ANCC MEDSURG-BC 2025
ACTUAL EXAM COMPLETE
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS) A+ STUDY
MATERIAL
Which of the following patients has the right to refuse their evening medications?
a. Restless, combative
b. Alert, coherent
c. Sedated, hard to arouse
d. Confused, disoriented
b. Patient rights give an alert and oriented patient the option to deny treatment.
Which of the following is a safety measure implemented to protect nurses in the workplace?
a. Mandating the use of "No Lift" equipment
b. Requirement of healthcare facility to use needleless or shielded needle devices
c. Having hand sanitizers conveniently placed throughout a nursing unit
d. Fit testing of nurses on an annual basis
d. The Needlestick Safety and Prevention Act (P.L. 106-430) was enacted to mandate the use of safe
needle devices.
Which of the following statements is an example of nonmaleficence?
a. Those who enter the practice of nursing are interested in promoting the well-being of others.
b. The professional nurse must respect the patient's autonomy.
c. All persons are entitled to fair treatment and equal opportunities for health care.
d. Nurses are obligated to not harm the patient, directly or with intent.
,b. The principle of maleficence compliments beneficence; while the nurse must protect the patient from
harm, they must often expose the patient to pain or risk if their treatment benefit outweighs the risk or
pain.
Neglect of an older adult may be defined as:
a. Infliction of harm upon the partner
b. Intentionally failing to provide for basic needs
c. Intentional physical force resulting in bodily injury
d. Isolation, threats, humiliation, and intimidation
b. Failing to provide for basic needs constitutes neglect. The other responses describe physical and
emotional abuse.
Nationally accepted standards of care that provide step-by-step instructions on caring for specific
patient groups are called:
a. Practice guidelines.
b. Nursing policies.
c. Clinical interventions.
d. Process outcomes.
a. Clinical practice guidelines are based on evidence gathered for how to care for specific patient groups.
The nurse's acute care facility uses charting by exception (CBE). CBE means the nurse would be
expected to document these findings in the assessment of a patient:
a. Normal values.
b. Unusual visitors.
c. Typical findings.
d. Abnormal values.
d. When using CBE, only the abnormal values in the assessment are documented in the patient's chart.
The nurse educator on a pulmonary unit has arranged for a two-day review course to help prepare the
staff nurses for the medical-surgical certification examination. This is a form of:
a. In-service.
b. Orientation
c. Continuing education.
d. Just-in-time training.
c. Professional development in the form of studying for the certification examination is continuing
education.
Kubler-Ross stages of grief include denial, anger, bargaining, depression, and acceptance. Grief affects
the patient, family and the:
a. Spiritual care members.
b. Physician.
c. Care team.
d. Nursing staff.
,c. While the nurse will most commonly work with the patient and family, the nursing and medical staff
also experiences stages of grief.
You are preparing your patient for a central line insertion. The physician has arrived to place the line
and you are completing your final check before the procedure begins. Which of the following is
required as one of the Joint Commission National Patient Safety Goals?
a. Calling a time-out before the procedure begins
b. Ensuring the physician maintains sterile technique throughout the procedure
c. Conducting a chlorhexidine scrub of the insertion site prior to line placement
d. Making sure a signed, informed consent is on the chart
a. A time-out prior to the start of any procedure is one of the National Patient Safety Goals.
The nurse is caring for a patient who is about to have a below-the-knee amputation. When entering
the room, the nurse finds the patient crying and saying "I don't want the surgery." What would be an
appropriate next step for the nurse?
a. Call the Operating Room and notify the scheduler that the procedure should be postponed
b. Remind the patient that she already signed the consent and that fear is normal prior to surgery
c. Check the patient's medication profile for a sedative
d. Provide privacy for the patient and a safe environment to discuss her fears
d. Anxiety is normal manifestation for fear; encourage patients to verbalize their feelings of anxiety.
Nurses assume three basic roles: practitioner, leader, and researcher. Which of the following is an
example of the leader function?
a. A decision such as returning for a master's degree, preparing the nurse for a management role
b. An action such as conducting studies improving nursing care for clients
c. An action such as deciding, directed towards completion of a nursing intervention.
d. A function such as communicating, involving nonlicensed clinical staff
c. Leader functions involve actions that affect the actions of others and are directed toward goal
attainment.
New graduate nurses working on a medical-surgical unit may find it difficult to be an effective patient
advocate, due to their:
a. Collaboration skills.
b. Lack of self-confidence.
c. Effective conflict resolution.
d. Assertiveness.
b. A typical reason for lack of self-confidence is a lack of skill and experience in the area.
