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ANCC Medical-Surgical Nursing (RN) Practice Tests & Test Prep by Exam Edge - Topics


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Understanding what is on the ANCC Medical-Surgical Nursing exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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ANCC Medical-Surgical Nursing Exam Blueprint

Understanding the exact breakdown of the ANCC Medical-Surgical Nursing test will help you know what to expect and how to most effectively prepare. The ANCC Medical-Surgical Nursing has 125 multiple-choice questions The exam will be broken down into the sections below:

ANCC Medical-Surgical Nursing Exam Blueprint
Domain Name % Number of
Questions
Assessment and Diagnosis 42% 53
Planning, Implementation and Outcomes Evaluation 46% 58
Professional Role 12% 15

ANCC Medical-Surgical Nursing - Exam Topics Sample Questions

Which of the following is an isotonic solution?



Correct Answer:
lactated ringer’s solution


an isotonic solution is one that has the same salt concentration as the human body, specifically blood and cells. this property makes isotonic solutions ideal for medical treatments, particularly when it comes to hydration and electrolyte balance without altering the cell’s natural osmotic balance.

lactated ringer’s solution is an example of an isotonic solution. it is commonly used in medical settings to replenish fluids and electrolytes, treat dehydration and acidosis, and as a carrier for other medications. lactated ringer's solution contains sodium chloride, potassium chloride, calcium chloride, and sodium lactate in water, which are mixed in proportions that mimic the osmolarity of the body’s fluids. this similarity in osmolarity prevents the red blood cells from shrinking or swelling, which would happen if the solution were hypotonic or hypertonic respectively.

other examples of isotonic solutions include normal saline solution (0.9% sodium chloride) and dextrose 5% in water. these solutions are also used to maintain fluid balance without causing shifts in fluid between the extracellular and intracellular environments.

in contrast, hypertonic solutions such as dextrose 5% in normal saline, 3% nacl, and dextrose 10% in water, have a higher concentration of solutes than the body's fluids and can cause cells to shrink by drawing water out of them. hypotonic solutions like half-normal saline (0.45% sodium chloride) have a lower concentration of solutes compared to the body's fluids and can cause cells to swell as water moves into them.

therefore, when considering the question of which solution is isotonic, lactated ringer’s solution is the correct answer. it is specifically designed to match the osmolarity of human blood, making it a safe and effective choice for various medical applications.

Randy wants to determine if his care plan was able to help his patient stretch more and become more limber. What is the best way he can evaluate the results?



Correct Answer:
stretch with the patient and monitor her progress.
to determine the effectiveness of his care plan in helping his patient become more limber, randy has several methods at his disposal to evaluate the results. here’s an expanded explanation of the best approach:

**stretch with the patient and monitor her progress.** this method involves randy actively participating in stretching exercises with the patient during their sessions. by doing so, he can directly observe the patient's ability to perform various stretches and movements that are part of the care plan. this hands-on approach allows randy to assess the patient's flexibility, range of motion, and any improvements or changes since the beginning of the treatment plan.

observing the patient firsthand is invaluable because it provides real-time feedback on the patient’s physical capabilities and limitations. it also enables randy to make immediate adjustments to the care plan if certain exercises are too difficult or if the patient is progressing faster than expected. this dynamic method of evaluation helps in tailoring the care plan specifically to the patient’s needs, which can lead to more effective treatment outcomes.

furthermore, stretching together creates an environment of support and encouragement, which can be motivating for the patient. it allows randy to demonstrate stretches correctly, ensuring that the patient learns the proper technique and avoids potential injuries. this also builds a stronger therapist-patient relationship, fostering trust and communication, which are crucial elements in any treatment plan.

additionally, this approach minimizes the discomfort or pressure the patient might feel as compared to being asked to perform or demonstrate stretches on their own. when randy stretches with the patient, it becomes a collaborative effort rather than a test or evaluation, which can help in easing any performance anxiety the patient may have.

in conclusion, by choosing to stretch with the patient and monitor her progress, randy can effectively evaluate the success of his care plan in enhancing the patient's flexibility and overall limberness. this method not only provides direct insights into the patient’s physical improvements but also supports a positive therapeutic relationship and a customized approach to care.