ANCC Medical-Surgical Nursing Certification exam questions and answers update

ANCC Medical-v




Surgical Nursing Certification Practice Qu
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estions with correct Answers 2026/2027 (
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A+ GRADED 100% VERIFIED).
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"vThird-spacing"vcanvcausevwhichvformvofvshock?

A. Anaphylactic
B. Hypovolemic
C. Septic
D. Cardiovascularv-v ThevcorrectvAnswervis:vB.vHypovolemic

Third-
spacingv=vmovementvofvfluidvoutvofvthevvascularvsystemvintovthevinterstitialvareas,vresult
ingvinvlossvofvfluidvleadingvtovhypovolemicvshock

Av18-year-oldvmalevisvadmittedvaftervavmotor-vehiclevaccidentvwithvair-
bagvrelease.vHevcomplainsvofvchestvtightnessvandvisvrestlessvandvanxious.vHeartvsoun
dsvarevbarelyvaudiblevonvauscultation.vThevpatientvisvmostvlikelyvexperiencingvwhatvco
ndition?

A. Cardiacvtamponade
B. Acutevmyocardialvinfarction
C. Pulmonaryvedema
D. Aorticvaneurysmv-v ThevcorrectvAnswervis:vA.vCardiacvtamponade

Wevknowvthatvthisvpatientvsustainedvtraumavtovthevchest.vCardiacvtamponadevoccursvwh
envtherevisvfluidvbuildvupvaroundvthevheartvthatvappliesvpressurevtovthevheartvandvimpairsv
itsvabilityvtovpumpvadequately.vThisvcanvhappenvwithvtraumavorvuncontrolledvbleedingvfr
omvanvopenvheartvprocedure.vSignsvandvsymptomsvincludevchestvpainvandvpressure,vmu
ffledvheartvtones,vshortnessvofvbreath,vandvjugularvveinvdistention

Av24vyear-
oldvfactoryvworkervwithvavhistoryvofvasthmavpresentsvtovthevemergencyvdepartmentvwithv
difficultyvbreathing.vDuringvthevrespiratoryvassessmentvofvthevpatient,vthevnursevwouldve
xpectvtovauscultate:

A. diminishedvbreathvsoundsvandvcracklesvinvlungvbases
B. moistvcracklesvinvlungvbases
C. distantvbreathvsoundsvandvexpiratoryvwheezes

,D. bronchialvbreathvsoundsvinvlungvbasesv-
v ThevcorrectvAnswervis:vC.vdistantvbreathvsoundsvandvexpiratoryv wheezes




Av30vyear-
oldvmanvwithvchronicvtraumaticvbrainvinjuryvwasvadmittedvforvavsurgicalvprocedurevandvi
svtovbevdischarged.vThevnursevshouldvmodifyvhisvdischargevinstructionsvby:

1. Providingvdetailedvoralvinstructions
2. Providingvdetailedvwrittenvinstructions
3. Havingvhimvrepeatvthevinstructions
4. Havingvsustainedveyevcontactvduringvthevinstructionv-
v ThevcorrectvAnswervis:v3.vHavingv himvrepeatvthevinstructions




Av30-year-
oldvfemalevhasvbeenvdiagnosedvwithvCushing'svsyndrome.vThevnursevknowsvthevpatie
ntvisvmostvlikelyvtovexhibitvwhichvsymptoms?

A. Hypertensionvandvhirsutism
B. Hyperkalemiavandvobesity
C. Hypotensionvandvanemia
D. Menstrualvirregularitiesvandvhypoglycemiav-
v ThevcorrectvAnswervis:vA.v Hypertensionvandvhirsutism




Hypertensionvmayvresultvfromvfluidvretentionvduevtovmineralcorticoidvexcess,vandvtheyvm
ayvalsovexhibitvhirsutismv(abnormalvhairvgrowth).
ForvAnswersv(B,vC,vD)vwhilevtheyvmayvalsovexhibitvtruncalvorvgeneralizedvobesityvasvwel
lvasvmenstrualvirregularities,vitvisvpatient'svwithvAddison'svDiseasevthatvwouldvexhibitvHy
perkalemia,vHypoglycemiavandvHypotensionv(itvisvthevoppositevinvCushing'svSyndrome)
.

Av48vyear-
oldvpatientvwithvsuspectedvgastrointestinalv(GI)vbleedingvundergoesvdiagnosticvendosc
opy,vwhichvdeterminesvthevsitevofvbleedingvisvavduodenalvulcer.vThevnursevexplainsvtovth
evpatientvthatvbleedingvulcersvarevmostvcommonlyvrelatedvtovwhichvofvthevfollowing?

a. Intakevofvspicyvfoods
b. Usevofvsalicylates
c. Historyvofvsmoking
d. Severevretchingvandvvomitingv-v ThevcorrectvAnswervis:vb.vUsevofvsalicylates

MostvbleedingvulcersvarevrelatedvtovthevpresencevofvHelicobactervpylorivorvdrugvuse,ves
peciallyvaspirinvandvaspirin-containingvproducesv(salicylates)vorvnonsteroidal
anti-
inflammatoryvdrugs.vSeverevretchingvandvvomitingvarevassociatedvwithvesophagealvbl
eeding.vSpicyvfloodsvdovnotvcausevulcers.

