3/25/26, 12:46 PM
Science Medicine Nursing
MED-SURG. ANCC CERTIFICATION EXAM QUESTIONS
WITH COMPLETE VERIFIED ANSWERS 2026/2027
LATEST UPDATE
Mc burney's point Point in RLQ abd of appendix. Tenderness indicates
appendicitis
Murphy's sign Place fingers under rt coastal margin and
instruct to take deep breath. Increased
tenderness with sudden stop during
inhalation is a positive murphy's sign
Obturator muscle, All assessment used
to r/o appendicitis psoas sign,
Rovsing's sign
Homan's sign Out dated and not recommended to use for
assessment for DVT
Jar sign(markle sign) Pain from a jarring movement to indicate peritonitis
with appendicitis. Stand on toes and drop to
heals or increaded pain with walking or
1/31
,3/25/26, 12:46 PM
running
2/31
,3/25/26, 12:46 PM
Beck's triad Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
Charcot's triad for MS 1. Nystagmas- repetitive uncontrolled movements of
the eyes
2. Intention tremor- tremor that worsens as
approaches end of intended movement
3. Scanning or staccato speech- broken
speech and each syllable pronounced
separately
Charcot's triad for ascending cholangitis Inf. of bile duct caused by bacteria
ascending from junction with duodenum
1.Jaundice
2. Fever, usually with rigors
3. RUQ ABD pain
Cushing's triad Signs of increased ICP
1. HTN- widened pulse pressure
2. Bradycardia
3. Irregular respirations- cheyne- stokes(
slow, fast, slow period of apnea then
slow,fast,slow
Kaussmaul breathing Deep and labored. Presents in severe metabolic
3/31
, 3/25/26, 12:46 PM
acidosis- DKA and kidney failure
Bergman's triad Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign Sign of meningitis- supine flex neck will cause
involuntary flexion of hips and knees
Kernig's sign Sign of meningitis- lift flexed knee and slowly
extend will cause back pain if positive
4/31
Science Medicine Nursing
MED-SURG. ANCC CERTIFICATION EXAM QUESTIONS
WITH COMPLETE VERIFIED ANSWERS 2026/2027
LATEST UPDATE
Mc burney's point Point in RLQ abd of appendix. Tenderness indicates
appendicitis
Murphy's sign Place fingers under rt coastal margin and
instruct to take deep breath. Increased
tenderness with sudden stop during
inhalation is a positive murphy's sign
Obturator muscle, All assessment used
to r/o appendicitis psoas sign,
Rovsing's sign
Homan's sign Out dated and not recommended to use for
assessment for DVT
Jar sign(markle sign) Pain from a jarring movement to indicate peritonitis
with appendicitis. Stand on toes and drop to
heals or increaded pain with walking or
1/31
,3/25/26, 12:46 PM
running
2/31
,3/25/26, 12:46 PM
Beck's triad Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
Charcot's triad for MS 1. Nystagmas- repetitive uncontrolled movements of
the eyes
2. Intention tremor- tremor that worsens as
approaches end of intended movement
3. Scanning or staccato speech- broken
speech and each syllable pronounced
separately
Charcot's triad for ascending cholangitis Inf. of bile duct caused by bacteria
ascending from junction with duodenum
1.Jaundice
2. Fever, usually with rigors
3. RUQ ABD pain
Cushing's triad Signs of increased ICP
1. HTN- widened pulse pressure
2. Bradycardia
3. Irregular respirations- cheyne- stokes(
slow, fast, slow period of apnea then
slow,fast,slow
Kaussmaul breathing Deep and labored. Presents in severe metabolic
3/31
, 3/25/26, 12:46 PM
acidosis- DKA and kidney failure
Bergman's triad Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign Sign of meningitis- supine flex neck will cause
involuntary flexion of hips and knees
Kernig's sign Sign of meningitis- lift flexed knee and slowly
extend will cause back pain if positive
4/31
