Exam (elaborations)
ANCC Med-Surg Certification Questions and answers | Latest 2024/25 RATED A+
- Module
- Institution
ANCC Med-Surg Certification Questions and answers | Latest 2024/25 RATED A+
[Show more]
Seller
Follow
STUVATE
Reviews received
Content preview
ANCC Med-Surg Certification Questionsand answers | Latest 2024/25 RATED A+
d - A nurse is reviewing the medical record of a client who is receiving heparin therapy for
II II II II II II II II II II II II II II II II II II II
treatment of DVT. Which of the following interventions should the nurse anticipate taking
II II II II II II II II II II II II II
if the client's aPTT is 96 seconds?a. Increase the heparin infusion flow rate by 2 mL/hrb.
II II II II II II II II II II II II II II II II
continue to monitor the heparin infusion as prescribedc. request a prothrombin timed.
II II II II II II II II II II II II
stop the heparin infusion
II II II II
a - A nurse is providing teaching for a client who is 2 days post-op following a heart
II II II II II II II II II II II II II II II II II II II II
transplant. Which of the following statements should the nurse include in the teaching?a.
II II II II II II II II II II II II II
"you may no longer be able to feel chest pain."b. "your level of activity tolerance will not
II II II II II II II II II II II II II II II II II
change."c. "after 6 months, you will no longer need to restrict your sodium intake."d. "you
II II II II II II II II II II II II II II II
will be able to stop taking immunosuppressants after 12 months."
II II II II II II II II II II
a - A nurse is assess a client in the emergency room who has a bradydysrhythmia.
II II II II II II II II II II II II II II II II II II
Which of the following findings should the nurse expect?A. confusionB. friction rubC.
II II II II II II II II II II II II
hypertensionD. dry skin
II II II
d - A nurse in the emergency department is caring for a client who had an anterior MI.
II II II II II II II II II II II II II II II II II II II II
The client's history reveals she is 1 week post-op open cholecystectomy. The nurse
II II II II II II II II II II II II II
should recognize that which of the following interventions is contraindicated?A.
II II II II II II II II II II
administering IV morphine sulfateB. administering oxygen at 2 :/min via nasal cannulaC.
II II II II II II II II II II II II
helping the client to the bedside commodeD. assisting with thrombolytic therapy
II II II II II II II II II II II
D - A nurse is caring for a client who has endocarditis. Which of the following findings
II II II II II II II II II II II II II II II II II II II
should the nurse recognize as a potential complication?A. ventricular depolarizationB.
II II II II II II II II II II
Guillain-Barre syndromC. myelodysplastic syndromeD. Valvular disease
II II II II II II
C - A nurse is caring for a client who presents to the ER with a BP of 254/138 mmHg. The
II II II II II II II II II II II II II II II II II II II II II II II
nurse recognizes that the client is in a hypertensive crisis. Which of the following actions
II II II II II II II II II II II II II II II
should the nurse take first?A. obtain blood samples for laboratory testingB. Tell the client
II II II II II II II II II II II II II II
to report vision changesC. Place the head of the bed at 45 degreesD. initiate an IV
II II II II II II II II II II II II II II II II
a - a nurse is caring for a client who has HF and is experiencing AF. The nurse should
II II II II II II II II II II II II II II II II II II II II II
plan to monitor for and report which of the following findings to the provider
II II II II II II II II II II II II II II
immediately?a. slurred speechb. irregular pulsec. dependent edemad. persistent fatigue
II II II II II II II II II
b - A nurse is assessing a client who has left-sided HF. Which of the following
II II II II II II II II II II II II II II II II II II
manifestations should the nurse expect to find?a. inc abdominal girthb. weak peripheral
II II II II II II II II II II II II
pulsesc. jugular vein distentiond. dependent edema
II II II II II II
b - a nurse is caring for a client who is being treated for HF and has prescriptions for
II II II II II II II II II II II II II II II II II II II II II
digoxin and furosemide. The nurse should plan to monitor for which of the following as an
II II II II II II II II II II II II II II II II
, adverse effect of these medications?a. SOBb. lightheadednessc. dry coughd. metallic
II II II II II II II II II II
taste
II
c - a nurse is monitoring a client following coronary artery bypass graft surgery. Which of
II II II II II II II II II II II II II II II II II II
the following findings can indicate cardiac tamponade?a. sternal instabilityb. inc WBC
