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Exam Number : ANCC-MSN
Exam Name : ANCC (RN-BC) Medical-Surgical Nursing
Vendor Name : Medical
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Exam ID : ANCC-MSN
Exam Title : Medical-Surgical Nursing Board Certification Examination
Questions : 125 (25 unscored)

The ANCC Medical-Surgical Nursing board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of registered nurses in the medical-surgical specialty after initial RN licensure. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Registered Nurse-Board Certified (RN-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. The Accreditation Board for Specialty Nursing Certification accredits this ANCC certification.

There are 150 questions on this examination. Of these, 125 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine how well these questions will perform before they are used on the scored portion of the examination. The pretest questions cannot be distinguished from those that will be scored, so it is important for a candidate to answer all questions. A candidate's score, however, is based solely on the 125 scored questions. Performance on pretest questions does not affect a candidate's score.

Category Content Domain Number of Questions Percentage
I Assessment and Diagnosis 52 42%
II Planning, Implementation, and Evaluation 58 46%
III Professional Role 15 12%
TOTAL 125 100%

I Assessment and Diagnosis
A. Skill
1. Health history collection
2. Physical assessment (e.g., disease process, review of systems, activities of daily living)
3. Psychosocial assessment (e.g., developmental stages, suicide risk, abuse, substance use disorders)
4. Cognitive assessment (e.g., neuro status, developmental age, impairment)
5. Diagnostic and laboratory testing (e.g., patient preparation, response to abnormal values, medication considerations)
6. Nursing diagnosis identification and prioritization
B. Knowledge
1. Fluids and electrolytes (e.g., imbalances, disease-related, blood products)
II Planning, Implementation, and Evaluation
A. Skill
1. Nursing care planning (e.g., interventions, modifications, outcomes)
2. Postoperative complication prevention and management (e.g., bleeding, infection, emboli)
3. Patient teaching (i.e., learning preferences, barriers, and confirmation)
B. Knowledge
1. Education subjects (e.g., self-management, acute and chronic conditions, population specific)
2. Patient safety measures (e.g., screening tools, infection prevention, restraints, medical equipment)
3. Non-pharmacologic treatments (e.g., complementary and alternative medicine, diversional activities)
4. Medication interactions and adverse effects (e.g., pain management, polypharmacy, drug-drug, food-drug)
5. Health and wellness promotion (e.g., screenings, vaccinations, healthy lifestyle modifications)
III Professional Role
A. Skill
1. Therapeutic communication (e.g., patient- and family-centered care, cultural competence)
B. Knowledge
1. Nursing ethics (e.g., evidence-based practice, advocacy)



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Medical Nursing outline

FDA Proposes New Drug Labeling for women | ANCC-MSN test dumps and PDF Download

might also 28, 2008— -- medication prescribed to women might also quickly require new labels outlining special advantage health results for pregnant and nursing girls.

A advice proposed by way of the U.S. meals and Drug Administration on Wednesday would trade the present labeling gadget on the literature that accompanies medicinal drugs, used chiefly by means of medical doctors and pharmacists however often attainable to patients. Some have criticized the system -- which areas a drug in one of 5 risk classes, A, B, C, D or X -- calling it puzzling.

beneath the FDA's proposed system, the brand new label can be damaged into the categories being pregnant and lactation. The being pregnant area would outline any time-honored risks a given drug may also pose to a fetus, whereas the lactation section would checklist any normal particulars about "the drug's have an effect on on milk production, what is general about the presence of the drug in human milk, and the outcomes on the breast-fed child."

"or not it's a inhabitants that has very, very particular wants," talked about FDA Commissioner Dr. Andrew C. von Eschenbach all the way through a Wednesday press convention.

"We're all neatly aware that now not everybody likes change, and we'll be looking at a public commentary duration to get additional advice earlier than they finalize this rule," he delivered. "but what they should do is tackle the wants of the patients we're right here to serve."

a few medical doctors said they believed the new labeling can be a boon for pregnant and lactating girls, many of whom take numerous prescriptions; indeed, in line with the FDA, the ordinary pregnant lady takes three to 5 prescription drugs.

"I even have in no way found the current letter categorization very advantageous at all," pointed out Dr. Goutham Rao, associate professor of pediatrics at the school of Pittsburgh faculty of medicine. "very few medicine lift an 'X' ranking or an 'A' rating, leaving physicians wondering whether a prescription drug is safe or no longer, and what to inform patients."

"As a pediatrician, I generally am requested concerning the security of a lot of medicines with the aid of moms and moms to be," spoke of Dr. Phil Fischer, clinical director at the Mayo hospital's Mayo Eugenio Litta infants's health facility in Rochester, Minn. "the new FDA rules may still assist make certain that understandable tips is effortlessly obtainable to physicians and to sufferers and households."

And breast-feeding experts noted the brand new guidelines can also assist reduce the options that a lady will cut back on breast-feeding out of worry of injuring her baby, in addition to conserving toddlers from exposure to definite medicines.

"current tips provided with the aid of the FDA and [the Physicians' Drug Reference] are both no longer effective or commonly wrong, leading patients and practitioners to make a wrongful resolution to wean or quickly cease breast-feeding," pointed out Dr. Lori Feldman-wintry weather on the the us Academy of Pediatrics' area on breast-feeding.

however others observed the proposed labeling device is not an ideal choice for the present equipment.

"due to the fact that most women do not get information on these medications other than from their medical doctors, the clearer the categories that the doctor has to translate to the patient the more suitable," stated Dr. Sidney Wolfe, director of the Washington, D.C.-based purchaser advocacy group Public Citizen.

"They claim [the format of the information] is more accurate, but I think it is going to wind up being less accurate," he mentioned.

It isn't the first time Public Citizen has taken purpose at the labeling of medication for girls. In an April 2005 letter to the FDA, Public Citizen criticized the inability of assistance on drug labels, calling suggestions for nursing moms "rarely constructive."

Wolfe noted the most effective strategy would had been to follow the latest rating device used with reference to pregnancy -- with a few tweaks -- to lactation as well.

The equipment FDA is proposing, he referred to, could provide breast-feeding mothers with extra assistance however may damage efforts to retain pregnant ladies counseled.

"For lactation, since there weren't any categories earlier than, it may be a step ahead," he observed. "however it could be a step backward for being pregnant."

sufficient advice?

The proposed instructions can be advanced by means of the fact that, for many medicine, there's little research attainable on their competencies effect on pregnant and nursing women or their toddlers. when you consider that trying out medication on pregnant and nursing women poses huge moral questions, most of the records attainable is from animal experiences, analysis that goes simplest to date when it comes to picking out feasible results on humans.

The form by which the brand new innovations will go into effect may be decided mostly over the subsequent ninety days, all through which the FDA will accept feedback from medical specialists and the public. The agency noted it expects the guideline to enter effect "no sooner than June 30, 2010."

but for some, the adjustments cannot come quickly ample.

"As a pediatrician and mother, it is irritating to make medicine choices with the present chance classes which are indistinct at most desirable," observed Dr. Tasneem Bhatia of the Atlanta middle for Holistic and Integrative drugs.

"women nowadays are already involved with the risks of many environmental toxins -- vaccines, antibiotics, contaminated food, et cetera. it would be positive to take medicines out of this record."

Kate Barrett contributed to this document.




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