ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
PREP VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
A+ TEST BANK 1
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
When locating Erb's point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at
the:
A. fifth intercostal space near the midclavicular line.
B. fith intercostal space along the left sternal border.
C. second intercostal space at the left sternal border.
D. third intercostal space at the left sternal border.
D. third intercostal space at the left sternal border.
Rationale:
Erb's point is located at the third intercostal space at the left sternal border. The
fi fth intercostal space near the midclavicular line (Option A) is used to listen to the mitral area. The
fifth intercostal space along the left sternal border (Option B) is the location for the tricuspid area. The
second intercostal space at the left sternal border (Option C) is the location for the pulmonic area.
When caring for a patient with arterial occlusive disease, which of the following home health care
instructions is most appropriate for the nurse to give to the patient?
A. "You should massage your legs to relieve pain."
B. "It's best to sit and rest for several hours a day."
C. "Make sure the head of your bed is slightly elevated when sleeping."
D. "It's best to wear tight socks instead of no socks."
C. "Make sure the head of your bed is slightly elevated when sleeping."
Rationale:
The patient should make sure the head of the bed is slightly elevated to aid perfusion
to the lower extremities. The patient shouldn't massage his legs
(Option A) because doing so could further damage tissue. Sitting for several hours a day (Option B) isn't
recommended. The patient should wear loose clothing, not constrictive clothing such as socks with
tight elastic (Option D), to avoid compressing the vessels in the legs.
A+ TEST BANK 2
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason?
A. To minimize platelet aggregation
B. To reduce preload and afterload
C. To reduce myocardial oxygen consumption
D. To decrease myocardial oxygen demand
B. To reduce preload and afterload
Rationale:
ACE inhibitors reduce preload and afterload. Antiplatelet drugs minimize platelet
aggregation (Option A). Nitrates reduce myocardial oxygen consumption (Option C). Beta-adrenergic
blockers reduce the workload of the heart and myocardial oxygen demand (Option D).
Which of the following conditions can cause right-sided heart failure?
A. A ventricular septal defect
B. An anterior MI
C. An atrial septal defect
D. Constrictive pericarditis
C. An atrial septal defect
Rationale:
An atrial septal defect can lead to right-sided heart failure. Left-sided heart failure
can result from a ventricular septal defect (Option A), an anterior MI (Option B), or constrictive
pericarditis (Option D)
.
When assessing a patient with anemia from acute blood loss, the nurse would expect to fi nd which of
the
following?
A. Sudden onset of symptoms, hypotension, and tachycardia
B. Exertional dyspnea, poor nutrition, and hypotension
A+ TEST BANK 3
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
C. Sudden onset of symptoms, glossitis, and tachycardia
D. Fatigue, neuropathy, and tachycardia
A. Sudden onset of symptoms, hypotension, and tachycardia
Rationale:
Acute blood loss occurs suddenly. Hypotension and tachycardia are compensatory
mechanisms in response to rapid loss of blood volume. Although anemia may produce exertional
dyspnea and hypotension, Option B is incorrect because poor nutrition is neither a symptom nor a
cause of anemia due to blood loss. Options C and D are incorrect because anemia due to acute blood
loss produces neither glossitis nor neuropathy.
When teaching safety precautions to a patient with thrombocytopenia, the nurse should include which
of
the following directives?
A. Eat foods high in iron.
B. Avoid products that contain aspirin.
C. Avoid people with respiratory tract infections.
D. Eat only cooked vegetables
B. Avoid products that contain aspirin.
Rationale:
Patients with a low platelet count should avoid products that contain aspirin because they increase the
tendency to bleed. Option A would be important to teach the patient with anemia.
Options C and D are correct for the patient with leukopenia.
