ANCC Med-Surg Certification
EXAM QUESTIONS AND ANSWERS RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED
ANSWERS GUARANTEED PASS WITH INSTANT PDF
DOWNLOAD.
Heparin therapy (aPTT 96 seconds)
a. Increase the heparin infusion flow rate by 2 mL/hr
b. Continue to monitor the heparin infusion as prescribed
c. Request a prothrombin time
d. Stop the heparin infusion
2. Post–heart transplant 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."
3. Bradydysrhythmia finding
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
4. Anterior MI (contraindicated intervention)
A. Administering IV morphine sulfate
B. Administering oxygen at 2 L/min via nasal cannula
C. Helping the client to the bedside commode
D. Assisting with thrombolytic therapy
,5. Endocarditis complication
A. Ventricular depolarization
B. Guillain-Barré syndrome
C. Myelodysplastic syndrome
D. Valvular disease
6. Hypertensive crisis (first action)
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
7. HF with AF (report immediately)
a. Slurred speech
b. Irregular pulse
c. Dependent edema
d. Persistent fatigue
8. Left-sided HF manifestation
a. Increased abdominal girth
b. Weak peripheral pulses
c. Jugular vein distention
d. Dependent edema
9. Digoxin + Furosemide adverse effect
a. Shortness of breath
b. Lightheadedness
c. Dry cough
d. Metallic taste
10. Cardiac tamponade finding
a. Sternal instability
b. Increased WBC count
c. BP 140/82 (inspiration) and 154/90 (expiration)
d. Sinus rhythm with occasional PACs
,11. Coronary angiography (report before procedure)
a. Hemoglobin 14.4 g/dL
b. History of peripheral arterial disease
c. Urine output 200 mL/4 hr
d. Previous allergic reaction to shellfish
12. Pacemaker complication
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."
13. Nitroglycerin patch teaching
a. Apply new patch to same site
b. Place patch away from skin folds and joints
c. Keep patch on 24 hr/day
d. Replace at onset of angina
14. Aortic aneurysm repair (shock sign)
a. Serosanguinous drainage
b. Severe pain with coughing
c. Urine output 20 mL/hr
d. Slight temperature increase
15. AAA resection priority assessment
a. Neck vein distention
b. Bowel sounds
c. Peripheral edema
d. Urine output
16. Supraventricular tachycardia intervention
a. Precordial thump
b. Vagal stimulation
, c. Atropine IV
d. Defibrillation
17. HF discharge teaching
a. Weight gain of 2 lb in 24 hr
b. Increase of 10 mmHg systolic BP
c. Dyspnea with exertion
d. Dizziness when rising quickly
18. Arterial vs venous ulcer assessment
a. Family history
b. Pain presence
c. Claudication
d. Recent infection
19. PAD lab values needing teaching
a. Chol 180, HDL 70, LDL 90
b. Chol 185, HDL 50, LDL 120
c. Chol 190, HDL 25, LDL 160
d. Chol 195, HDL 55, LDL 125
20. Risk for PAD
a. Hypothyroidism
b. Diabetes mellitus
c. 25% fat intake
d. Two beers daily
21. Hypertension lifestyle modifications (Select all)
a. Limit alcohol intake
b. Regular exercise
c. Decrease magnesium intake
d. Reduce potassium intake
e. Smoking cessation
EXAM QUESTIONS AND ANSWERS RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED
ANSWERS GUARANTEED PASS WITH INSTANT PDF
DOWNLOAD.
Heparin therapy (aPTT 96 seconds)
a. Increase the heparin infusion flow rate by 2 mL/hr
b. Continue to monitor the heparin infusion as prescribed
c. Request a prothrombin time
d. Stop the heparin infusion
2. Post–heart transplant 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."
3. Bradydysrhythmia finding
A. Confusion
B. Friction rub
C. Hypertension
D. Dry skin
4. Anterior MI (contraindicated intervention)
A. Administering IV morphine sulfate
B. Administering oxygen at 2 L/min via nasal cannula
C. Helping the client to the bedside commode
D. Assisting with thrombolytic therapy
,5. Endocarditis complication
A. Ventricular depolarization
B. Guillain-Barré syndrome
C. Myelodysplastic syndrome
D. Valvular disease
6. Hypertensive crisis (first action)
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
7. HF with AF (report immediately)
a. Slurred speech
b. Irregular pulse
c. Dependent edema
d. Persistent fatigue
8. Left-sided HF manifestation
a. Increased abdominal girth
b. Weak peripheral pulses
c. Jugular vein distention
d. Dependent edema
9. Digoxin + Furosemide adverse effect
a. Shortness of breath
b. Lightheadedness
c. Dry cough
d. Metallic taste
10. Cardiac tamponade finding
a. Sternal instability
b. Increased WBC count
c. BP 140/82 (inspiration) and 154/90 (expiration)
d. Sinus rhythm with occasional PACs
,11. Coronary angiography (report before procedure)
a. Hemoglobin 14.4 g/dL
b. History of peripheral arterial disease
c. Urine output 200 mL/4 hr
d. Previous allergic reaction to shellfish
12. Pacemaker complication
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."
13. Nitroglycerin patch teaching
a. Apply new patch to same site
b. Place patch away from skin folds and joints
c. Keep patch on 24 hr/day
d. Replace at onset of angina
14. Aortic aneurysm repair (shock sign)
a. Serosanguinous drainage
b. Severe pain with coughing
c. Urine output 20 mL/hr
d. Slight temperature increase
15. AAA resection priority assessment
a. Neck vein distention
b. Bowel sounds
c. Peripheral edema
d. Urine output
16. Supraventricular tachycardia intervention
a. Precordial thump
b. Vagal stimulation
, c. Atropine IV
d. Defibrillation
17. HF discharge teaching
a. Weight gain of 2 lb in 24 hr
b. Increase of 10 mmHg systolic BP
c. Dyspnea with exertion
d. Dizziness when rising quickly
18. Arterial vs venous ulcer assessment
a. Family history
b. Pain presence
c. Claudication
d. Recent infection
19. PAD lab values needing teaching
a. Chol 180, HDL 70, LDL 90
b. Chol 185, HDL 50, LDL 120
c. Chol 190, HDL 25, LDL 160
d. Chol 195, HDL 55, LDL 125
20. Risk for PAD
a. Hypothyroidism
b. Diabetes mellitus
c. 25% fat intake
d. Two beers daily
21. Hypertension lifestyle modifications (Select all)
a. Limit alcohol intake
b. Regular exercise
c. Decrease magnesium intake
d. Reduce potassium intake
e. Smoking cessation
