ANCC Medical-Surgical Nursing
Certification Exam Prep 2026 – Complete
Exam Questions with Verified Detailed
Answers
INTRODUCTION:
This document contains a comprehensive collection of practice
|| || || || || || ||
|| questions and answers for the ANCC Medical-Surgical Nursing
|| || || || || || ||
|| Certification Exam, updated for the 2026 testing period. Each
|| || || || || || || ||
|| question is followed by the verified correct answer and includes
|| || || || || || || || ||
|| detailed explanations, covering a wide range of topics such as
|| || || || || || || || ||
|| perioperative care, cardiovascular disorders, gastrointestinal
|| || || ||
|| conditions, endocrine disorders, immune system responses, and
|| || || || || ||
|| professional nursing concepts. It is a complete preparation
|| || || || || || ||
resource designed to help candidates master both knowledge
|| || || || || || || ||
|| recall and clinical application for the certification exam.
|| || || || || || ||
EXAM QUESTIONS AND ANSWERS:
|| || ||
A nurse is developing a plan of care for a client who has
|| || || || || || || || || || || ||
|| cirrhosis and ascites. Which of the following interventions
|| || || || || || ||
should the nurse include?
|| || || ||
a. measure abdominal girth daily || || ||
b. administer warfarin at the same time each day|| || || || || || ||
,c. provide a daily intake of 4 g of sodium
|| || || || || || || ||
d. assess breath sounds every 12 hours --- correct answer ---a
|| || || || || || || || ||
A nurse is assessing a client who has upper GI bleeding. Which
|| || || || || || || || || || ||
of the following findings should the nurse expect?
|| || || || || || || ||
a. hypoactive bowel sounds || ||
b. epigastric pain ||
c. hypotension
d. pernicious anemia --- correct answer ---c || || || || ||
A nurse is caring for a client who has ulcerative colitis. The
|| || || || || || || || || || ||
|| client has had several exacerbation over the past 3 years.
|| || || || || || || || ||
|| Which of the following instructions should the nurse include in
|| || || || || || || || ||
the plan of care to minimize the risk of further exacerbation
|| || || || || || || || || || ||
(select all that apply)
|| || || ||
a. use progressive relaxation techniques
|| || ||
b. increase dietary fiber intake || || ||
c. drink two 240 mL (8oz) glasses of milk per day
|| || || || || || || || ||
d. arrange activities to allow for daily rest periods
|| || || || || || ||
e. restrict intake of carbonated beverages --- correct answer ---a,
|| || || || || || || ||
d, e
|| ||
,A nurse is assessing a client immediately following a
|| || || || || || || ||
paracentesis for the treatment of ascities. Which of the
|| || || || || || || || ||
|| following findings indicates the procedure was effective?
|| || || || || ||
a. presence of a fluid wave || || || ||
b. increased HR ||
c. equal pre- and post-procedure weights
|| || || ||
d. decreased shortness of breath --- correct answer ---d
|| || || || || || ||
A nurse is providing discharge teaching for a client who has a
|| || || || || || || || || || ||
new colostomy and is concerned about flatus and odor. Which
|| || || || || || || || || ||
|| of the following foods should the nurse recommend?
|| || || || || || ||
a. eggs
b. fish
c. yogurt
d. broccoli --- correct answer ---c|| || || ||
A nurse is assessing a client who has cirrhosis. Which of the
|| || || || || || || || || || ||
|| following findings is the priority for the nurse to report to the
|| || || || || || || || || || ||
|| provider?
a. spider angiomas ||
b. peripheral edema ||
c. bloody stools ||
d. jaundice --- correct answer ---c || || || ||
, Which clinical manifestation reported by a client suggests to the
|| || || || || || || || ||
|| nurse that anemia is a possibility?
|| || || || ||
a. difficulty sleeping ||
b. cold hands and feet
|| || ||
c. chronic headaches ||
d. shortness of breath --- correct answer ---d
|| || || || || ||
A nurse is caring for a client who has a new prescription for
|| || || || || || || || || || || ||
|| clindamycin to treat acute pelvic inflammatory disease. The
|| || || || || || ||
nurse should monitor for and report which of the following
|| || || || || || || || || ||
|| findings immediately to the provider?
|| || || ||
a. watery diarrhea ||
b. vaginitis
c. fever
d. nausea and vomiting --- correct answer ---a
|| || || || || ||
A nurse is providing preoperative teaching to a client who is
|| || || || || || || || || ||
|| scheduled for a gastrectomy in 1 week. The client is anxious
|| || || || || || || || || ||
|| about the upcoming surgery. Which of the following is an
|| || || || || || || || ||
|| appropriate action for the nurse to take?
