ANCC IQ Domains 1-5, ANCC PMHNP Exam Reported Questions, ANCC PMHNP COMPREHENSIVE

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SURG CERTIFICATION EXAM 2024/2025 m m m m




A nurse is reviewing the medical record of a client who is receiving hepa
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rin therapy for treatment of DVT. Which of the following interventions s
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hould the nurse anticipate taking if the client's aPTT is 96 seconds?a. Inc
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rease the heparin infusion flow rate by 2 mL/hrb. continue to monitor the
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mheparin infusion as prescribedc. request a prothrombin timed. stop the h
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eparin infusion - Precise Answer ✔✔d
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A nurse is providing teaching for a client who is 2 days post-
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op following a heart transplant. Which of the following statements shoul
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d the nurse include in the teaching?a. "you may no longer be able to feel
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chest pain."b. "your level of activity tolerance will not change."c. "after
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6 months, you will no longer need to restrict your sodium intake."d. "you
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mwill be able to stop taking immunosuppressants after 12 months." -
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mPrecise Answer ✔✔a m m




A nurse is assess a client in the emergency room who has a bradydysrhyt
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hmia. Which of the following findings should the nurse expect?A. confu
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sionB. friction rubC. hypertensionD. dry skin - Precise Answer ✔✔a
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A nurse in the emergency department is caring for a client who had an an
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terior MI. The client's history reveals she is 1 week post-
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op open cholecystectomy. The nurse should recognize that which of the f
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ollowing interventions is contraindicated?A. administering IV morphine
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sulfateB. administering oxygen at 2 :/min via nasal cannulaC. helping th
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,e client to the bedside commodeD. assisting with thrombolytic therapy -
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mPrecise Answer ✔✔d m m




A nurse is caring for a client who has endocarditis. Which of the followi
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ng findings should the nurse recognize as a potential complication?A. ve
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ntricular depolarizationB. Guillain-
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Barre syndromC. myelodysplastic syndromeD. Valvular disease -
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Precise Answer ✔✔D
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A nurse is caring for a client who presents to the ER with a BP of 254/13
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8 mmHg. The nurse recognizes that the client is in a hypertensive crisis.
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Which of the following actions should the nurse take first?A. obtain bloo
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d samples for laboratory testingB. Tell the client to report vision changes
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C. Place the head of the bed at 45 degreesD. initiate an IV -
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Precise Answer ✔✔C
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a nurse is caring for a client who has HF and is experiencing AF. The nu
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rse should plan to monitor for and report which of the following findings
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mto the provider immediately?a. slurred speechb. irregular pulsec. depend
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ent edemad. persistent fatigue - Precise Answer ✔✔a
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A nurse is assessing a client who has left-
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sided HF. Which of the following manifestations should the nurse expect
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mto find?a. inc abdominal girthb. weak peripheral pulsesc. jugular vein di
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stentiond. dependent edema - Precise Answer ✔✔b
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,a nurse is caring for a client who is being treated for HF and has prescrip
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tions for digoxin and furosemide. The nurse should plan to monitor for w
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hich of the following as an adverse effect of these medications?a. SOBb.
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lightheadednessc. dry coughd. metallic taste - Precise Answer ✔✔b m m m m m m m m




a nurse is monitoring a client following coronary artery bypass graft surg
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ery. Which of the following findings can indicate cardiac tamponade?a. s
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ternal instabilityb. inc WBC countc. BP 140/82 mmHg on inspiration an
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d 154/90 mmHg on expirationd. sinus rhythm with occasional premature
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matrial contraction and HR 88/min - Precise Answer ✔✔c
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A nurse is preparing a client for coroncary angiography. The nurse shoul
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d report which of the following findings to the provider prior to the proc
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edure?a. hemoglobin 14.4 g/dLb. history of peripheral arterial diseasec.
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urine output 200 mL/4 hrd. previous allergic reaction to shellfish -
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mPrecise Answer ✔✔d m m




A nurse is caring for a client following insertion of a permanent pacemak
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er. Which of the following client statements indicates a potential complic
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ation of the insertion procedure?a. "I can't get rid of these hiccups."b. "I f
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eel dizzy when i stand."c. "My incision site stings."d. "I have a headache
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." - Precise Answer ✔✔a
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A nurse is providing discharge teaching for a client who has a prescriptio
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n for the transdermal nitroglycerin patch. Which of the following instruct
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ions should the nurse include in the teaching?a. apply the new patch to th
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e same site as the previous patchb. place the patch on an area of skin awa
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, y from skin folds and jointsc. keep the patch on 24 hr per dayd. replace t
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he patch at the onset of angina - Precise Answer ✔✔b
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A nurse is caring for a client in the first hour following an aortic aneurys
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m repair. Which of the following findings can indicate shock and should
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be reported to the provider?a. serosanguinous drainage on dressingb. sev
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ere pain with coughingc. urine output of 20 mL/hrd. increase in temp fro
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m 36.C (98.2F)- 37.5C (99.5F) - Precise Answer ✔✔c
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A nurse caring for a client following an abdominal aortic aneurysm resec
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tion. Which of the following is the priority assessment for this client?a. n
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eck vein distentionb. bowel soundsc. peripheral edemad. urine output -
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mPrecise Answer ✔✔d m m




A nurse is watching a client's ECG monitor and notes that the client's rhy
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thm has changed from a normal sinus rhythm to supraventricular tachyca
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rdia. The client is conscious with a HR of 200-
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210 bpm and has a faint radial pulse. The nurse should anticipate assistin
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g with which of the following interventions?a. delivery of precordial thu
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mpb. vagal stimulationc. administration of atropine IVd. defibrillation -
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mPrecise Answer ✔✔b m m




A nurse is providing discharge teaching for a client who has HF. The nur
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se should instruct the client to report which of the following findings im
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mediately to the provider?a. weight gain of 2 lb in 24 hrb. inc of 10 mm
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Hg in systolic BPc. dyspnea with exertiond. dizziness when rising quickl
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y - Precise Answer ✔✔a
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