Medical-Surgical Nursing Certification
(MEDSURG-BC™) EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. The registered nurse has an unlicensed assistant working with her for the
shift. When delegating tasks, the nurse understands that the unlicensed
assistant:
A. interprets clinical data
B. collects clinical data
C. is trained in the nursing process
D. can function independently - ANSWER ✔ (B) Unlicensed personnel
make observations, collect clinical data, and report findings to the
nurse. Option A is incorrect because the registered nurse, who has
learned critical thinking skills, interprets the data. Option C is
incorrect because although unlicensed assistants are trained to perform
skills, they don't learn the nursing process. Option D is incorrect
because unlicensed assistants don't function independently; they're
, assigned tasks by a registered nurse who retains overall responsibility
for the patient.
2. A 68 year old female is admitted with a diagnosis of heart failure and
ischemic cardiomyopathy. Her cardiac history includes three previous MIs
and three coronary artery bypass grafts. The patient's appetite is unchanged.
Which dietary restriction would be the highest priority for this patient?
a. Low cholesterol
b. Reduced calorie
c. Low fat
d. Restricted sodium - ANSWER ✔ d. Restricted sodium
3. A 65 year old male is diagnosed with right-sided heart failure and admitted
to the medical-surgical unit. Based on this diagnosis, the nurse will expect
assessment to include which of the following findings:
a. Dyspnea on exertion and bibasilar crackles
b. Dependent edema and hepatic engorgement
c. Distended veins and systolic murmur
d. Cool extremities and weak peripheral pulses - ANSWER ✔ b.
Dependent edema and hepatic engorgement
4. The priority nursing intervention for a patient with suspected MI is :
a. auscultating for adventitious breath sounds.
b. monitoring fluid and electrolyte status.
c. preventing thrombi and emboli.
d. providing appropriate analgesia. - ANSWER ✔ d. providing
appropriate analgesia.
5. A patient scheduled for heart catheterization learns the right radial artery
will be accessed rather than the femoral artery. The patient asks the nurse,
"Could you tell me about the two access options?" The nurse's response is
based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
, b. external bleeding can be easily controlled with radial
catheterization.
c. the patient is able to sit up immediately following femoral
catheterization.
d. the patient can resume normal activity immediately after
radial catheterization. - ANSWER ✔ b. external bleeding can
be easily controlled with radial catheterization.
6. nursing process - ANSWER ✔ Assessment
Diagnosis
Planning
Implementation
Evaluation
7. adrenal glands purpose - ANSWER ✔ aldosterone and cortisol are produced
by the adrenals to cause the kidneys to retain sodium and fluid
8. pituitary gland - ANSWER ✔ Under the influence of the hypothalamus, the
pituitary regulates growth and controls other endocrine glands. stores and
releases ADH from the hypothalamus to direct kidneys to retain fluids to
maintain cellular osmotic pressure
9. parathyroid glands - ANSWER ✔ small pea-like organs that regulate
calcium and phosphate balance in blood, bones, and other tissues
10.assessment steps - ANSWER ✔ Inspection
Palpation
Percussion
Auscultation
, 11.how to palpate for tactile fremitus - ANSWER ✔ Say the word "ninety-nine"
while hands are on their back.
Should be symmetrical
12.If the vibration isn't equal, there may be a collapse of lung tissue, fluid, or
some type of blockage.
13.percussion - ANSWER ✔ tapping on a surface to determine the difference in
the density of the underlying structure; sounds are tympany, resonance,
hyperresonance, dullness, flatness
14.tympany percussion - ANSWER ✔ hollow drum sound produced when
organ contains air (Stomach, intestine)
15.resonance - ANSWER ✔ Hollow sound heard upon percussion of the chest
wall; the percussion tone expected when percussing the lungs
16.hyperresonance - ANSWER ✔ lower-pitched, booming sound found when
too much air is present such as in emphysema or pneumothorax
17.dullness - ANSWER ✔ Thud like sound produced by dense tissue such as
the liver, spleen or heart
18.flatness - ANSWER ✔ heard over bones and muscle
19.austultation - ANSWER ✔ intensity- level of sound in terms of loudness
frequency- low or high pitch
quality- distinguish between rumbling and musical types
(MEDSURG-BC™) EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. The registered nurse has an unlicensed assistant working with her for the
shift. When delegating tasks, the nurse understands that the unlicensed
assistant:
A. interprets clinical data
B. collects clinical data
C. is trained in the nursing process
D. can function independently - ANSWER ✔ (B) Unlicensed personnel
make observations, collect clinical data, and report findings to the
nurse. Option A is incorrect because the registered nurse, who has
learned critical thinking skills, interprets the data. Option C is
incorrect because although unlicensed assistants are trained to perform
skills, they don't learn the nursing process. Option D is incorrect
because unlicensed assistants don't function independently; they're
, assigned tasks by a registered nurse who retains overall responsibility
for the patient.