|| || || || || ||
a. sympathize with the clients feelings || || || ||
b. reassure the client that the surgery will go fine
|| || || || || || || ||
Certification Exam Prep 2026 – Complete
Exam Questions with Verified Detailed
Answers
INTRODUCTION:
This document contains a comprehensive collection of practice
|| || || || || || ||
|| questions and answers for the ANCC Medical-Surgical Nursing
|| || || || || || ||
|| Certification Exam, updated for the 2026 testing period. Each
|| || || || || || || ||
|| question is followed by the verified correct answer and includes
|| || || || || || || || ||
|| detailed explanations, covering a wide range of topics such as
|| || || || || || || || ||
|| perioperative care, cardiovascular disorders, gastrointestinal
|| || || ||
|| conditions, endocrine disorders, immune system responses, and
|| || || || || ||
|| professional nursing concepts. It is a complete preparation
|| || || || || || ||
resource designed to help candidates master both knowledge
|| || || || || || || ||
|| recall and clinical application for the certification exam.
|| || || || || || ||
EXAM QUESTIONS AND ANSWERS:
|| || ||
A nurse is developing a plan of care for a client who has
|| || || || || || || || || || || ||
|| cirrhosis and ascites. Which of the following interventions
|| || || || || || ||
should the nurse include?
|| || || ||
a. measure abdominal girth daily || || ||
b. administer warfarin at the same time each day|| || || || || || ||
,c. provide a daily intake of 4 g of sodium
|| || || || || || || ||
d. assess breath sounds every 12 hours --- correct answer ---a
|| || || || || || || || ||
A nurse is assessing a client who has upper GI bleeding. Which
|| || || || || || || || || || ||
of the following findings should the nurse expect?
|| || || || || || || ||
a. hypoactive bowel sounds || ||
b. epigastric pain ||
c. hypotension
d. pernicious anemia --- correct answer ---c || || || || ||
A nurse is caring for a client who has ulcerative colitis. The
|| || || || || || || || || || ||
|| client has had several exacerbation over the past 3 years.
|| || || || || || || || ||
|| Which of the following instructions should the nurse include in
|| || || || || || || || ||
the plan of care to minimize the risk of further exacerbation
|| || || || || || || || || || ||
(select all that apply)
|| || || ||
a. use progressive relaxation techniques
|| || ||
b. increase dietary fiber intake || || ||
c. drink two 240 mL (8oz) glasses of milk per day
|| || || || || || || || ||
d. arrange activities to allow for daily rest periods
|| || || || || || ||
e. restrict intake of carbonated beverages --- correct answer ---a,
|| || || || || || || ||
d, e
|| ||
,A nurse is assessing a client immediately following a
|| || || || || || || ||
paracentesis for the treatment of ascities. Which of the
|| || || || || || || || ||
|| following findings indicates the procedure was effective?
|| || || || || ||
a. presence of a fluid wave || || || ||
b. increased HR ||
c. equal pre- and post-procedure weights
|| || || ||
d. decreased shortness of breath --- correct answer ---d
|| || || || || || ||
A nurse is providing discharge teaching for a client who has a
|| || || || || || || || || || ||
new colostomy and is concerned about flatus and odor. Which
|| || || || || || || || || ||
|| of the following foods should the nurse recommend?
|| || || || || || ||
a. eggs
b. fish
c. yogurt
d. broccoli --- correct answer ---c|| || || ||
A nurse is assessing a client who has cirrhosis. Which of the
|| || || || || || || || || || ||
|| following findings is the priority for the nurse to report to the
|| || || || || || || || || || ||
|| provider?
a. spider angiomas ||
b. peripheral edema ||
c. bloody stools ||
d. jaundice --- correct answer ---c || || || ||
, Which clinical manifestation reported by a client suggests to the
|| || || || || || || || ||
|| nurse that anemia is a possibility?
|| || || || ||
a. difficulty sleeping ||
b. cold hands and feet
|| || ||
c. chronic headaches ||
d. shortness of breath --- correct answer ---d
|| || || || || ||
A nurse is caring for a client who has a new prescription for
|| || || || || || || || || || || ||
|| clindamycin to treat acute pelvic inflammatory disease. The
|| || || || || || ||
nurse should monitor for and report which of the following
|| || || || || || || || || ||
|| findings immediately to the provider?
|| || || ||
a. watery diarrhea ||
b. vaginitis
c. fever
d. nausea and vomiting --- correct answer ---a
|| || || || || ||
A nurse is providing preoperative teaching to a client who is
|| || || || || || || || || ||
|| scheduled for a gastrectomy in 1 week. The client is anxious
|| || || || || || || || || ||
|| about the upcoming surgery. Which of the following is an
|| || || || || || || || ||
|| appropriate action for the nurse to take?
|| || || || || ||
a. sympathize with the clients feelings || || || ||
b. reassure the client that the surgery will go fine
|| || || || || || || ||
