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
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
, 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.
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