II II II II II II II II II II II
countc. BP 140/82 mmHg on inspiration and 154/90 mmHg on expirationd. sinus rhythm
II II II II II II II II II II II II II
with occasional premature atrial contraction and HR 88/min
II II II II II II II II
d - A nurse is preparing a client for coroncary angiography. The nurse should report
II II II II II II II II II II II II II II II II II
which of the following findings to the provider prior to the procedure?a. hemoglobin 14.4
II II II II II II II II II II II II II II
g/dLb. history of peripheral arterial diseasec. urine output 200 mL/4 hrd. previous allergic
II II II II II II II II II II II II II
reaction to shellfish
II II II
a - A nurse is caring for a client following insertion of a permanent pacemaker. Which of
II II II II II II II II II II II II II II II II II II II
the following client statements indicates a potential complication of the insertion
II II II II II II II II II II II
procedure?a. "I can't get rid of these hiccups."b. "I feel dizzy when i stand."c. "My incision
II II II II II II II II II II II II II II II II
site stings."d. "I have a headache."
II II II II II II
b - A nurse is providing discharge teaching for a client who has a prescription for the
II II II II II II II II II II II II II II II II II II II
transdermal nitroglycerin patch. Which of the following instructions should the nurse
II II II II II II II II II II II
include in the teaching?a. apply the new patch to the same site as the previous patchb.
II II II II II II II II II II II II II II II II
place the patch on an area of skin away from skin folds and jointsc. keep the patch on 24
II II II II II II II II II II II II II II II II II II II
hr per dayd. replace the patch at the onset of angina
II II II II II II II II II II II
c - A nurse is caring for a client in the first hour following an aortic aneurysm repair.
II II II II II II II II II II II II II II II II II II II II
Which of the following findings can indicate shock and should be reported to the
II II II II II II II II II II II II II II
provider?a. serosanguinous drainage on dressingb. severe pain with coughingc. urine
II II II II II II II II II II
output of 20 mL/hrd. increase in temp from 36.C (98.2F)- 37.5C (99.5F)
II II II II II II II II II II II II
d - A nurse caring for a client following an abdominal aortic aneurysm resection. Which of
II II II II II II II II II II II II II II II II II II
the following is the priority assessment for this client?a. neck vein distentionb. bowel
II II II II II II II II II II II II II
soundsc. peripheral edemad. urine output
II II II II II
b - A nurse is watching a client's ECG monitor and notes that the client's rhythm has
II II II II II II II II II II II II II II II II II II II
changed from a normal sinus rhythm to supraventricular tachycardia. The client is
II II II II II II II II II II II II
conscious with a HR of 200-210 bpm and has a faint radial pulse. The nurse should
II II II II II II II II II II II II II II II II
anticipate assisting with which of the following interventions?a. delivery of precordial
II II II II II II II II II II II
thumpb. vagal stimulationc. administration of atropine IVd. defibrillation
II II II II II II II II
a - A nurse is providing discharge teaching for a client who has HF. The nurse should
II II II II II II II II II II II II II II II II II II II
instruct the client to report which of the following findings immediately to the provider?a.
II II II II II II II II II II II II II II
weight gain of 2 lb in 24 hrb. inc of 10 mmHg in systolic BPc. dyspnea with exertiond.
II II II II II II II II II II II II II II II II II II
dizziness when rising quickly
II II II II
c - A nurse is admitting a client who has a leg ulcer and a history of DM. The nurse should
II II II II II II II II II II II II II II II II II II II II II II II
use which of the following focused assessments to help differentiate between an arterial
II II II II II II II II II II II II II
, ulcer and a venous stasis ulcer?a. explore the clients family history of peripheral vascular
II II II II II II II II II II II II II II
diseaseb. note the presence or absence of pain at the ulcer sitec. inquire about the
II II II II II II II II II II II II II II II
presence or absence of claudicationd. ask if the client has had a recent infection
II II II II II II II II II II II II II II
c - A nurse is reviewing the laboratory results of several clients who have peripheral
II II II II II II II II II II II II II II II II II
arterial disease. The nurse should plan to provide dietary teaching for the client who has
II II II II II II II II II II II II II II II
which laboratory values?a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dLb.
