ANCC Med-Surg Certification EXAM PREP
ANCC MED-SURG CERTIFICATION EXAM PREP TEST BANK
LATEST 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
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 - Correct 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 - Correct Answer-a
A nurse is assessing a client who has left-sided HF. Which of the following
manifestations should the nurse expect to find?
1|Page
, ANCC Med-Surg Certification EXAM PREP
a. inc abdominal girth
b. weak peripheral pulses
c. jugular vein distention
d. dependent edema - Correct Answer-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. SOB
b. lightheadedness
c. dry cough
d. metallic taste - Correct Answer-b
a nurse is monitoring a client following coronary artery bypass graft surgery.
Which of the following findings can indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on expiration
d. sinus rhythm with occasional premature atrial contraction and HR 88/min -
Correct Answer-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/dL
2|Page
, ANCC Med-Surg Certification EXAM PREP
b. history of peripheral arterial disease
c. urine output 200 mL/4 hr
d. previous allergic reaction to shellfish - Correct Answer-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." - Correct Answer-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 patch
b. place the patch on an area of skin away from skin folds and joints
c. keep the patch on 24 hr per day
d. replace the patch at the onset of angina - Correct Answer-b
A nurse is caring for a client in the first hour following an aortic aneurysm repair.
Which of the following findings can indicate shock and should be reported to the
provider?
a. serosanguinous drainage on dressing
b. severe pain with coughing
3|Page
, ANCC Med-Surg Certification EXAM PREP
c. urine output of 20 mL/hr
d. increase in temp from 36.C (98.2F)- 37.5C (99.5F) - Correct Answer-c
A nurse caring for a client following an abdominal aortic aneurysm resection.
Which of the following is the priority assessment for this client?
a. neck vein distention
b. bowel sounds
c. peripheral edema
d. urine output - Correct Answer-d
A nurse is watching a client's ECG monitor and notes that the client's rhythm has
changed from a normal sinus rhythm to supraventricular tachycardia. The client is
conscious with a HR of 200-210 bpm and has a faint radial pulse. The nurse should
anticipate assisting with which of the following interventions?
a. delivery of precordial thump
b. vagal stimulation
c. administration of atropine IV
d. defibrillation - Correct Answer-b
A nurse is providing discharge teaching for a client who has HF. The nurse should
instruct the client to report which of the following findings immediately to the
provider?
a. weight gain of 2 lb in 24 hr
b. inc of 10 mmHg in systolic BP
c. dyspnea with exertion
4|Page
ANCC MED-SURG CERTIFICATION EXAM PREP TEST BANK
LATEST 2025/2026 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
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 - Correct 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 - Correct Answer-a
A nurse is assessing a client who has left-sided HF. Which of the following
manifestations should the nurse expect to find?
1|Page
, ANCC Med-Surg Certification EXAM PREP
a. inc abdominal girth
b. weak peripheral pulses
c. jugular vein distention
d. dependent edema - Correct Answer-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. SOB
b. lightheadedness
c. dry cough
d. metallic taste - Correct Answer-b
a nurse is monitoring a client following coronary artery bypass graft surgery.
Which of the following findings can indicate cardiac tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on expiration
d. sinus rhythm with occasional premature atrial contraction and HR 88/min -
Correct Answer-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/dL
2|Page
, ANCC Med-Surg Certification EXAM PREP
b. history of peripheral arterial disease
c. urine output 200 mL/4 hr
d. previous allergic reaction to shellfish - Correct Answer-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." - Correct Answer-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 patch
b. place the patch on an area of skin away from skin folds and joints
c. keep the patch on 24 hr per day
d. replace the patch at the onset of angina - Correct Answer-b
A nurse is caring for a client in the first hour following an aortic aneurysm repair.
Which of the following findings can indicate shock and should be reported to the
provider?
a. serosanguinous drainage on dressing
b. severe pain with coughing
3|Page
, ANCC Med-Surg Certification EXAM PREP
c. urine output of 20 mL/hr
d. increase in temp from 36.C (98.2F)- 37.5C (99.5F) - Correct Answer-c
A nurse caring for a client following an abdominal aortic aneurysm resection.
Which of the following is the priority assessment for this client?
a. neck vein distention
b. bowel sounds
c. peripheral edema
d. urine output - Correct Answer-d
A nurse is watching a client's ECG monitor and notes that the client's rhythm has
changed from a normal sinus rhythm to supraventricular tachycardia. The client is
conscious with a HR of 200-210 bpm and has a faint radial pulse. The nurse should
anticipate assisting with which of the following interventions?
a. delivery of precordial thump
b. vagal stimulation
c. administration of atropine IV
d. defibrillation - Correct Answer-b
A nurse is providing discharge teaching for a client who has HF. The nurse should
instruct the client to report which of the following findings immediately to the
provider?
a. weight gain of 2 lb in 24 hr
b. inc of 10 mmHg in systolic BP
c. dyspnea with exertion
4|Page
