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 running
1/26
,3/25/26, 12:38 PM Med-surg. ANCC certification
2/26
, 3/25/26, 12:38 PM Med-surg. ANCC certification
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 acidosis- DKA
and kidney failure
Bergman's triad Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
3/26