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