2. A 68 year old female is admitted with a diagnosis of heart failure and
ischemic cardiomyopathy. Her cardiac history includes three previous MIs
and three coronary artery bypass grafts. The patient's appetite is unchanged.
Which dietary restriction would be the highest priority for this patient?
a. Low cholesterol
b. Reduced calorie
c. Low fat
d. Restricted sodium - ANSWER ✔ d. Restricted sodium
3. A 65 year old male is diagnosed with right-sided heart failure and admitted
to the medical-surgical unit. Based on this diagnosis, the nurse will expect
assessment to include which of the following findings:
a. Dyspnea on exertion and bibasilar crackles
b. Dependent edema and hepatic engorgement
c. Distended veins and systolic murmur
d. Cool extremities and weak peripheral pulses - ANSWER ✔ b.
Dependent edema and hepatic engorgement
4. The priority nursing intervention for a patient with suspected MI is :
a. auscultating for adventitious breath sounds.
b. monitoring fluid and electrolyte status.
c. preventing thrombi and emboli.
d. providing appropriate analgesia. - ANSWER ✔ d. providing
appropriate analgesia.
5. A patient scheduled for heart catheterization learns the right radial artery
will be accessed rather than the femoral artery. The patient asks the nurse,
"Could you tell me about the two access options?" The nurse's response is
based on knowledge that:
a. femoral catheterization has less risk of internal bleeding.
, b. external bleeding can be easily controlled with radial
catheterization.
c. the patient is able to sit up immediately following femoral
catheterization.
d. the patient can resume normal activity immediately after
radial catheterization. - ANSWER ✔ b. external bleeding can
be easily controlled with radial catheterization.
6. nursing process - ANSWER ✔ Assessment
Diagnosis
Planning
Implementation
Evaluation
7. adrenal glands purpose - ANSWER ✔ aldosterone and cortisol are produced
by the adrenals to cause the kidneys to retain sodium and fluid
8. pituitary gland - ANSWER ✔ Under the influence of the hypothalamus, the
pituitary regulates growth and controls other endocrine glands. stores and
releases ADH from the hypothalamus to direct kidneys to retain fluids to
maintain cellular osmotic pressure
9. parathyroid glands - ANSWER ✔ small pea-like organs that regulate
calcium and phosphate balance in blood, bones, and other tissues
10.assessment steps - ANSWER ✔ Inspection
Palpation
Percussion
Auscultation
, 11.how to palpate for tactile fremitus - ANSWER ✔ Say the word "ninety-nine"
while hands are on their back.
Should be symmetrical
12.If the vibration isn't equal, there may be a collapse of lung tissue, fluid, or
some type of blockage.
13.percussion - ANSWER ✔ tapping on a surface to determine the difference in
the density of the underlying structure; sounds are tympany, resonance,
hyperresonance, dullness, flatness
14.tympany percussion - ANSWER ✔ hollow drum sound produced when
organ contains air (Stomach, intestine)
15.resonance - ANSWER ✔ Hollow sound heard upon percussion of the chest
wall; the percussion tone expected when percussing the lungs
16.hyperresonance - ANSWER ✔ lower-pitched, booming sound found when
too much air is present such as in emphysema or pneumothorax
17.dullness - ANSWER ✔ Thud like sound produced by dense tissue such as
the liver, spleen or heart
18.flatness - ANSWER ✔ heard over bones and muscle
19.austultation - ANSWER ✔ intensity- level of sound in terms of loudness
frequency- low or high pitch
quality- distinguish between rumbling and musical types
