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ANCC MED SURG CERTIFICATION EXAM 2026
100% PASS ASSURED UPDATED EXAM
SOLUTIONS.
d - correct answer- 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
a - correct answer- 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."
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a - correct answer- 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
d - correct answer- 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
D - correct answer- 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
C - correct answer- A nurse is caring for a
client who presents to the ER with a BP of
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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
a - correct answer- 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
b - correct answer- 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
b - correct answer- 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
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following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry
coughd. metallic taste
c - correct answer- 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
d - correct answer- 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
a - correct answer- 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
ANCC MED SURG CERTIFICATION EXAM 2026
100% PASS ASSURED UPDATED EXAM
SOLUTIONS.
d - correct answer- 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
a - correct answer- 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."
,2 | Page
a - correct answer- 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
d - correct answer- 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
D - correct answer- 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
C - correct answer- A nurse is caring for a
client who presents to the ER with a BP of
,3 | Page
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
a - correct answer- 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
b - correct answer- 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
b - correct answer- 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
, 4 | Page
following as an adverse effect of these
medications?a. SOBb. lightheadednessc. dry
coughd. metallic taste
c - correct answer- 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
d - correct answer- 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
a - correct answer- 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
