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Ancc med surg certification exam

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 69 pages. Originally published on StudyMerit.

Pages
69
Academic year
2025/2026
Language
English

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1 | P a g e ANCC MED SURG CERTIFICATION EXAM 2025 UPDATED ACTUAL EXAM WITH CORRECT SOLUTIONS. d - correct answer - 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/hrb. continue to monitor the heparin infusion as prescribedc. request a prothrombin timed. stop the heparin infusion a - correct 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 toleran ce 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 - correct 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

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2 | P a g e d - correct 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. adminis tering IV morphine sulfateB. administering oxygen at 2 :/min via nasal cannulaC. helping the client to the bedside commodeD. assisting with thrombolytic therapy D - correct 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 depolarizationB. Guillain - Barre syndromC. myelodysplastic syndromeD. Valvular disease C - correct 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 testingB. Tell the client to report vision changesC. Place the head of the bed at 45 degreesD. initiate an IV a - correct 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 speechb. irregular pulsec. dependent edemad. persistent fatigue

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3 | P a g e b - correct 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 girthb. weak peripheral pulsesc. jugular vein distentiond. dependent edema b - correct 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. SOBb. lightheadednessc. dry coughd. meta llic taste c - correct answer - a nurse is monitoring a client following coronary artery bypass graft surgery. Which of the following findings can indicate cardiac tamponade?a. sternal instabilityb. inc WBC countc. BP 140/82 mmHg on inspiration and 154/90 mmHg on expirationd. sinus rhythm with occasional premature atrial contraction and HR 88/min d - correct answer - A nurse is preparing a client for coroncary angiography. The nurse should report which of the following findings to the provider prior to the procedure?a. hemoglobin 14.4 g/dLb. history of peripheral arterial diseasec. urine output 200 mL/4 hrd. previous allergic reaction to shellfish

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