ANCC Medical-Surgical Nursing Certification
Exam (2025–2026) – Complete Practice
Questions with Verified Correct Answers
Introduction:
This document provides a full set of practice questions and verified
correct answers for the ANCC Medical-Surgical Nursing
Certification Exam, updated for 2025–2026. It covers a wide range
of exam-relevant topics including cardiovascular, respiratory,
gastrointestinal, musculoskeletal, neurological, and endocrine
conditions, as well as perioperative care and pharmacology. The
material is structured as exam-style questions with detailed correct
answers, making it highly suitable for focused exam preparation
and self-assessment.
Questions and Answers:
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 -Answer:-d
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. "b. "your level of activity tolerance will not change."
c. c. "after 6 months, you will no longer need to restrict your
sodium intake."
d. d. "you will be able to stop taking immunosuppressants after
12 months." -Answer:-a
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 -Answer:-a
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 -Answer:-d
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 -Answer:-D
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 -Answer:-C
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 -Answer:-a
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
Exam (2025–2026) – Complete Practice
Questions with Verified Correct Answers
Introduction:
This document provides a full set of practice questions and verified
correct answers for the ANCC Medical-Surgical Nursing
Certification Exam, updated for 2025–2026. It covers a wide range
of exam-relevant topics including cardiovascular, respiratory,
gastrointestinal, musculoskeletal, neurological, and endocrine
conditions, as well as perioperative care and pharmacology. The
material is structured as exam-style questions with detailed correct
answers, making it highly suitable for focused exam preparation
and self-assessment.
Questions and Answers:
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 -Answer:-d
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. "b. "your level of activity tolerance will not change."
c. c. "after 6 months, you will no longer need to restrict your
sodium intake."
d. d. "you will be able to stop taking immunosuppressants after
12 months." -Answer:-a
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 -Answer:-a
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 -Answer:-d
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 -Answer:-D
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 -Answer:-C
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 -Answer:-a
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
