ACCN MED-SURG CERTIFICATION PRACTICE QUESTIONS WITH CORRECT AND VERIFIED ANSWERS GRADED A+ CERTIFIED

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ACCN MED-SURG CERTIFICATION
PRACTICE QUESTIONS WITH CORRECT
AND VERIFIED ANSWERS GRADED A+
CERTIFIED 2025-2026

Ainewlyidiabeticipatientiwillireceiveiinstructionsifromihisinu
rse.iWhichiofitheifollowingiactionsishoulditheinurseitakeifirs
t?

A.iProvideitheipatientiwithibrochuresiforimakingismartichoic
esiforicooking/baking.
B.iAskitheipatientiwhatitheyiknowiaboutidiabetes.
C.iInstructitheipatientioniexerciseioriactivitiesithatiwilliincre
aseitheirimetabolism.
D.iTeachithemihowitoiuseitheiglucometer.i-icorrectianswerB.i

Firstiaskitheipatientiwhatitheyiknowiaboutidiabetes.

*ACTIONiquestionsiaskiforiintervention,iNOTiassessment

Theipostihysterectomyipatientiwithicallsitheiclinicistatingith
atisheihasibeenihavingidifficultyiwithiincontinence.iWhichiofi
theifollowingistatementsiifimadeibyitheipatient,iindicatesith
atifurtheriteachingiisineeded?

A.iIidrinki8ioz.iofifluidionitheievenihoursiwhileiawake.
B.iIiwilliattemptitoivoidi30iminutesiafteridrinkingi200icc.iofifl
uid
C.iIiwillionlyidrinkifluidiwheniIieatimyimeals
D.iIiwillisetitheitimeritoiremindimeiwhenitoivoidi-
icorrectianswerC.i



Aipatientisayingithatiheiorisheiwillionlyidrinkifluidsiwhenieati
ngimealsiindicatesithatitheyidon'tiknowiwhatitoidoiinicaseiofii
ncontinence.

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FURTHERiTEACHINGiindicatesithatitheipatientineedsimorei
information

AniRNiassessesiaipatientiinitheiCanceriCenteriwithiaidiagnos
isiofiterminalicancer.iTheipatientistatesitoitheiRNithatiheiisis
hortiofibreath,ihasinoiappetiteiandihurtsieverywhere.iWhichi
ofitheifollowingistatementsibyitheinurseiisibest?

A.iTellimeihowiyourifamilyiisicoping
B.iShowimeiwhereiitidoesinotihurt
C.iI'lliteachiyouirelaxationitechniques
D.iYouriphysicianishouldiincreaseiyouripainimedicationi-
icorrectianswerC



Aiclinicalinurseireturnsitoitheideskitoifindi4iphoneimessages.
iWhichiofitheifollowingimessagesishoulditheinurseirespondit

oifirst?

A.iAiposticervicalilaminectomyipatienticomplainingiofisudde
nidifficultyitalking.
B.iAipatientiwithimultipleisclerosisicomplainingiofichangeiini
peripheralivision.
C.iAipatientiwithiaiherniatedidiscicomplainingioficonsistenti
backipain.
D.iAipatientiwithiaicastidueitoiaifractureiofitheirightitibialibo
neicomplainingiofitinglingitoes.i-icorrectianswerA

BiandiCiareiexpectedisymptomsiofitheipatient'sicondition.iAi
andiDiareiunexpected.iDiisilessicriticalithaniA.iBestiansweriisi
A.

Ai75iyearioldipatienticomplainsitoitheiclinicalinurseithatiheii
sihavingidifficultyisleeping.iWhichiofitheifollowingiactionsiby
itheinurseiisimostiappropriate?



A.iDetermineitheipatient'siusualisleepingiandiwakingipatter
ns.

