3/25/26, 12:37 PM ANCC Med-Surg Certification
ANCC Med-Surg Certification exam questions and answers 2026/2027
latest update
d 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 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."
a 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
1/28
,3/25/26, 12:37 PM ANCC Med-Surg Certification
d 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 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 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 testingB. Tell the client to report vision
changesC. Place the head of the bed at 45 degreesD. initiate an IV
a 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 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 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. SOBb. lightheadednessc. dry coughd. metallic taste
2/28
, 3/25/26, 12:37 PM ANCC Med-Surg Certification
c 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 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
3/28
ANCC Med-Surg Certification exam questions and answers 2026/2027
latest update
d 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 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."
a 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
1/28
,3/25/26, 12:37 PM ANCC Med-Surg Certification
d 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 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 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 testingB. Tell the client to report vision
changesC. Place the head of the bed at 45 degreesD. initiate an IV
a 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 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 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. SOBb. lightheadednessc. dry coughd. metallic taste
2/28
, 3/25/26, 12:37 PM ANCC Med-Surg Certification
c 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 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
3/28
