
A) Impending respiratory distress
B) Diuretics may be increased
C) Reduced tissue O2 delivery
D) Impaired cardiac contractility - correct answerB) Diuretics may be increased
When assessing a patient w/ anemia from acute blood loss, the RN would epect to find which of the
following?
A) Sudden onsent of sx - hypotension & tachycardia
b) exertional dyspnea, poor nutrition and hypotension
C) Sudden onset of symptoms - glossitis and tachycardia
D) Fatigue, neuropathy and tachycardia - correct answerA) Sudden onsent of sx - hypotension &
tachycardia
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
, C) is breathing faster/depper than normal
D) aspirin overdose - correct answerC) is breathing faster/depper than normal
pt vomiting would be expected to have
A) hypocalcemia
B) Hypercholeremia
C) Metabolic acidosis
D) Hypokalemia - correct answerD) Hypokalemia
PT receiving IVF through an AC line in the LA, RN notes that the site is tender to palpation and has a red
streak extending into the biceps. Which of the following interventions should the RN perform first?
A) Warm compress
B) Start IV on R Arm
C) Notify Charge RN
D) DC Iv - correct answerD) DC Iv
RN is about to give the pt a scheduled tube feeding. Which of the following would cause the RN to hold
the feeding and reassess in 1-2 hours?
A) Residual <50 ml
B) Residual b/w 60-75
C) residual near 100ml
D) Residual >200 - correct answerD) Residual >200
RN is collecting a stool sample from a 50YO M suspected of having peptic ulcer disease. What would the
RN expect to see in the specimen?
A) clay colored stoll
B)Greasy, frothy stool
C) Black or marooned colored stool
D) Liquid stool threaded with mucus - correct answerC) Black or marooned colored stool
Correct answers 2025\2026
The RN assesses the patient's body movements, posture, and gait. What part of the physical exam is
used to assess these areas?
A) Auscultation
B) Inspection
C) Palpation
D) Percussion - correct answerInspection
The RN is developing a care plan for a patient. What is the end result from the data that they obtained
during the RN assessment?
A) Actualization of a care plan
B) Determining the patient response to the Rn care
C) Collection & Analysis of subjective data
D) ID of actual or potential health problems - correct answerID of actual or potential health problems
The RN is prioritizing nursing interventions according to Maslow's Hierarchy of Needs. Which of the
following scenarios best demonstrates this theory?
A) State that having a care conference about a hospice patient is not necessary
B) Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled
for PT
C) inform pt that they must get their AM care now, just as the breakfast tray is being delivered
D) Request that the chaplain leave the pt's room so that the RN can obtain pm VS> - correct answerB)
Administer pain medication to an 80 yo man recovering from THR 40 minutes before he is scheduled for
PT
45 yo F w/ late stage 3 CKD GFR = 35 ml/min pH 7.36, PA CO2 - 35, HCO3 =19
A) respiratory acidosis
B) Metabolic Acidosis
,C) COmpenstated respiratory acidosis
D) Compensated metabolic acidosis - correct answerD) Compensated metabolic acidosis
RN educating patient who has CKD and recently suffered an episode of CHF. MD prescribed a low
sodium and low potassium diet, as the patient is on lisinopril & spironolactone. pt asks you to him some
common foods that are high in potassium, that he should omit from his diet. Which of the following
responses is the best by the RN?
A) bananas, eggs, milk high in K & should be used sparingly in a low K diet
B)salt substitutes, dried apricots and potatoes should be consumed sparingly in a low K diet
C) coconut h20 apples and oranges
D) avocados, eggs, milk - correct answerB)salt substitutes, dried apricots and potatoes should be
consumed sparingly in a low K diet
JK has distended neck veins, visible at the angle of the jaw. Based on this assessment finding, you
anticipate:
A) Impending respiratory distress
B) Diuretics may be increased
C) Reduced tissue O2 delivery
D) Impaired cardiac contractility - correct answerB) Diuretics may be increased
When assessing a patient w/ anemia from acute blood loss, the RN would epect to find which of the
following?
A) Sudden onsent of sx - hypotension & tachycardia
b) exertional dyspnea, poor nutrition and hypotension
C) Sudden onset of symptoms - glossitis and tachycardia
D) Fatigue, neuropathy and tachycardia - correct answerA) Sudden onsent of sx - hypotension &
tachycardia
A decrease in PACO2 from 40 to 18 indicates that the patient
A) hypoxia
B) respiratory alkalosis
, C) is breathing faster/depper than normal
D) aspirin overdose - correct answerC) is breathing faster/depper than normal
pt vomiting would be expected to have
A) hypocalcemia
B) Hypercholeremia
C) Metabolic acidosis
D) Hypokalemia - correct answerD) Hypokalemia
PT receiving IVF through an AC line in the LA, RN notes that the site is tender to palpation and has a red
streak extending into the biceps. Which of the following interventions should the RN perform first?
A) Warm compress
B) Start IV on R Arm
C) Notify Charge RN
D) DC Iv - correct answerD) DC Iv
RN is about to give the pt a scheduled tube feeding. Which of the following would cause the RN to hold
the feeding and reassess in 1-2 hours?
A) Residual <50 ml
B) Residual b/w 60-75
C) residual near 100ml
D) Residual >200 - correct answerD) Residual >200
RN is collecting a stool sample from a 50YO M suspected of having peptic ulcer disease. What would the
RN expect to see in the specimen?
A) clay colored stoll
B)Greasy, frothy stool
C) Black or marooned colored stool
D) Liquid stool threaded with mucus - correct answerC) Black or marooned colored stool
