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Question 1
A 68-year-old patient with a history of heart failure presents with increasing dyspnea, orthopnea, and a 5-pound weight gain over 3 days. Which assessment finding indicates acute decompensated heart failure?
Correct Answer:
Bibasilar crackles on auscultation
Question 2
Which cardiac biomarker rises within 3-4 hours after myocardial infarction (MI) and is most specific for myocardial injury?
Correct Answer:
Troponin I or T
Question 3
A patient with atrial fibrillation has an INR of 3.5 on warfarin, a target of 2.0-3.0, and no bleeding. What is the most appropriate nursing action?
Correct Answer:
Notify the prescriber and follow the approved anticoagulation protocol for dose adjustment and repeat INR
Question 4
Which finding in a patient with acute coronary syndrome (ACS) requires immediate intervention?
Correct Answer:
ST-segment elevation in leads V1-V4
Question 5
A patient with hypertension reports taking their prescribed ACE inhibitor 'only when they feel their blood pressure is high.' What is the nurse's best response?
Correct Answer:
ACE inhibitors must be taken daily, not PRN, for optimal cardiovascular protection
Question 1
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About this Exam

Prepare with the ANCC MedSurg-BC Practice Questions - ANCC Medical-Surgical Nursing Board Certified (MedSurg-BC) Exam practice quiz. This question bank includes 100 questions covering patient, finding, nursing, priority, and action. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ANCC MedSurg-BC Practice Questions - ANCC Medical-Surgical Nursing Board Certified (MedSurg-BC) Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, finding, nursing, priority, and action. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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