NR511 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● 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
Answer: 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
Answer: 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.
Answer: d. hearing loss may be associated with labyrinthitis ,but not
with vestibular neuritis.
●● 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
,Answer: c. blood in urine and frequency
●● 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
Answer: 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
b. unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
, Answer: b. unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
●● Preceptors must always see the patients that the students see in the
clinical setting
a. true
b. false
Answer: a. true
●● An 82 year old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of
the following should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above
Answer: d. all of the above
●● Which causes the greatest percentage of mammalian bites?
a. dogs
CORRECT ANSWERS COMPREHENSIVE
STUDY GUIDE
●● 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
Answer: 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
Answer: 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.
Answer: d. hearing loss may be associated with labyrinthitis ,but not
with vestibular neuritis.
●● 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
,Answer: c. blood in urine and frequency
●● 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
Answer: 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
b. unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
, Answer: b. unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
●● Preceptors must always see the patients that the students see in the
clinical setting
a. true
b. false
Answer: a. true
●● An 82 year old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of
the following should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above
Answer: d. all of the above
●● Which causes the greatest percentage of mammalian bites?
a. dogs
