Page 1 of 196
ANCC MEDSURG-BC EXAM NEWEST 2025 TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| ANCC MEDSURG-
BOARD CERTIFIED EXAM 2025 (MOST RECENT!!)
Causes of secondary hypertension would include:
a. Renal stenosis.
b. Obesity.
c. Alcohol abuse.
d. Diabetes. – Correct Answer - a. Renal stenosis causes the renal system
to increase blood pressure, which increases blood flow to the
compromised renal organs.
An 80-year-old patient fell at home and lay on the floor for several hours
after suffering a fractured hip. Post-operatively the nurse should be
assessing the patient for signs of complications including:
a. A dry hacking cough.
b. Sudden left-sided weakness.
c. Altered pupillary response to light.
d. Chest pain with an impending sense of doom. – Correct Answer - d.
Immobility after sustaining the fall compounded by increased risk due to
immobility post-operatively and that it is a hip fracture, increase this
patient's risk for experiencing a post-operative pulmonary embolism.
pg. 1
,Page 2 of 196
While assessing the arteriovenous fistula of a hemodialysis patient the
nurse notices a lack of a bruit on auscultation. This is indicative of:
a. Blood clot.
b. Aneurysm.
c. Normal finding.
d. Bleeding. – Correct Answer - a. Good blood flow produces the
turbulent sound of a bruit - normal with a venous access site.
What is the most common cancer to be diagnosed among U.S. women?
a. Skin cancers
b. Lung cancer
c. Breast cancer
d. Colon cancer – Correct Answer - a. Skin cancer is the most commonly
diagnosed cancer in U.S. women, followed by breast cancer.
In a patient with thrombocytopenia, which of the following assessment
findings should be immediately reported to the physician?
a. Blood pressure (BP) of 210/120 mmHG
b. Heart rate of 90 bpm
c. Specks of blood in nasal discharge after vigorous blowing
d. Oxygen saturation of 95% – Correct Answer - a. Thrombocytopenia
increases the risk of cerebral bleeding during severe BP elevation.
pg. 2
,Page 3 of 196
Which level of laminectomy and spinal fusion is at highest risk for
respiratory difficulties?
a. Lumbar 3-5
b. Sacral 2-5
c. Thoracic 6-8
d. Cervical 3-6 – Correct Answer - d. Respiratory difficulties arise from
C6 and higher due to innervation of respiratory components (i.e.,
diaphragm).
The electrolyte imbalance most common with Addison's crisis is:
a. Hyponatremia and hyperkalemia.
b. Hyperkalemia and hypocalcemia.
c. Hypernatremia and hypokalemia.
d. Hypokalemia and hypercalcemia. – Correct Answer - a. Adrenal
hypofunction with the three hormones involved here are glucocorticoids,
mineralocorticoids, and androgens. This results in the lower levels of
sodium and higher levels of potassium, along with hypoglycemia and
dehydration.
Which diagnostic tool is essential to perform in the presence of thick
toenails, cool, pale, shiny skin with scaling, and poor wound healing?
a. Pulmonary function tests
b. TB skin test
c. Ankle-brachial index (ABI)
pg. 3
, Page 4 of 196
d. Chest x-ray – Correct Answer - c. ABI is measured to confirm poor
circulation indicated by the symptoms of peripheral vascular disease.
A patient is complaining of nausea and distention. Assessment reveals
diffuse abdominal tenderness and vomitus with fecal matter. What is the
likely source of the patient's symptoms?
a. Gastric tumor
b. Intestinal obstruction
c. Esophageal varices
d. Peptic ulcer – Correct Answer - b. Feculent (fecal-smelling) vomitus
is associated with the presence of an intestinal obstruction.
On physical examination, the patient has left costovertebral angle (CVA)
tenderness. This finding is indicative of:
a. Colon inflammation.
b. Kidney inflammation.
c. Prostatic inflammation.
d. Ovarian inflammation. – Correct Answer - b. CVA tenderness
indicates inflammation of the kidney on the affected side.
An 85-year-old patient is receiving 0.9% sodium chloride through a
central venous catheter. The nurse notes the patient becomes tachypneic,
hypertensive, and tachycardic. On further examination, the patient is
confused and has bilateral crackles on lung exam. These findings are
most consistent with what complication of IV therapy?
pg. 4
ANCC MEDSURG-BC EXAM NEWEST 2025 TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| ANCC MEDSURG-
BOARD CERTIFIED EXAM 2025 (MOST RECENT!!)