If a nurse intentionally failed to exercise the degree of care that another prudent professional would
have, what is this an example of?
a. This is an example of negligence.
b. This is an example of malpractice.
c. This is an example of assault.
d. This is an example of patient abandonment.
, b. Malpractice is the failure of a professional person to act as another prudent professional would, in the
same circumstances, provided that person has the same experience and education.
Which leadership style is not a fit with a staff of experienced and motivated nurses?
a. Democratic
b. Autocratic
c. Transactional
d. Laissez-faire
b. With autocratic leadership, the leader does not consider input from staff. This style of leadership may
be offensive and non-productive to a group of experienced and motivated nurses.
You are providing discharge instructions for a newly diagnosed insulin-dependent diabetic patient.
She is having difficulty with drawing up the insulin and states "I just can't do this, forget it!" How
should the nurse respond?
a. "I will ask the nurse on the next shift to provide instruction."
b. "I know this is tough. Why don't we teach your husband instead? He can be responsible for your
injections."
c. "Treating your diabetes is serious and you need to learn this."
d. "Let's see if using an insulin pen would be a better option for you."
d. Prefilled insulin pens deliver a set dose of insulin and are an option for patients who have difficulty
drawing up the proper amount of insulin.
A hospital is participating in a national nursing quality benchmarking system. One of the nursing
sensitive indicators specific to prevention of harm to a patient would be:
a. Staff satisfaction.
b. Patient satisfaction.
c. Total nursing care hours provided per patient day.
d. Catheter association urinary tract infection.
d. This patient-specific area details events of harm through infection.
A patient has the right to refuse any treatment except when:
a. The treatment is in his best interest.
b. The patient is actively violent to themselves or others.
c. The physician has ordered the treatment.
d. The family feels treatment is necessary.
b. A patient can refuse treatment as long as they are not actively violent to themselves or to others.
Nurses on a medical-surgical unit are experiencing burnout, dissatisfaction, high turnover rate, and
increased patient mortality. A contributing factor is:
a. Use of unlicensed assistive personnel
b. Share governance
c. Inadequate staffing levels
d. Twelve-hour shifts
ACTUAL EXAM COMPLETE
EXAM QUESTIONS WITH
DETAILED VERIFIED
ANSWERS (100% CORRECT
ANSWERS) A+ STUDY
MATERIAL
Which of the following patients has the right to refuse their evening medications?
a. Restless, combative
b. Alert, coherent
c. Sedated, hard to arouse
d. Confused, disoriented
b. Patient rights give an alert and oriented patient the option to deny treatment.
Which of the following is a safety measure implemented to protect nurses in the workplace?
a. Mandating the use of "No Lift" equipment
b. Requirement of healthcare facility to use needleless or shielded needle devices
c. Having hand sanitizers conveniently placed throughout a nursing unit
d. Fit testing of nurses on an annual basis
d. The Needlestick Safety and Prevention Act (P.L. 106-430) was enacted to mandate the use of safe
needle devices.
Which of the following statements is an example of nonmaleficence?
a. Those who enter the practice of nursing are interested in promoting the well-being of others.
b. The professional nurse must respect the patient's autonomy.
c. All persons are entitled to fair treatment and equal opportunities for health care.
d. Nurses are obligated to not harm the patient, directly or with intent.
,b. The principle of maleficence compliments beneficence; while the nurse must protect the patient from
harm, they must often expose the patient to pain or risk if their treatment benefit outweighs the risk or
pain.
Neglect of an older adult may be defined as:
a. Infliction of harm upon the partner
b. Intentionally failing to provide for basic needs
c. Intentional physical force resulting in bodily injury
d. Isolation, threats, humiliation, and intimidation
b. Failing to provide for basic needs constitutes neglect. The other responses describe physical and
emotional abuse.
Nationally accepted standards of care that provide step-by-step instructions on caring for specific
patient groups are called:
a. Practice guidelines.
b. Nursing policies.
c. Clinical interventions.
d. Process outcomes.
a. Clinical practice guidelines are based on evidence gathered for how to care for specific patient groups.
The nurse's acute care facility uses charting by exception (CBE). CBE means the nurse would be
expected to document these findings in the assessment of a patient:
a. Normal values.
b. Unusual visitors.
c. Typical findings.
d. Abnormal values.
d. When using CBE, only the abnormal values in the assessment are documented in the patient's chart.
