NR 511 Midterm Exam and Final Exam (Newest
Versions 2025) | Clinical Reasoning, Advanced
Health Assessment, Differential Diagnosis,
Evidence-Based Practice, and Primary Care
Management | Just Released
A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
,d. foul-smelling discharge, perineal itch - ✔ANASWER✔-c.
blood in urine and frequency
Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She
is currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks -
✔ANASWER✔-d. paresthesia of the perineum and
buttocks
The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of
the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
,d. all of the above - ✔ANASWER✔-a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's
medications
d. the eradication of the HIV - ✔ANASWER✔-a. a
favorable diagnostic trend
Which is the differentiating symptom mbetween
labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in
onset, whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis,
but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
, d. hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis. - ✔ANASWER✔-d. hearing
loss may be associated with labyrinthitis ,but not with
vestibular neuritis.
The differential diagnosis for vertigo can be classified into
which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - ✔ANASWER✔-d. all of the above
Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or
ruptured disc?
a. morning stiffness and limited mobility of the lumbar
spine
Versions 2025) | Clinical Reasoning, Advanced
Health Assessment, Differential Diagnosis,
Evidence-Based Practice, and Primary Care
Management | Just Released
A 27 year old female presents with a chief complaint of
burning and pain on urination. She has no previous history
of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
,d. foul-smelling discharge, perineal itch - ✔ANASWER✔-c.
blood in urine and frequency
Janet is a 30 year old woman who has been recently
diagnosed with a herniated disc at the level of L5-S1. She
is currently in the emergency room with suspician of cauda
equna compression. Which of the following is a sign or
symptom of cauda equina compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks -
✔ANASWER✔-d. paresthesia of the perineum and
buttocks
The patient has acute pancreatitis with 7 of the diagnostic
criteria from Ranson's Criteria. In order to plan care, the
clinician understands that this criteria score has which of
the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
,d. all of the above - ✔ANASWER✔-a. a high mortality rate
Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load What does
this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's
medications
d. the eradication of the HIV - ✔ANASWER✔-a. a
favorable diagnostic trend
Which is the differentiating symptom mbetween
labyrinthitis and vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in
onset, whereas with labyrinthitis the onet is more gradual
b. hearing loss may be associated with vestibular neuritis,
but not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
,whereas with vesticular neuritis the onset is more gradual
, d. hearing loss may be associated with labyrinthitis ,but
not with vestibular neuritis. - ✔ANASWER✔-d. hearing
loss may be associated with labyrinthitis ,but not with
vestibular neuritis.
The differential diagnosis for vertigo can be classified into
which of the following categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - ✔ANASWER✔-d. all of the above
Sam is a 25-year-old man who has been diagnosed with
low back strain based on his history of localized low back
pain and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or
ruptured disc?
a. morning stiffness and limited mobility of the lumbar
spine
