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ANCC Med-Surg Certification Questions
and Correct Answers/ Latest Update /
Already Graded
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/hrb.
continue to monitor the heparin infusion as prescribedc. request a
prothrombin timed. stop the heparin infusion
Ans: 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. "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."
Ans: 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. confusionB. friction rubC. hypertensionD. dry skin
Ans: a
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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 sulfateB. administering oxygen at 2 :/min via nasal cannulaC.
helping the client to the bedside commodeD. assisting with
thrombolytic therapy
Ans: 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 depolarizationB. Guillain-Barre syndromC.
myelodysplastic syndromeD. Valvular disease
Ans: 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 testingB. Tell the
client to report vision changesC. Place the head of the bed at 45
degreesD. initiate an IV
Ans: C
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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 speechb. irregular
pulsec. dependent edemad. persistent fatigue
Ans: 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 girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema
Ans: b
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. SOBb. lightheadednessc. dry coughd. metallic taste
Ans: b
a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac
tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82 mmHg
on inspiration and 154/90 mmHg on expirationd. sinus rhythm with
occasional premature atrial contraction and HR 88/min
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Ans: c
A nurse is preparing a client for coroncary angiography. The nurse
should report which of the following findings to the provider prior to
the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral arterial
diseasec. urine output 200 mL/4 hrd. previous allergic reaction to
shellfish
Ans: d
A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure?a. "I can't get rid of
these hiccups."b. "I feel dizzy when i stand."c. "My incision site
stings."d. "I have a headache."
Ans: a
A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a. apply
the new patch to the same site as the previous patchb. place the patch
on an area of skin away from skin folds and jointsc. keep the patch on
24 hr per dayd. replace the patch at the onset of angina
Ans: b
All rights reserved © 2025/ 2026 |
ANCC Med-Surg Certification Questions
and Correct Answers/ Latest Update /
Already Graded
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/hrb.
continue to monitor the heparin infusion as prescribedc. request a
prothrombin timed. stop the heparin infusion
Ans: 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. "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."
Ans: 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. confusionB. friction rubC. hypertensionD. dry skin
Ans: a
All rights reserved © 2025/ 2026 |
, Page |2
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 sulfateB. administering oxygen at 2 :/min via nasal cannulaC.
helping the client to the bedside commodeD. assisting with
thrombolytic therapy
Ans: 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 depolarizationB. Guillain-Barre syndromC.
myelodysplastic syndromeD. Valvular disease
Ans: 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 testingB. Tell the
client to report vision changesC. Place the head of the bed at 45
degreesD. initiate an IV
Ans: C
All rights reserved © 2025/ 2026 |
, Page |3
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 speechb. irregular
pulsec. dependent edemad. persistent fatigue
Ans: 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 girthb. weak peripheral pulsesc. jugular vein distentiond.
dependent edema
Ans: b
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. SOBb. lightheadednessc. dry coughd. metallic taste
Ans: b
a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac
tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82 mmHg
on inspiration and 154/90 mmHg on expirationd. sinus rhythm with
occasional premature atrial contraction and HR 88/min
All rights reserved © 2025/ 2026 |
, Page |4
Ans: c
A nurse is preparing a client for coroncary angiography. The nurse
should report which of the following findings to the provider prior to
the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral arterial
diseasec. urine output 200 mL/4 hrd. previous allergic reaction to
shellfish
Ans: d
A nurse is caring for a client following insertion of a permanent
pacemaker. Which of the following client statements indicates a
potential complication of the insertion procedure?a. "I can't get rid of
these hiccups."b. "I feel dizzy when i stand."c. "My incision site
stings."d. "I have a headache."
Ans: a
A nurse is providing discharge teaching for a client who has a
prescription for the transdermal nitroglycerin patch. Which of the
following instructions should the nurse include in the teaching?a. apply
the new patch to the same site as the previous patchb. place the patch
on an area of skin away from skin folds and jointsc. keep the patch on
24 hr per dayd. replace the patch at the onset of angina
Ans: b
All rights reserved © 2025/ 2026 |