The nurse educator on a pulmonary unit has arranged for a two-day review course to help prepare the
staff nurses for the medical-surgical certification examination. This is a form of:
a. In-service.
b. Orientation
c. Continuing education.
d. Just-in-time training.
c. Professional development in the form of studying for the certification examination is continuing
education.
Kubler-Ross stages of grief include denial, anger, bargaining, depression, and acceptance. Grief affects
the patient, family and the:
a. Spiritual care members.
b. Physician.
c. Care team.
d. Nursing staff.
,c. While the nurse will most commonly work with the patient and family, the nursing and medical staff
also experiences stages of grief.
You are preparing your patient for a central line insertion. The physician has arrived to place the line
and you are completing your final check before the procedure begins. Which of the following is
required as one of the Joint Commission National Patient Safety Goals?
a. Calling a time-out before the procedure begins
b. Ensuring the physician maintains sterile technique throughout the procedure
c. Conducting a chlorhexidine scrub of the insertion site prior to line placement
d. Making sure a signed, informed consent is on the chart
a. A time-out prior to the start of any procedure is one of the National Patient Safety Goals.
The nurse is caring for a patient who is about to have a below-the-knee amputation. When entering
the room, the nurse finds the patient crying and saying "I don't want the surgery." What would be an
appropriate next step for the nurse?
a. Call the Operating Room and notify the scheduler that the procedure should be postponed
b. Remind the patient that she already signed the consent and that fear is normal prior to surgery
c. Check the patient's medication profile for a sedative
d. Provide privacy for the patient and a safe environment to discuss her fears
d. Anxiety is normal manifestation for fear; encourage patients to verbalize their feelings of anxiety.
Nurses assume three basic roles: practitioner, leader, and researcher. Which of the following is an
example of the leader function?
a. A decision such as returning for a master's degree, preparing the nurse for a management role
b. An action such as conducting studies improving nursing care for clients
c. An action such as deciding, directed towards completion of a nursing intervention.
d. A function such as communicating, involving nonlicensed clinical staff
c. Leader functions involve actions that affect the actions of others and are directed toward goal
attainment.
New graduate nurses working on a medical-surgical unit may find it difficult to be an effective patient
advocate, due to their:
a. Collaboration skills.
b. Lack of self-confidence.
c. Effective conflict resolution.
d. Assertiveness.
b. A typical reason for lack of self-confidence is a lack of skill and experience in the area.
If a nurse intentionally failed to exercise the degree of care that another prudent professional would
have, what is this an example of?
a. This is an example of negligence.
b. This is an example of malpractice.
c. This is an example of assault.
d. This is an example of patient abandonment.
, b. Malpractice is the failure of a professional person to act as another prudent professional would, in the
same circumstances, provided that person has the same experience and education.
Which leadership style is not a fit with a staff of experienced and motivated nurses?
a. Democratic
b. Autocratic
c. Transactional
d. Laissez-faire
b. With autocratic leadership, the leader does not consider input from staff. This style of leadership may
be offensive and non-productive to a group of experienced and motivated nurses.
You are providing discharge instructions for a newly diagnosed insulin-dependent diabetic patient.
She is having difficulty with drawing up the insulin and states "I just can't do this, forget it!" How
should the nurse respond?
a. "I will ask the nurse on the next shift to provide instruction."
b. "I know this is tough. Why don't we teach your husband instead? He can be responsible for your
injections."
c. "Treating your diabetes is serious and you need to learn this."
d. "Let's see if using an insulin pen would be a better option for you."
d. Prefilled insulin pens deliver a set dose of insulin and are an option for patients who have difficulty
drawing up the proper amount of insulin.
A hospital is participating in a national nursing quality benchmarking system. One of the nursing
sensitive indicators specific to prevention of harm to a patient would be:
a. Staff satisfaction.
b. Patient satisfaction.
c. Total nursing care hours provided per patient day.
d. Catheter association urinary tract infection.
d. This patient-specific area details events of harm through infection.
A patient has the right to refuse any treatment except when:
a. The treatment is in his best interest.
b. The patient is actively violent to themselves or others.
c. The physician has ordered the treatment.
d. The family feels treatment is necessary.
b. A patient can refuse treatment as long as they are not actively violent to themselves or to others.
Nurses on a medical-surgical unit are experiencing burnout, dissatisfaction, high turnover rate, and
increased patient mortality. A contributing factor is:
a. Use of unlicensed assistive personnel
b. Share governance
c. Inadequate staffing levels
d. Twelve-hour shifts
