NSGl 550/l NSG550l Examl 3l –l (NEWl
2026/l 2027l Update)l Diagnosticl Reasoningl
forl Nursel Practitionersl Reviewl |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Findingsl ofl al lumbarl puncture
Answer:
Al lumbarl puncturel isl likel collectingl al samplel ofl cerebrospinall fluidl (CSF)l froml yourl
lowerl backl tol checkl forl seriousl conditionsl suchl as..
-meningitis
-Guillain-Barrel syndrome
-multiplel sclerosisl (MS)
-cancerl ofl thel nervousl system
QUESTION
Symptomsl thatl wouldl warrantl forl anl LP
Answer:
-headache
-alteredl mentall status
-fever
-+meningeall signsl (highl sensitivityl andl specificityl forl infection)l
-seizuresl
-lightl sensitivity/doublel vision
QUESTION
,LPl labl findings
Answer:
-Appearancel -l clear
-Openingl pressurel -l 10-20cmCSF
-WBCl -l 0-5l cellsl <2PMN
-Glucosel -l >60%l ofl seruml glucose
-Proteinl -l <45mg/dl
-Culturel andl graml stain
QUESTION
Carotidl arteryl duplex
Answer:
USl studyl ofl thel carotidl arteries,l providesl al rangel ofl occlusionl notl al specificl number.
-1-15%
-16-49%
-50-79%
-80-99%
-Completel occlusion
-Asymptomaticl patientsl withl >70%l stenosisl wouldl warrantl somel followl up.
-Thosel withl >50%l andl arel symptomaticl thatl warrantsl forl al needl surgicall
referral/evaluation
QUESTION
CTl withl myelogram
Answer:
al speciall CTl scanl thatl looksl atl musclel function,l innervationl ofl thel nerve,l andl discl
vertebrael
(likel ifl someonel comesl inl withl backl pain)
-itl isl anl optionl forl peoplel whol can'tl getl MRi'sl (likel anl implantedl device)
, QUESTION
Whatl doesl thel americanl collegel ofl radiologyl recommendl forl al 24l yearl oldl withl
atraumaticl backl pain?
Answer:
Nol diagnosticl -l nothing
QUESTION
Patientl presentsl withl AMS,l whatl arel somel importantl testsl tol evaluate?
Answer:
-Alwaysl lookl forl metabolicl andl infectiousl causes
-BMP,l CBC,l urinel culturel andl sensitivity,l ammonial levels,l thyroidl levels,l
-b12l andl folicl acid
-infectionsl processes;l syphillisl orl anl RPR.
QUESTION
Whatl isl al toxicologyl report?
Answer:
Toxicologyl isl likel investigatingl al crimel scenel tol findl evidencel ofl drugsl orl medicationsl
inl someone'sl body,l justl likel checkingl forl fingerprintsl orl DNAl tol seel ifl someonel isl
tellingl thel truthl orl not.
Examplesl ofl thingsl itl canl measure;
-salicylatel levels
-Tylenoll levels
-anti-epilepticl levels..l ifl someonel comesl inl withl seizuresl butl claimsl they'vel beenl takingl
theirl meds,l dol al toxicologyl reportl tol seel ifl they'rel lying/noncompliant
QUESTION
Whatl isl thel mostl routinel presentingl symptoml ofl herpesl zoster/shingles?
Answer:
Painl andl rashl overl dermatomall distributionl /l linearl distrubitionl /l zosterforml unilaterall
(shouldn'tl crossl overl midline)
2026/l 2027l Update)l Diagnosticl Reasoningl
forl Nursel Practitionersl Reviewl |l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-l Wilkes
QUESTION
Findingsl ofl al lumbarl puncture
Answer:
Al lumbarl puncturel isl likel collectingl al samplel ofl cerebrospinall fluidl (CSF)l froml yourl
lowerl backl tol checkl forl seriousl conditionsl suchl as..
-meningitis
-Guillain-Barrel syndrome
-multiplel sclerosisl (MS)
-cancerl ofl thel nervousl system
QUESTION
Symptomsl thatl wouldl warrantl forl anl LP
Answer:
-headache
-alteredl mentall status
-fever
-+meningeall signsl (highl sensitivityl andl specificityl forl infection)l
-seizuresl
-lightl sensitivity/doublel vision
QUESTION
,LPl labl findings
Answer:
-Appearancel -l clear
-Openingl pressurel -l 10-20cmCSF
-WBCl -l 0-5l cellsl <2PMN
-Glucosel -l >60%l ofl seruml glucose
-Proteinl -l <45mg/dl
-Culturel andl graml stain
QUESTION
Carotidl arteryl duplex
Answer:
USl studyl ofl thel carotidl arteries,l providesl al rangel ofl occlusionl notl al specificl number.
-1-15%
-16-49%
-50-79%
-80-99%
-Completel occlusion
-Asymptomaticl patientsl withl >70%l stenosisl wouldl warrantl somel followl up.
-Thosel withl >50%l andl arel symptomaticl thatl warrantsl forl al needl surgicall
referral/evaluation
QUESTION
CTl withl myelogram
Answer:
al speciall CTl scanl thatl looksl atl musclel function,l innervationl ofl thel nerve,l andl discl
vertebrael
(likel ifl someonel comesl inl withl backl pain)
-itl isl anl optionl forl peoplel whol can'tl getl MRi'sl (likel anl implantedl device)
, QUESTION
Whatl doesl thel americanl collegel ofl radiologyl recommendl forl al 24l yearl oldl withl
atraumaticl backl pain?
Answer:
Nol diagnosticl -l nothing
QUESTION
Patientl presentsl withl AMS,l whatl arel somel importantl testsl tol evaluate?
Answer:
-Alwaysl lookl forl metabolicl andl infectiousl causes
-BMP,l CBC,l urinel culturel andl sensitivity,l ammonial levels,l thyroidl levels,l
-b12l andl folicl acid
-infectionsl processes;l syphillisl orl anl RPR.
QUESTION
Whatl isl al toxicologyl report?
Answer:
Toxicologyl isl likel investigatingl al crimel scenel tol findl evidencel ofl drugsl orl medicationsl
inl someone'sl body,l justl likel checkingl forl fingerprintsl orl DNAl tol seel ifl someonel isl
tellingl thel truthl orl not.
Examplesl ofl thingsl itl canl measure;
-salicylatel levels
-Tylenoll levels
-anti-epilepticl levels..l ifl someonel comesl inl withl seizuresl butl claimsl they'vel beenl takingl
theirl meds,l dol al toxicologyl reportl tol seel ifl they'rel lying/noncompliant
QUESTION
Whatl isl thel mostl routinel presentingl symptoml ofl herpesl zoster/shingles?
Answer:
Painl andl rashl overl dermatomall distributionl /l linearl distrubitionl /l zosterforml unilaterall
(shouldn'tl crossl overl midline)
