ANCC Med-Surg Certification Exam
Verified 2024
1. Cognitive: Learning and gaining intellectual skills and mastering categories of
effective learning (knowledge, comprehension, application, analysis, synthesis, and
evaluation). ·
2. Affective: Recognizing categories of feelings and values from simple to complex
(receiving and responding to phenomena, valuing, organizing, and internalizing values).
·
3. Psychomotor: Mastering motor skills necessary for independence, following a
progression from simple to complex (perception, set, guided response, mechanism,
complex overt response, adaptation, and origination). - ANSWER-Bloom's Taxonomy(3
types of learning)
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance - ANSWER-Five Stages of grief
1. Nystagmas- repetitive uncontrolled movements of the eyes
2. Intention tremor- tremor that worsens as approaches end of intended movement
3. Scanning or staccato speech- broken speech and each syllable pronounced
separately - ANSWER-Charcot's triad for MS
1. Right task: The nurse determines an appropriate task to delegate for a specific
patient. 2. Right circumstance: The nurse has considered all relevant information to
determine appropriateness of delegation. ·
3. Right Person: The nurse chooses the right person based on education and skills to
perform the task. ·
4. Right direction: The nurse provides a clear description of the task, purpose, limits,
and expected outcomes. ·
5.Right supervision: The nurse must supervise, intervene as needed, and evaluate
performance. - ANSWER-"5 rights of delegation"
1) Activity/Rest
2) Comfort
3) Coping/Stress Tolerance
4) Elimination
5)Growth/ Development
6)Health Promotion
7) Life Principles
8) Nutrition
9) Perception/Cognition
,10) Role Relationships
11) Safety/Precautions
12) Self-Perception
13)Sexuality - ANSWER-Nursing Diagnoses, Domains (13)
1) Acute MI
2) Heart Failure
3) Pneumonia
4) Venous thromboembolism (VTE)
5) Stroke
6) Children's Asthma Care - ANSWER-Core Measures (Diseases)
1) Champions staff as the most important asset of the organization
2) Encourages autonomy, empowerment, involvement, and participation
3) Teams and groups are designed to be self led and self managed. - ANSWER-Tenets
of Shared Governance (3)
1) Denial - avoiding the inevitable
2) Anger - expressing emotions previously bottled up
3) Bargaining - Trying to find a way out
4) Depression - Acknowledging the inevitable
5) Acceptance - moving forward - ANSWER-Kubler-Ross Stages of Grief ( 5)
1) Glyburide
2) HCTZ
3) Furosomide
4) Celecoxib
5) Sumatripan - ANSWER-Common sulfonomides (5)
1) Illness Prevention
2) Illness Treatment
3) Health Promotion - ANSWER-Three categories of Nursing Interventions
1) Immunization
2) Tobacco Cessation
3) Substance Abuse - ANSWER-Core Measures: Prevention (3)
1) immunization,
2) access to health care,
3) environmental quality,
4) rates of injury and violence,
5) mental health care,
6) responsible sexual behavior,
7) rates of substance abuse and tobacco use,
8) rates of overweight and obesity, and
9) levels of physical activity. - ANSWER-Leading health indicators include:
, 1) Integrates individuality, professionalism, and empowerment
2) Involves a process of analyzing, counseling, responding, and shielding - ANSWER-
Nursing Advocacy Components (2)
1) Physiological - basic needs including comfort ( free from pain)
2) Safety - free from harm or threat. Stability
3) Love - friendship, acceptance, affection; a support system
4) Esteem - self-respect, self-confidence; rewarding work/relationships
5) Self-actualization - truth, justice, beauty, personal growth; "born to do"
These needs are met in order. - ANSWER-Maslow's Hierarchy of Needs (5)
1) Physiological; basic
2) Physiological; complex
3) Behavioral
4) Safety
5) Family
6) Health System
7) Community - ANSWER-Seven Domains of Nursing Interventions
1) Visual: reading instructions or watching demonstrations
2) Hearing: listening to instructions while performing
3) Tactile: hands-on - ANSWER-Basic Learning Styles (3)
1)Participation in intra-professional collaboration
2) Avoiding Conflicts of Interest
3) Maintaining respect for human dignity
4) Integrating professional values with personal values - ANSWER-Nursing Code of
Conduct (4)
554 - ANSWER-How many interventions are there listed in the NIC?
a - ANSWER-A 51-year-old female who is perimenopausal broke her arm after a fall in
her home. She also reports progressive fatigue, insomnia, and hot flashes. What
question should the nurse ask first to collect more data surrounding the client's health
history?a. How often do you engage in exercise?b. can you tell me about your diet?c.
what medications are you currently taking?d. do you have a history of heart disease?
a - ANSWER-A client receiving chemotherapy for treatment of cancer is at greatest risk
for developing:a. Stomatitisb. Xerostomac. oral abscessd. candidiasis
a - ANSWER-A nurse is assess a client in the emergency room who has a
bradydysrhythmia. Which of the following findings should the nurse expect?A.
confusionB. friction rubC. hypertensionD. dry skin