ANCC MEDSURG Exam V2 Latest

ANCC MEDSURG Exam V2 (Latest Update 2025 / 2026) Post Test Review Questions with Answers | Grade A | 100% Correct

Question:

A patient with pneumonia develops dyspnea with a respiratory rate of 32 breaths/ minute and difficulty expelling his secretions. The nurse auscultates his lung fields and hears bronchial sounds in the left lower lobe. The nurse determines that the patient requires which treatment first?

• Antibiotics
• Bed rest
• Oxygen
• Nutritional intake

Correct answer C The patient is having difficulty breathing and is probably becoming hypoxic.As an emergency measure, the nurse can provide oxygen without Waiting for a physician's order. Antibiotics (Option A) may be warranted, but this isn't a nursing decision. The patient should be maintained on bed rest (Option in) if he'le dyapneie to minimize his oxygen demands, but providing additional

oxygen will deal more immediately with this hi problem: The patient will

need nutritional support (Option D), but while dyspneic, he may be unable to 1 / 4

spare the energy needed to eat and at the same time maintain adequate oxygenation

Question:

A patient was given morphine for pain. He is sleeping and has a respiratory rate of 4 breaths/ minute. If action is not taken quickly, what reaction might he have?

• An asthma attack
• Respiratory arrest
• Seizure
• Waking up on his own

Correct answer: B Opioids such as morphine can cause respiratory arrest if

given in large quantities. It's unlikely the patient will have an asthma attack (Option A), a seizure (Option C), or wake up on his own (Option D).

Question:

After a patient undergoes a gastric resection, what postoperative care need should take priority?

• Body image
• Nutritional needs
• Skin care
• Spiritual needs 2 / 4

Correct answer: B After gastric resection, a patient may require total

parenteral nutrition or jejunostomy tube feedings to maintain adequate nutritional status, which promotes healing. Body image (Option A) isn't the major concern for the patient at this point because clothing can cover the incision site. Although the patient needs wound care at the incision site to prevent infection, he doesn't need additional skin care measures (Option C).If spiritual needs (Option D) arise, they should be addressed when the patient demonstrates a readiness to share those needs.

Question:

During the first few days of recovery from ostomy surgery for ulcerative colitis, which aspect of patient care should take priority?

• Body image
• Ostomy care
• Sexual concerns
• Skin care

Correct answer: B Although all the nurse should address body image (Option

A), sexual concerns (Option C), and skin care (Option D) as needed, ostomy care-including the crucial task of helping the patient learn to safely manage the ostomy before discharge-takes priority.

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Question:

A patient with Crohn's disease is experiencing an exacerbation. Which instruction should take priority when the nurse plans his care?

• Increasing his current weight
• Encouraging ambulation
• Promoting bowel rest
• Controlling rectal bleeding

Correct answer: C Promoting bowel rest takes priority during an acute

exacerbation of Crohn's case. The nurse accomplishes this by decreasing activity, not encouraging ambulation (Option B), and initially putting the patient on nothing-by-mouth status, not taking steps to increase his weight (Option although weight loss may occur, bowel rest still takes priority. Rectal bleeding (Option D) doesn't typically occur in Crohn's disease.

Question:

Which patient has the highest risk of developing anemia?

• A patient with a colostomy following colon resection
• A patient with gastroesophageal reflux disease (GERD)
• A patient who has had a gastrectomy
• A patient with frequent bouts of dumping syndrome

Correct answer: C Lack of intrinsic factor following gastrectomy could cause

pernicious anemia as the result of the patient's inability to absorb Vitamin

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