Med-surg. ANCC certification questions
and answers 2024\2025 A+ Grade
Mc burney's point
- correct answer Point in RLQ abd of appendix. Tenderness indicates appendicitis
Murphy's sign
- correct 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
- correct answer All assessment used to r/o appendicitis
Homan's sign
- correct answer Out dated and not recommended to use for assessment for DVT
Jar sign(markle sign)
- correct 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
- correct answer Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
,Charcot's triad for MS
- correct 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
- correct 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
- correct 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
- correct answer Deep and labored. Presents in severe metabolic acidosis- DKA and kidney failure
Bergman's triad
- correct answer Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign
- correct answer Sign of meningitis- supine flex neck will cause involuntary flexion of hips and knees
Kernig's sign
- correct answer Sign of meningitis- lift flexed knee and slowly extend will cause back pain if positive
, Chvostek's sign
Trousseau' sign
- correct 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
- correct 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
- correct 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
- correct 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.
and answers 2024\2025 A+ Grade
Mc burney's point
- correct answer Point in RLQ abd of appendix. Tenderness indicates appendicitis
Murphy's sign
- correct 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
- correct answer All assessment used to r/o appendicitis
Homan's sign
- correct answer Out dated and not recommended to use for assessment for DVT
Jar sign(markle sign)
- correct 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
- correct answer Acute cardiac tamponade- pericardial effusion
1. Disended neck vein's
2. Distant heart sounds
3. Hypotention
Treatment- pericardiocentesis
,Charcot's triad for MS
- correct 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
- correct 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
- correct 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
- correct answer Deep and labored. Presents in severe metabolic acidosis- DKA and kidney failure
Bergman's triad
- correct answer Signs of fat embolism
1. Mental status changes
2. Petechiae-late sign
3. Dyspnea
Brudzinski sign
- correct answer Sign of meningitis- supine flex neck will cause involuntary flexion of hips and knees
Kernig's sign
- correct answer Sign of meningitis- lift flexed knee and slowly extend will cause back pain if positive
, Chvostek's sign
Trousseau' sign
- correct 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
- correct 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
- correct 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
- correct 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.
