NR 603 Vestibular Neuritis – 30+ Exam Questions with Answers – Vertigo, Meclizine, Differential Diagnosis – Chamberlain University

This document provides over 30 expertly structured exam questions with correct answers covering the diagnosis, management, and clinical presentation of vestibular neuritis, aligned with NR 603 course content at Chamberlain University for the 2025/2026 academic year. It explores the pathophysiology of vestibular neuritis as acute unilateral labyrinthine dysfunction, most often caused by viral inflammation of the eighth cranial nerve. Students will learn to differentiate between vestibular neuritis and other causes of vertigo (e.g., BPPV, Ménière’s disease, multiple sclerosis, Ramsay Hunt syndrome), making it a valuable clinical tool for differential diagnosis. The guide covers typical symptom progression—initial intense vertigo, nausea, vomiting, and imbalance—and explains diagnostic steps such as ENT and neurological exams, hearing assessments, and imaging when a tumor is suspected. Management includes first-line medications like antihistamines (e.g., meclizine) and anticholinergics, supportive use of corticosteroids like methylprednisolone, and patient education on activity precautions and hydration. Emphasis is also placed on vestibular rehabilitation to support central compensation and long-term recovery. Recommended for: Family Nurse Practitioner (FNP) students Adult-Gerontology NP students BSN/MSN students studying neurology or ENT-related disorders AANP and ANCC board exam candidates Clinicians reviewing for vestibular disorder assessments This document is ideal for focused review sessions, clinical preparation, or as a case-based study aid during neurology or primary care modules. Keywords: vestibular neuritis, NR 603, vertigo, meclizine, labyrinthitis, methylprednisolone, vestibular dysfunction, cranial nerve VIII, ENT exam, Romberg test, BPPV, Ménière’s disease, Ramsay Hunt syndrome, MS differential, dizziness, Chamberlain University