ANCC MED-SURG CERTIFICATION 2025-
2026 ACTUAL EXAM WITH QUESTIONS AND
CORRECT ANSWERS GRADED A+
a Correct Answer A nurse is providing teaching for a client who is
2 days post-op following a heart transplant. Which of the following
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."
d Correct Answer A nurse is reviewing the medical record of a
client who is receiving heparin therapy for treatment of DVT.
Which of the 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/hr
b. continue to monitor the heparin infusion as prescribed
c. request a prothrombin time
d. stop the heparin infusion
,a Correct Answer A nurse is assess a client in the emergency
room who has a bradydysrhythmia. Which of the following
findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
d Correct Answer 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 open cholecystectomy. The nurse should
recognize that which of the following interventions is
contraindicated?
A. administering IV morphine sulfate
B. administering oxygen at 2 :/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
D Correct Answer A nurse is caring for a client who has
endocarditis. Which of the following findings should the nurse
recognize as a potential complication?
A. ventricular depolarization
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
,D. Valvular disease
C Correct Answer 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 hypertensive crisis. Which of the following actions
should the nurse take first?
A. obtain blood samples for laboratory testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
a Correct Answer a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to monitor for and report
which of the following findings to the provider immediately?
a. slurred speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
b Correct Answer A nurse is assessing a client who has left-sided
HF. Which of the following manifestations should the nurse expect
to find?
a. inc abdominal girth
b. weak peripheral pulses
, c. jugular vein distention
d. dependent edema
b Correct Answer a nurse is caring for a client who is being
treated for HF and has prescriptions for digoxin and furosemide.
The nurse should plan to monitor for which of the following as an
adverse effect of these medications?
a. SOB
b. lightheadedness
c. dry cough
d. metallic taste
c Correct Answer a nurse is monitoring a client following coronary
artery bypass graft surgery. Which of the following findings can
indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on
expiration
d. sinus rhythm with occasional premature atrial contraction and
HR 88/min
2026 ACTUAL EXAM WITH QUESTIONS AND
CORRECT ANSWERS GRADED A+
a Correct Answer A nurse is providing teaching for a client who is
2 days post-op following a heart transplant. Which of the following
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."
d Correct Answer A nurse is reviewing the medical record of a
client who is receiving heparin therapy for treatment of DVT.
Which of the 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/hr
b. continue to monitor the heparin infusion as prescribed
c. request a prothrombin time
d. stop the heparin infusion
,a Correct Answer A nurse is assess a client in the emergency
room who has a bradydysrhythmia. Which of the following
findings should the nurse expect?
A. confusion
B. friction rub
C. hypertension
D. dry skin
d Correct Answer 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 open cholecystectomy. The nurse should
recognize that which of the following interventions is
contraindicated?
A. administering IV morphine sulfate
B. administering oxygen at 2 :/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
D Correct Answer A nurse is caring for a client who has
endocarditis. Which of the following findings should the nurse
recognize as a potential complication?
A. ventricular depolarization
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
,D. Valvular disease
C Correct Answer 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 hypertensive crisis. Which of the following actions
should the nurse take first?
A. obtain blood samples for laboratory testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
a Correct Answer a nurse is caring for a client who has HF and is
experiencing AF. The nurse should plan to monitor for and report
which of the following findings to the provider immediately?
a. slurred speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
b Correct Answer A nurse is assessing a client who has left-sided
HF. Which of the following manifestations should the nurse expect
to find?
a. inc abdominal girth
b. weak peripheral pulses
, c. jugular vein distention
d. dependent edema
b Correct Answer a nurse is caring for a client who is being
treated for HF and has prescriptions for digoxin and furosemide.
The nurse should plan to monitor for which of the following as an
adverse effect of these medications?
a. SOB
b. lightheadedness
c. dry cough
d. metallic taste
c Correct Answer a nurse is monitoring a client following coronary
artery bypass graft surgery. Which of the following findings can
indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on
expiration
d. sinus rhythm with occasional premature atrial contraction and
HR 88/min
