ANCC Medical-Surgical Nursing Certification Exam |
2025/2026 | Verified Questions with Detailed Answers
//Graded A+|Brand New!!
Until edema resolves, a client with severe heart failure
requires restriction of sodium to 500 to 1,000 mg/day.
Therefore, processed and commercially prepared foods
are eliminated. Vegetables with natural sodium, for
example, beets, carrots, and "greens," should be avoided.
Fresh, frozen, and canned fruit and fruit juices are not
restricted. Increased intake of red meat should not be
encouraged; it should be restricted to 6 oz per day.
,When the nurse observes that the patient has increased
difficulty breathing when lying flat, the nurse records that
the patient is demonstrating which of the following?
a) Hyperpnea
b) Dyspnea on exertion
c) Orthopnea
d) Paroxysmal nocturnal dyspnea - ANSWER-Orthopnea
Patients with orthopnea prefer not to lie flat and will need
to maintain their beds in a semi- to high Fowler's position.
Dyspnea on exertion refers to difficulty breathing with
activity. Hyperpnea refers to increased rate and depth of
,respiration. Paroxysmal nocturnal dyspnea refers to
orthopnea that occurs only at night.
Which of the following is the primary cause of pulmonary
or peripheral congestion?
a) Nocturia
b) Inadequate cardiac output
c) Ascites
d) Hepatomegaly - ANSWER-Inadequate cardiac output
Pulmonary congestion occurs and tissue perfusion is
compromised and diminished when the heart, primarily the
, left ventricle, cannot pump blood out of the ventricle
effectively into the aorta and the systemic circulation.
You are working in a long-term care facility with a group of
older adults with cardiac disorders. Why would it be
important for you to closely monitor an older adult
receiving digitalis preparations for cardiac disorders?
a) Older adults are at increased risk for cardiac arrests.
b) Older adults are at increased risk for asthma.
c) Older adults are at increased risk for toxicity.
d) Older adults are at increased risk for hyperthyroidism. -
ANSWER-Older adults are at increased risk for toxicity.
2025/2026 | Verified Questions with Detailed Answers
//Graded A+|Brand New!!
Until edema resolves, a client with severe heart failure
requires restriction of sodium to 500 to 1,000 mg/day.
Therefore, processed and commercially prepared foods
are eliminated. Vegetables with natural sodium, for
example, beets, carrots, and "greens," should be avoided.
Fresh, frozen, and canned fruit and fruit juices are not
restricted. Increased intake of red meat should not be
encouraged; it should be restricted to 6 oz per day.
,When the nurse observes that the patient has increased
difficulty breathing when lying flat, the nurse records that
the patient is demonstrating which of the following?
a) Hyperpnea
b) Dyspnea on exertion
c) Orthopnea
d) Paroxysmal nocturnal dyspnea - ANSWER-Orthopnea
Patients with orthopnea prefer not to lie flat and will need
to maintain their beds in a semi- to high Fowler's position.
Dyspnea on exertion refers to difficulty breathing with
activity. Hyperpnea refers to increased rate and depth of
,respiration. Paroxysmal nocturnal dyspnea refers to
orthopnea that occurs only at night.
Which of the following is the primary cause of pulmonary
or peripheral congestion?
a) Nocturia
b) Inadequate cardiac output
c) Ascites
d) Hepatomegaly - ANSWER-Inadequate cardiac output
Pulmonary congestion occurs and tissue perfusion is
compromised and diminished when the heart, primarily the
, left ventricle, cannot pump blood out of the ventricle
effectively into the aorta and the systemic circulation.
You are working in a long-term care facility with a group of
older adults with cardiac disorders. Why would it be
important for you to closely monitor an older adult
receiving digitalis preparations for cardiac disorders?
a) Older adults are at increased risk for cardiac arrests.
b) Older adults are at increased risk for asthma.
c) Older adults are at increased risk for toxicity.
d) Older adults are at increased risk for hyperthyroidism. -
ANSWER-Older adults are at increased risk for toxicity.