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B.iSuggestithatitheiclientiabstainifromialcoholiandicaffeineib
eforeibeditime.
C.iRecommendithaticlientiestablishiaibedtimeiroutine.
D.iAskihowimuchisleepitheiclientirequiredibeforeiretirement.
i-icorrectianswerA



BiandiCiareirecommendationsithatitheiRNicanishareiafterihe/
sheideterminesitheipatient'sisleepingiandiwakingipatterns.iS
oiremoveiBiandiC.iDiisianiinquiry,ibutiisiconcernediaboutithei
pasti(whenitheipersoniretired).iRemoveiD.iAiisitheibestiansw
er.

Theinurseicaresiforiaipatientiseveralihoursiafteriaithyroidect
omy.iTheiRNiobservesithatitheipatientiisidiaphoreticiandicon
fused.iTheivitalisignsiare:
Tempi=i102°i(38.9i°iC);iBPiisi160/90;ipulseiisi110,irespiratio
niisi22.iTheinurseiexpectsitheiphysicianitoiorderiwhichiofithei
following?

A.iNPO,iDextrani10iml/kg.iIV,i02i4iL/min.
B.iPropranololi(Inderal)i1img.iIV,iD5Wi125icc/
hriIV,ipropylthiaouracili(PTU)i200imgipoiqld.
C.iLevothyroxineiSodiumi(Synthroid)i100imcgiIV,iLactatediR
inger'si125icc/hriIV,iandiciprofloxacini(cipro)i500img.ipoibid.
D.iMorphineisulfatei2.5img.iIViq.i4ihrs.iprn,i0.9%iNACl.i-
icorrectianswerB



Ai63iyearioldifemaleipatienticontactsitheiclinicitoireportithati
sheiisihasibeeniextremelyifatigued,iisisleepingi12ihoursiainig
ht,iisialwaysicoldiandiherihairiisifallingiout.iWhichiofitheifollo
wingiresponsesibyitheinurseiisimostiappropriate?

A.iYouiwillihaveimoreienergyiifiyouiwalki30iminieveryiday.
B.iYouidon'tineeditoiworry.iSleepingiailotiisigoodiforiyou.
C.iComeiiniandiseeiyourihealthicareiprovideritoday.
D.iYouishouldieatimoreigreenileafyivegetables.i-
icorrectianswerC



Needimoreiinfo

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TheiRNiperformsibloodipressureiscreeningiatitheilocalicom
munityicenter.iWhichiofitheifollowingiindividualsiisimostilik
elyitoisufferifromiaicerebrovasculariaccident?

A.iAi30iyearioldimaniwhoiisianiaccountiexecutive
B.iAi40iyearioldimaniwhoijogsifouritimesiaiweek.
C.iAi60iyearioldimaniwhoseifatherihadiaistroke.
D.iAi75iyearioldimaniwhoitakesimulti-vitamins.i-
icorrectianswerC



Foritheipatientiwithiainewitracheostomy,itheinurseimustibeia
lertitoiwhichiearlyicomplication?

a)iDecannulation
b)iInfection
c)iBleeding
d)iTracheomalaciai-icorrectianswerCi

Commoniacuteirisksiofitracheostomyiincludeibleeding,iairw
ayiloss,idamageitoiadjacentistructures,iandifailureiofitheicho
senitechniqueitoiachieveisuccessfuliairway

EVERYTHINGi24iHRiPOSTiSURGERY,iFIRSTiCOMPLICATIO
NiISiBLEEDING.iInfectionicomesi2-3idaysilater.

Wheniaipulseioximetryimonitoriindicatesithatiaipatientihasiai
dropiiniSpO2ifromi96%itoi85%ioveri4ihours,itheinurseiwillifir
st:

1.iRequestianiorderiforistatiABGs
2.iStartitheipatientionioxygenibyiNCiati2L/minute
3.iNotifyitheiphysicianiofitheichange
4.iCheckitheipositioniofitheiprobeionipatient'sifingerioriearlo
bei-icorrectianswer4

Pulseioximetryiisiinaccurateiifitheiprobeiisiloose,ioriinitheipr
esenceiofipooricirculation,inailipolish,ioridarkiskinipigmenta
tion.