ANCC MED SURG CERTIFICATION
2026 TEST PAPER VERIFIED
QUESTIONS AND ANSWERS
◉ 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?
2026 TEST PAPER VERIFIED
QUESTIONS AND ANSWERS
◉ 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?