II II II II II II II II II II II II
Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dLc. Cholesterol 190 mg/dL, HDL 25
II II II II II II II II II II II II II II
mg/dL, LDL 160 mg/dLd. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL
II II II II II II II II II II II II II
b - a nurse is providing health teaching for a group of clients. Which of the following
II II II II II II II II II II II II II II II II II II II
clients is at risk for developing peripheral arterial disease?a. a client who has
II II II II II II II II II II II II II
hypothyroidismb. a client who has DMc. a client whose daily caloric intake consists of
II II II II II II II II II II II II II II
25% fatd. a client who consumes two bottles of beer a day
II II II II II II II II II II II II
a, b, e - a nurse is planning a presentation about hypertension for a community women's
II II II II II II II II II II II II II II II II II II
group. which of the following lifestyle modifications should the nurse include (select all
II II II II II II II II II II II II II
that apply)a. limited alcohol intakeb. regular exercise programc. dec Mg intaked. reduced
II II II II II II II II II II II II
K intakee. smoking cessation
II II II II
b - A nurse is caring for a client in the first 8 hr following coronary artery bypass graft
II II II II II II II II II II II II II II II II II II II II II
surgery. Which of the following client findings should the nurse report to the provider?a.
II II II II II II II II II II II II II II
mediastinal drainage 100 mL/hrb. BP 160/80 mmHgc. Temp 37.1 (98.8)d. K 3.8 mEq/L
II II II II II II II II II II II II II
d - A nurse is caring for a client who has a history of angina and is schedules for a stress
II II II II II II II II II II II II II II II II II II II II II II II
test at 1100. Which of the following statements by the client requires the nurse to contact
II II II II II II II II II II II II II II II II
the provider for possible rescheduling?a. "I'm still hungry after the bowl of cereal I ate at
II II II II II II II II II II II II II II II II
7am."b. "I didn't take my heart pills this morning because the doctor told me not to."c. "I
II II II II II II II II II II II II II II II II II
have had chest pain a couple of times since I saw my doctor in the office last week."d. "I
II II II II II II II II II II II II II II II II II II II
smoked a cigarette this morning to calm my nerves about having this procedure."
II II II II II II II II II II II II II
a - A nurse is caring for a client who has dilated cardiomyopathy. The client reports
II II II II II II II II II II II II II II II II II II
increasing difficulty completing her daily 1-mile walks. The nurse should recognize that
II II II II II II II II II II II II
this is a finding of which of the following?a. left ventricular failureb. peripheral
II II II II II II II II II II II II II
vasodilationc. pericardial effusiond. dec vascular volume
II II II II II II
c - A nurse is caring for a client who is scheduled for a coronary artery bypass graft in 2
II II II II II II II II II II II II II II II II II II II II II II
hr. Which of the following client statements indicates a need for further clarification by the
II II II II II II II II II II II II II II II
nurse?a. "My arthritis is really bothering me because I haven't taken my aspiring in a
II II II II II II II II II II II II II II II
week."b. "My blood pressure shouldn't be high because I took my BP medication this
II II II II II II II II II II II II II II
morning."c. "I took my warfarin last night according to my usually schedule."d. "I will check
II II II II II II II II II II II II II II II
my BP because I took a reduced dose of insulin this morning."
II II II II II II II II II II II II
c - A nurse is caring for a client who had an onset of chest pain 24 hr ago. The nurse
II II II II II II II II II II II II II II II II II II II II II II II
should recognize that an increase in which of the following is diagnostic of a MI?a.
II II II II II II II II II II II II II II II
myoglobinb. c-reactive proteinc. creatine kinase- MBd. Homocysteine
II II II II II II II
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller STUVATE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.96. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now