Causes of secondary hypertension would include:
a. Renal stenosis.
b. Obesity.
c. Alcohol abuse.
d. Diabetes. – Correct Answer - a. Renal stenosis causes the renal system
to increase blood pressure, which increases blood flow to the
compromised renal organs.
An 80-year-old patient fell at home and lay on the floor for several hours
after suffering a fractured hip. Post-operatively the nurse should be
assessing the patient for signs of complications including:
a. A dry hacking cough.
b. Sudden left-sided weakness.
c. Altered pupillary response to light.
d. Chest pain with an impending sense of doom. – Correct Answer - d.
Immobility after sustaining the fall compounded by increased risk due to
immobility post-operatively and that it is a hip fracture, increase this
patient's risk for experiencing a post-operative pulmonary embolism.
pg. 1
,Page 2 of 196
While assessing the arteriovenous fistula of a hemodialysis patient the
nurse notices a lack of a bruit on auscultation. This is indicative of:
a. Blood clot.
b. Aneurysm.
c. Normal finding.
d. Bleeding. – Correct Answer - a. Good blood flow produces the
turbulent sound of a bruit - normal with a venous access site.
What is the most common cancer to be diagnosed among U.S. women?
a. Skin cancers
b. Lung cancer
c. Breast cancer
d. Colon cancer – Correct Answer - a. Skin cancer is the most commonly
diagnosed cancer in U.S. women, followed by breast cancer.
In a patient with thrombocytopenia, which of the following assessment
findings should be immediately reported to the physician?
a. Blood pressure (BP) of 210/120 mmHG
b. Heart rate of 90 bpm
c. Specks of blood in nasal discharge after vigorous blowing
d. Oxygen saturation of 95% – Correct Answer - a. Thrombocytopenia
increases the risk of cerebral bleeding during severe BP elevation.
pg. 2
,Page 3 of 196
Which level of laminectomy and spinal fusion is at highest risk for
respiratory difficulties?
a. Lumbar 3-5
b. Sacral 2-5
c. Thoracic 6-8
d. Cervical 3-6 – Correct Answer - d. Respiratory difficulties arise from
C6 and higher due to innervation of respiratory components (i.e.,
diaphragm).
The electrolyte imbalance most common with Addison's crisis is:
a. Hyponatremia and hyperkalemia.
b. Hyperkalemia and hypocalcemia.
c. Hypernatremia and hypokalemia.
d. Hypokalemia and hypercalcemia. – Correct Answer - a. Adrenal
hypofunction with the three hormones involved here are glucocorticoids,
mineralocorticoids, and androgens. This results in the lower levels of
sodium and higher levels of potassium, along with hypoglycemia and
dehydration.
Which diagnostic tool is essential to perform in the presence of thick
toenails, cool, pale, shiny skin with scaling, and poor wound healing?
a. Pulmonary function tests
b. TB skin test
c. Ankle-brachial index (ABI)
pg. 3
, Page 4 of 196
d. Chest x-ray – Correct Answer - c. ABI is measured to confirm poor
circulation indicated by the symptoms of peripheral vascular disease.
A patient is complaining of nausea and distention. Assessment reveals
diffuse abdominal tenderness and vomitus with fecal matter. What is the
likely source of the patient's symptoms?
a. Gastric tumor
b. Intestinal obstruction
c. Esophageal varices
d. Peptic ulcer – Correct Answer - b. Feculent (fecal-smelling) vomitus
is associated with the presence of an intestinal obstruction.
On physical examination, the patient has left costovertebral angle (CVA)
tenderness. This finding is indicative of:
a. Colon inflammation.
b. Kidney inflammation.
c. Prostatic inflammation.
d. Ovarian inflammation. – Correct Answer - b. CVA tenderness
indicates inflammation of the kidney on the affected side.
An 85-year-old patient is receiving 0.9% sodium chloride through a
central venous catheter. The nurse notes the patient becomes tachypneic,
hypertensive, and tachycardic. On further examination, the patient is
confused and has bilateral crackles on lung exam. These findings are
most consistent with what complication of IV therapy?
pg. 4
