ANCC MED SURG CERTIFICATION EXAM COMPLETE
ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS (A NEW UPDATED VERSION) |GUARANTEED
PASS A+ (ACTUAL EXAM)
Mc burney's point - ANSWER: Point in RLQ abd of appendix. Tenderness indicates
appendicitis
Murphy's sign - ANSWER: 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 - ANSWER: All assessment used to r/o appendicitis
Homan's sign - ANSWER: Out dated and not recommended to use for assessment for
DVT
Jar sign(markle sign) - ANSWER: 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 - ANSWER: Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
Charcot's triad for MS - ANSWER: 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 - ANSWER: 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 - ANSWER: 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 - ANSWER: Deep and labored. Presents in severe metabolic
acidosis- DKA and kidney failure
Bergman's triad - ANSWER: Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign - ANSWER: Sign of meningitis- supine flex neck will cause involuntary
flexion of hips and knees
Kernig's sign - ANSWER: Sign of meningitis- lift flexed knee and slowly extend will
cause back pain if positive
Chvostek's sign
Trousseau' sign - ANSWER: Nerve hyperexcitability (tetany) seen with hypocalemia
Abnormal reaction to stimulation of facial nerve
Inflate bp cuff to greater than systolic and hand and wrist with involuntarly curl
inward
Levine sign - ANSWER: is positive when a patient is holding a clenched fist over his
chest to describe dull, pressing chest pain consistent with the discomfort of angina
pectoris.
A patient is diagnosed with a lateral wall ST segment elevation myocardial infarction
(STEMI). What do you expect the EKG to show?
a. ST elevation in leads V1 -V6
b. ST elevation in leads I, aVL, V5, V6
c. ST elevation in leads II, III, aVF
d. ST elevation in leads V7, V8, V9 - ANSWER: B: Choice B would show a lateral wall
MI.
Choice A would show an anterior MI.
Choice C would show an inferior wall MI.
Choice D would show a posterior wall MI.
Epididymitis - ANSWER: commonly caused by E.coli in elderly males and/or those
who are not sexually active and have normal immune function. In sexually active
males with a history of unprotected sex, the causative organisms are likely
gonorrhea and/or chlamydia. Cases of epididymitis caused by Staph aureus are rare.
Epididymitis caused by cytomegalovirus (CMV) is incredibly rare unless the patient is
immunocompromised.
ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS (A NEW UPDATED VERSION) |GUARANTEED
PASS A+ (ACTUAL EXAM)
Mc burney's point - ANSWER: Point in RLQ abd of appendix. Tenderness indicates
appendicitis
Murphy's sign - ANSWER: 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 - ANSWER: All assessment used to r/o appendicitis
Homan's sign - ANSWER: Out dated and not recommended to use for assessment for
DVT
Jar sign(markle sign) - ANSWER: 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 - ANSWER: Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
Charcot's triad for MS - ANSWER: 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 - ANSWER: 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 - ANSWER: 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 - ANSWER: Deep and labored. Presents in severe metabolic
acidosis- DKA and kidney failure
Bergman's triad - ANSWER: Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign - ANSWER: Sign of meningitis- supine flex neck will cause involuntary
flexion of hips and knees
Kernig's sign - ANSWER: Sign of meningitis- lift flexed knee and slowly extend will
cause back pain if positive
Chvostek's sign
Trousseau' sign - ANSWER: Nerve hyperexcitability (tetany) seen with hypocalemia
Abnormal reaction to stimulation of facial nerve
Inflate bp cuff to greater than systolic and hand and wrist with involuntarly curl
inward
Levine sign - ANSWER: is positive when a patient is holding a clenched fist over his
chest to describe dull, pressing chest pain consistent with the discomfort of angina
pectoris.
A patient is diagnosed with a lateral wall ST segment elevation myocardial infarction
(STEMI). What do you expect the EKG to show?
a. ST elevation in leads V1 -V6
b. ST elevation in leads I, aVL, V5, V6
c. ST elevation in leads II, III, aVF
d. ST elevation in leads V7, V8, V9 - ANSWER: B: Choice B would show a lateral wall
MI.
Choice A would show an anterior MI.
Choice C would show an inferior wall MI.
Choice D would show a posterior wall MI.
Epididymitis - ANSWER: commonly caused by E.coli in elderly males and/or those
who are not sexually active and have normal immune function. In sexually active
males with a history of unprotected sex, the causative organisms are likely
gonorrhea and/or chlamydia. Cases of epididymitis caused by Staph aureus are rare.
Epididymitis caused by cytomegalovirus (CMV) is incredibly rare unless the patient is
immunocompromised.
