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Med-surg. ANCC certification exam questions and answers
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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, psoas sign, ...

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  • September 22, 2023
  • 15
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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Med-surg. ANCC certification exam
questions and answers
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

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