When assessing the patient, the nurse knows that the body system least affected by multiple myeloma
is the:
A. skeletal system.
B. renal system.
C. nervous system.
D. cardiovascular system.
C. cardiovascular system.
Rationale:
A+ TEST BANK 4
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
PREP VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
DETAILED RATIONALES GRADED A+
GUARANTEED PASS ACE YOUR EXAM
A+ TEST BANK 1
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
When locating Erb's point to hear aortic and pulmonic sounds, the nurse should place the stethoscope at
the:
A. fifth intercostal space near the midclavicular line.
B. fith intercostal space along the left sternal border.
C. second intercostal space at the left sternal border.
D. third intercostal space at the left sternal border.
D. third intercostal space at the left sternal border.
Rationale:
Erb's point is located at the third intercostal space at the left sternal border. The
fi fth intercostal space near the midclavicular line (Option A) is used to listen to the mitral area. The
fifth intercostal space along the left sternal border (Option B) is the location for the tricuspid area. The
second intercostal space at the left sternal border (Option C) is the location for the pulmonic area.
When caring for a patient with arterial occlusive disease, which of the following home health care
instructions is most appropriate for the nurse to give to the patient?
A. "You should massage your legs to relieve pain."
B. "It's best to sit and rest for several hours a day."
C. "Make sure the head of your bed is slightly elevated when sleeping."
D. "It's best to wear tight socks instead of no socks."
C. "Make sure the head of your bed is slightly elevated when sleeping."
Rationale:
The patient should make sure the head of the bed is slightly elevated to aid perfusion
to the lower extremities. The patient shouldn't massage his legs
(Option A) because doing so could further damage tissue. Sitting for several hours a day (Option B) isn't
recommended. The patient should wear loose clothing, not constrictive clothing such as socks with
tight elastic (Option D), to avoid compressing the vessels in the legs.
A+ TEST BANK 2
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
The nurse prepares to administer an ACE inhibitor to a patient with an acute MI for which reason?
A. To minimize platelet aggregation
B. To reduce preload and afterload
C. To reduce myocardial oxygen consumption
D. To decrease myocardial oxygen demand
B. To reduce preload and afterload
Rationale:
ACE inhibitors reduce preload and afterload. Antiplatelet drugs minimize platelet
aggregation (Option A). Nitrates reduce myocardial oxygen consumption (Option C). Beta-adrenergic
blockers reduce the workload of the heart and myocardial oxygen demand (Option D).
Which of the following conditions can cause right-sided heart failure?
A. A ventricular septal defect
B. An anterior MI
C. An atrial septal defect
D. Constrictive pericarditis
C. An atrial septal defect
Rationale:
An atrial septal defect can lead to right-sided heart failure. Left-sided heart failure
can result from a ventricular septal defect (Option A), an anterior MI (Option B), or constrictive
pericarditis (Option D)
.
When assessing a patient with anemia from acute blood loss, the nurse would expect to fi nd which of
the
following?
A. Sudden onset of symptoms, hypotension, and tachycardia
B. Exertional dyspnea, poor nutrition, and hypotension
A+ TEST BANK 3
, ANCC MED-SURG CERTIFICATION EXAM
PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM
C. Sudden onset of symptoms, glossitis, and tachycardia
D. Fatigue, neuropathy, and tachycardia
A. Sudden onset of symptoms, hypotension, and tachycardia
Rationale:
Acute blood loss occurs suddenly. Hypotension and tachycardia are compensatory
mechanisms in response to rapid loss of blood volume. Although anemia may produce exertional
dyspnea and hypotension, Option B is incorrect because poor nutrition is neither a symptom nor a
cause of anemia due to blood loss. Options C and D are incorrect because anemia due to acute blood
loss produces neither glossitis nor neuropathy.
When teaching safety precautions to a patient with thrombocytopenia, the nurse should include which
of
the following directives?
A. Eat foods high in iron.
B. Avoid products that contain aspirin.
C. Avoid people with respiratory tract infections.
D. Eat only cooked vegetables
B. Avoid products that contain aspirin.
Rationale:
Patients with a low platelet count should avoid products that contain aspirin because they increase the
tendency to bleed. Option A would be important to teach the patient with anemia.
Options C and D are correct for the patient with leukopenia.
When assessing the patient, the nurse knows that the body system least affected by multiple myeloma
is the:
A. skeletal system.
B. renal system.
C. nervous system.
D. cardiovascular system.
C. cardiovascular system.
Rationale:
A+ TEST BANK 4
