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ANCC MED SURG CERTIFICATION EXAM COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS (A NEW UPDATED VERSION) |GUARANTEED PASS A+ (ACTUAL EXAM)£16.71
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ANCC MED SURG CERTIFICATION EXAM 2024-2025
COMPLETE ACTUAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS (A NEW UPDATED VERSION)
|GUARANTEED PASS A+ (ACTUAL EXAM)
A nurse is reviewing the medical record of a client who is receiving
heparin therapy for treatment of DVT. Which of the following
interventions should the nurse anticipate taking if the client's aPTT is 96
seconds?
a. Increase the heparin infusion flow rate by 2 mL/hr
b. continue to monitor the heparin infusion as prescribed
c. request a prothrombin time
d. stop the heparin infusion
d - Answer-
A nurse is providing teaching for a client who is 2 days post-op
following a heart transplant.
Which of the following statements should the nurse include in the
teaching?
a. "you may no longer be able to feel chest pain.
"b. "your level of activity tolerance will not change."
c. "after 6 months, you will no longer need to restrict your sodium
intake."
d. "you will be able to stop taking immunosuppressants after 12
months."
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. confusion
B. friction rub
C. hypertension
D. dry skin
a - Answer
A nurse in the emergency department is caring for a client who had an
anterior MI. The client's history reveals she is 1 week post-op open
cholecystectomy. The nurse should recognize that which of the
following interventions is contraindicated?
A. administering IV morphine sulfate
B. administering oxygen at 2 :/min via nasal cannula
C. helping the client to the bedside commode
D. assisting with thrombolytic therapy
d - Answer
A nurse is caring for a client who has endocarditis. Which of the
following findings should the nurse recognize as a potential
complication?
A. ventricular depolarization
B. Guillain-Barre syndrome
C. myelodysplastic syndrome
D. Valvular disease
,D - Answer-
A nurse is caring for a client who presents to the ER with a BP of
254/138 mmHg. The nurse recognizes that the client is in a
hypertensive crisis. Which of the following actions should the nurse
take first?
A. obtain blood samples for laboratory testing
B. Tell the client to report vision changes
C. Place the head of the bed at 45 degrees
D. initiate an IV
C - Answer
a nurse is caring for a client who has HF and is experiencing AF. The
nurse should plan to monitor for and report which of the following
findings to the provider immediately?
a. slurred speech
b. irregular pulse
c. dependent edema
d. persistent fatigue
a - Answer-
A nurse is assessing a client who has left-sided HF. Which of the
following manifestations should the nurse expect to find?
a. inc abdominal girth
b. weak peripheral pulses
c. jugular vein distention
d. dependent edema
, b - Answer-
a nurse is caring for a client who is being treated for HF and has
prescriptions for digoxin and furosemide. The nurse should plan to
monitor for which of the following as an adverse effect of these
medications?
a. SOB
b. lightheadedness
c. dry cough
d. metallic taste
b - Answer-
a nurse is monitoring a client following coronary artery bypass graft
surgery. Which of the following findings can indicate cardiac
tamponade?
a. sternal instability
b. inc WBC count
c. BP 140/82 mmHg on inspiration and 154/90 mmHg on expiration
d. sinus rhythm with occasional premature atrial contraction and HR
88/min
c - Answer-
A nurse is preparing a client for coronary angiography. The nurse
should report which of the following findings to the provider prior to
the procedure?
a. hemoglobin 14.4 g/dL
b. history of peripheral arterial disease
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