MED-SURG. ANCC CERTIFICATION
EXAM QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Mc burney's point - ANS Point in RLQ abd of appendix. Tenderness indicates appendicitis
Murphy's sign - ANS 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,
psoas sign,
Rovsing's sign - ANS All assessment used to r/o appendicitis
Homan's sign - ANS Out dated and not recommended to use for assessment for DVT
Jar sign(markle sign) - ANS Pain from a jarring movement to indicate peritonitis with
appendicitis. Stand on toes and drop to heals or increaded pain with walking or running
Beck's triad - ANS Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 15
, Charcot's triad for MS - ANS 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 - ANS 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 - ANS 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 - ANS Deep and labored. Presents in severe metabolic acidosis- DKA
and kidney failure
Bergman's triad - ANS Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign - ANS Sign of meningitis- supine flex neck will cause involuntary flexion of hips
and knees
Kernig's sign - ANS Sign of meningitis- lift flexed knee and slowly extend will cause back pain
if positive
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 15
EXAM QUESTIONS AND ANSWERS | 2026
UPDATE | 100% CORRECT.
Mc burney's point - ANS Point in RLQ abd of appendix. Tenderness indicates appendicitis
Murphy's sign - ANS 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,
psoas sign,
Rovsing's sign - ANS All assessment used to r/o appendicitis
Homan's sign - ANS Out dated and not recommended to use for assessment for DVT
Jar sign(markle sign) - ANS Pain from a jarring movement to indicate peritonitis with
appendicitis. Stand on toes and drop to heals or increaded pain with walking or running
Beck's triad - ANS Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 15
, Charcot's triad for MS - ANS 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 - ANS 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 - ANS 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 - ANS Deep and labored. Presents in severe metabolic acidosis- DKA
and kidney failure
Bergman's triad - ANS Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign - ANS Sign of meningitis- supine flex neck will cause involuntary flexion of hips
and knees
Kernig's sign - ANS Sign of meningitis- lift flexed knee and slowly extend will cause back pain
if positive
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 15
