ANCC Med-Surg Certification 2026 Most Recent Exam
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To decrease a patient's shortness of breath and a sense of
impending doom during an asthma attack, the nurse will:
A. Place the patient on a cardiac monitor and observe
from the nurses' station.
B. Let the patient rest alone in a quiet, calm environment.
C. Reassure the patient that the doctor will arrive soon
D. Stay with the patient and encourage pursed-lip
breathing. - Answers-D
The patient experiencing an acute asthma exacerbation
will be fearful and anxious. It is important for the nurse to
stay with the patient for ongoing assessment and to
provide a calm environment. Helping the patient breathe
with pursed lips will facilitate the expiration of trapped air
and help the patient regain control of his or her breathing.
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A 68 year old woman is admitted to the surgical unit after a
gastric resection for gastric cancer. She states that she
doesn't want anyone to see her in this condition, even her
husband. This nurse's best response is:
A."Patients' rights protect your privacy. I won't allow
anyone in."
B."I've seen gastric cancer patients who look much worse.
Don't worry."
C."Would you like to talk to a social worker?"
D."What about your condition worries you?" - Answers-D
The nurse should allow the patient to share her concerns
and express her feelings in a nonjudgmental environment.
If there is psych/behavioral component- AFFIRM AND
VALIDATE, NO PROBING
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A patient with a tricuspid valve disorder will have impaired
blood flow between the:
A. Vena cava and right atrium
B. Left atrium and left ventricle
C. Right atrium and right ventricle
D. Right ventricle and pulmonary artery - Answers-C
Tricuspid valve is located between right atrium and right
ventricle
MITRAL VALVE- left atrium and left ventricle
If the Purkinje system is damaged, conduction of the
electrical impulse is impaired through the:
A. Atria
B. AV node
C. Ventricles
D. Bundle of His - Answers-C
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Purkinje fibers provide a high-speed distribution of
excitation throughout the ventricular myocardium; if the
pattern of contraction is disrupted, the ventricles will not
efficiently eject blood
Order of impulse is SA node to AV node to Bundle of His to
bundle branch to purkinje fibers
The P-wave on an EKG is representative of:
A. Ventricular depolarization
B. Atrial depolarization
C. Atrial repolarization
D. Ventricular repolarization - Answers-B. Atrial
depolarization
Ventricular repolarization is represented by the QRS There
is no distinctly visible wave representing atrial
repolarization in the ECG because it occurs during
ventricular depolarization, ventricular repolarization is
shown as the interval between the start of the QRS
complex and the end of the T wave