ANCC MED SURG CERTIFICATION
EXAM 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY
GRADED A+
A client has recently been placed on corticosteroids as
treatment for ulcerative colitis. the nurse should monitor
the client's laboratory results for evidence of which
condition?
a. hypernatremiab. hypercalcemiac. hyperglycemiad.
hyperkalemia - ....ANSWER...c
What priority laboratory analysis should the nurse review
when caring for a client with Crohn's disease?a. c-reactive
proteinb. serum albuminc. Haemoglobin d. potassium -
....ANSWER...c
A client is admitted to the acute medical client care unit.
The nurse reviews her admission lab results. Which result
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supports a diagnosis of malnutrition?a. serum albumin 3.5
g/dLb. hematocrit 37%c. Hemoglobin 12g/dLd.
Prealbumin 13 mg/dL - ....ANSWER...d
Upon assessment the client is noted to have conjunctival
xerosis, dry skin, follicular hyperkeratosis and bright
magenta (purple) tongue. Which vitamin deficiency does
the nurse suspect?A. Vit AB. Vit CC. Vit DD. Vit K -
....ANSWER...a
what is a potential outcome when administering total
parenteral nutrition (TPN)?a. infection b. hyperglycemia c.
electrolyte imbalanced. dehydration - ....ANSWER...b
an older adult with anemia requests help with his menu
choices. What type of food should the client be encouraged
to eat?a. one-half cup of prunes b. skim milk c. wheat
breadd. oranges - ....ANSWER...b
What percentage of adults in the US are obese
(BMI>30)?a. 14%b. 21%c. 34%d. 47% - ....ANSWER...c
A client receiving chemotherapy for treatment of cancer is
at greatest risk for developing:a. Stomatitis b. Xerostomac.
oral abscessd. candidiasis - ....ANSWER...a
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A 26-year-old female client informs the nurse that she has
had red, raised lesions at the base of the tongue and on the
inside of her mouth for the past 2 weeks. What question
should the nurse ask the client?a. "Have you seen a dentist
recently?"b. "Do you smoke cigarettes?"c. "Do you have a
history of HIV?"d. "What type of work do you do?" -
....ANSWER...c
A nurse is reviewing the prescriptions for a client who has
Campylobacter enteritis. Which of the following
prescriptions should the nurse clarify with the provider?a.
0.45% sodium chloride IVb. Milk of Magnesiac.
Ciprofloxacind. Potassium - ....ANSWER...b
A nurse is caring for a client who has GERD and a new
prescription for metoclopramide. The nurse should plan to
monitor for which of the following adverse effects?a.
Thrombocytopeniab. hearing lossc. hypotensiond. ataxia -
....ANSWER...d
A nurse is caring for a client who has colorectal cancer and
is recieving chemotherapy. The client asks the nurse why
blood is being drawn for a carcinoembryonic antigen
(CEA) level. Which of the following responses by the
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nurse is appropriate?a. "The CEA determines the current
stage of you colon cancer."b. "The CEA determines the
efficacy of your chemotherapy."c. "The CEA determines if
the neutrophil count is below the expected reference
range."d. "The CEA determines if you are experiencing
occult bleeding from the GI tract." - ....ANSWER...b
A nurse is providing discharge teaching for a client who
has chronic cholecystitis. Which of the following food
selections by the client indicated the teaching was
effective?a. unsalted nutsb. bolognac. cheddar cheesed.
bananas - ....ANSWER...d
A nurse is providing discharge for a client who has
gastritis and a new prescription for famotidine. Which of
the following client statements indicated the teaching was
effective?a. "I should make sure the water I drink is
filtered."b. "I should expect immediate pain relief after
starting this therapy."c. "I will drink iced tea with my
meals and snacks."d. "I will monitor by blood glucose
level regularly while taking this medication." -
....ANSWER...a
What symptom does the nurse expect the client with
intussusception to exhibit?a. decrease in pulseb. extremely
elevated body temperature c. singultus (hiccups)d. frequent
bloody stools - ....ANSWER...c
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