,Av50-year-
oldvwomanvweighsv85kgvandvhasvavhistoryvofvcigarettevsmoking,vhighvbloodvpressure,v
highvsodiumvintake,vandvsedentaryvlifestyle.vWhenvdevelopingvanvindividualizedvcarevp
lanvforvher,vthevnursevdeterminesvthatvthevmostvimportantvriskvfactorsvforvperipheralvart
eryvdiseasevthatvneedvtovbevmodifiedvare:

A. Weightvandvdiet
B. Activityvlevelvandvdiet
C. Cigarettevsmokingvandvhighvbloodvpressure
D. Sedentaryvlifestylevandvhighvbloodvpressurev-
v ThevcorrectvAnswervis:vC.vCigarettevsmokingvandvhighvbloodvpressure




Thesevreallyvallvneedvtovbevaddressedvbutvsmokingvmostvofvall,vespeciallyvcombinedvwi
thvhighvBP

Av60-year-
oldvAfricanvAmericanvmalevwhovworksvasvavsoccervcoach,visvadmittedvwithvhypertension
.vOnvadmissionvhisvbloodvpressurevwasv210/108vmmHg.vHisvlastvtotalvcholesterolvlevelv
wasv156vmg/dl,vandvavrandomvbloodvglucosevwasv110vmg/dl.vWhichvisvunalterablevriskvf
actorvforvhypertension?

A. Hisvbloodvglucosevlevel
B. Hisvcholesterolvlevel
C. Hisvoccupation
D. Hisvethnicityv-v ThevcorrectvAnswervis:vD

Othervriskvfactors:velevatedvserumvlipids,vDM,vsedentaryvlifestyle

Av63vyearvoldvfemalevpatientvcontactsvthevclinicvtovreportvthatvshevisvhasvbeenvextremelyv
fatigued,visvsleepingv12vhoursvavnight,visvalwaysvcoldvandvhervhairvisvfallingvout.vWhichvofv
thevfollowingvresponsesvbyvthevnursevisvmostvappropriate?

A. Youvwillvhavevmorevenergyvifvyouvwalkv30vminveveryvday.
B. Youvdon'tvneedvtovworry.vSleepingvavlotvisvgoodvforvyou.
C. Comevinvandvseevyourvhealthvcarevprovidervtoday.
D. Youvshouldveatvmorevgreenvleafyvvegetables.v-v ThevcorrectvAnswervis:vC

Av68vyearvoldvwomanvisvadmittedvtovthevsurgicalvunitvaftervavgastricvresectionvforvgastri
cvcancer.vShevstatesvthatvshevdoesn'tvwantvanyonevtovseevhervinvthisvcondition,vevenvhe
rvhusband.vThisvnurse'svbestvresponsevis:

A. "Patients'vrightsvprotectvyourvprivacy.vIvwon'tvallowvanyonevin."

B. "I'vevseenvgastricvcancervpatientsvwhovlookvmuchvworse.vDon'tvworry."

C. "Wouldvyouvlikevtovtalkvtovavsocialvworker?"

, D. "Whatvaboutvyourvconditionvworriesvyou?"v-v ThevcorrectvAnswervis:vD

Av75vyearvoldvpatientvcomplainsvtovthevclinicalvnursevthatvhevisvhavingvdifficultyvsleeping
.vWhichvofvthevfollowingvactionsvbyvthevnursevisvmostvappropriate?

A. Determinevthevpatient'svusualvsleepingvandvwakingvpatterns.
B. Suggestvthatvthevclientvabstainvfromvalcoholvandvcaffeinevbeforevbedvtime.
C. Recommendvthatvclientvestablishvavbedtimevroutine.
D. Askvhowvmuchvsleepvthevclientvrequiredvbeforevretirement.v-
v ThevcorrectvAnswerv is:vA




Avclassicvfindingvinvthevpatientvwithvacutevrespiratoryvdistressvsyndromev(ARDS)vis:

A. Suddenvhypocalcemiavwithvtetany
B. Severevhyperkalemia
C. Hypoxiavresistantvtovoxygenvtherapy
D. Hypercapniav-v ThevcorrectvAnswervis:vC.vHypoxiavresistantvtovoxygenvtherapy

Avclientvadmittedvtovthevhospitalvwithvavsicklevcellvcrisisvcomplainsvofvseverevabdominal,v
hip,vandvkneevpain.vYouvobservevanvLVNvaccomplishingvthesevclientvcarevtasks.vWhichvo
nevrequiresvthatvyou,vasvchargevnurse,vintervenevimmediately?

A. ThevLVNvencouragesvthevclientvtovusevthevorderedvPCA.
B. ThevLVNvpositionsvcoldvpacksvonvthevclient'svknees.
C. ThevLVNvplacesvav"NovVisitors"vsignvonvthevclient'svdoor.
D. ThevLVNvchecksvthevclient'svtemperatureveveryv2vhours.v-v ThevcorrectvAnswervis:
B.vThevLVNvpositionsvcoldvpacksvonvthevclient'svknees.

Thevjointvpainvthatvoccursvinvsicklevcellvcrisisvisvcausedvbyvobstructionvofvbloodvflowvbyvth
evsickledvredvbloodvcells.vThevappropriatevtherapyvforvthisvclientvwouldvbevapplicationvofv
moistvheatvtovthevjointsvtovcausevvasodilationvandvimprovevcirculation.
(A)vBecausevcontrolvofvpainvisvavpriorityvduringvsicklevcellvcrisis,vencouragingvthevclientvt
ovusevthevPCAvisvanvappropriatevtherapy.
(C,vD)vWhilevinfectionvcontrolvisvimportantvinvpreventingvandvtreatingvsicklevcellvcrisis,vthe
revisvnovneedvtovrestrictvallvvisitorsvorvtovcheckvthevtemperatureveveryv2vhours.

Avclientvcomplainsvofvcrushingvchestvpainvthatvradiatesvtovhisvleftvarm.vWhichvofvthevfoll
owingvtreatmentsvshouldvyouvanticipate:

A. Aspirin,voxygen,vnitroglycerin,vandvmorphine
B. Aspirin,voxygen,vnitroglycerin,vandvcodeine
C. Oxygen,vnitroglycerin,vmeperidine,vandvthrombolytics