UTICA COLLEGE NUR 621 FINAL EXAM
LATEST UPDATE 2026/2027 Verified
Questions and Answers with Detailed
Rationales
This comprehensive practice exam is designed to help students
prepare for the NUR 621 Final Exam at Utica College. NUR 621 is the
Health Promotion and Primary Care I course for Family Nurse
Practitioner (FNP) students, focusing on the assessment and
management of common health disorders across the lifespan in
primary care settings. The course includes 150 in-person practicum
hours and 75 iHuman simulation hours.
SECTION 1: EAR, NOSE & THROAT (EENT)
DISORDERS (Questions 1-30)
Question 1
A patient presents with fluctuating, unilateral hearing loss and
dizziness. What is the most likely diagnosis?
A. Acoustic neuroma
B. Presbycusis
C. Meniere's disease
D. Conductive hearing loss
,Correct Answer: C. Meniere's disease
Rationale: Meniere's disease is characterized by a classic triad of
symptoms: fluctuating unilateral hearing loss, episodic vertigo
(dizziness), and tinnitus. It is caused by endolymphatic hydrops
(increased fluid pressure in the inner ear). The episodes are typically
intermittent and unpredictable.
Question 2
A patient complains of unilateral progressive hearing loss and
frequent headaches. What is the most likely diagnosis?
A. Acoustic neuroma
B. Meniere's disease
C. Presbycusis
D. Conductive hearing loss
Correct Answer: A. Acoustic neuroma
Rationale: Acoustic neuroma (vestibular schwannoma) is a benign
tumor of the vestibulocochlear nerve (CN VIII). It typically presents
with unilateral progressive hearing loss, tinnitus, and often associated
with headaches. Unlike Meniere's disease, hearing loss in acoustic
neuroma is not fluctuating but progressively worsens over time.
Question 3
Which of the following are causes of sensorineural hearing loss?
(Select all that apply)
A. Cerumen impaction
B. Presbycusis
,C. Acoustic neuroma
D. Otosclerosis
E. Aminoglycoside-induced hearing loss
F. Congenital conductive abnormalities
Correct Answer: B. Presbycusis, C. Acoustic neuroma, and E.
Aminoglycoside-induced hearing loss
Rationale: Sensorineural hearing loss results from damage to the inner
ear (cochlea) or the vestibulocochlear nerve (CN VIII). Causes include
presbycusis (aging), acoustic neuroma, and aminoglycoside-induced
hearing loss. Cerumen impaction, otosclerosis, and congenital
conductive abnormalities are causes of conductive hearing loss,
which is typically reversible.
Question 4
A patient presents with sudden sensorineural hearing loss. What is the
next step for the provider?
A. Prescribe oral steroids
B. Refer to an otorhinolaryngologist (ENT)
C. Order a CT scan of the head
D. Reassure the patient and schedule a follow-up
Correct Answer: B. Refer to an otorhinolaryngologist (ENT)
Rationale: Sudden sensorineural hearing loss is an otologic
emergency that requires urgent evaluation by an ENT specialist. It can
be caused by viral infection, vascular events, or autoimmune
processes. Prompt referral can facilitate early diagnosis and
management to optimize the chance of hearing recovery.
, Question 5
What else should be included in the assessment of patients with
presbycusis?
A. Complete blood count
B. Mental health assessment
C. CT scan of the head
D. Audiometry only
Correct Answer: B. Mental health assessment
Rationale: Patients with presbycusis (age-related hearing loss) are at
increased risk for depression and suicide due to social isolation,
communication difficulties, and reduced quality of life. A mental health
assessment is an important component of their overall care. Patients
can feel marginalized and withdraw from social situations, leading to
significant psychological distress.
Question 6
Which type of hearing loss is considered reversible?
A. Sensorineural hearing loss
B. Conductive hearing loss
C. Both are reversible
D. Neither is reversible
Correct Answer: B. Conductive hearing loss
Rationale: Conductive hearing loss occurs when sound waves are
interrupted in their passage through the external or middle ear. It is
often caused by cerumen impaction, otitis media, perforated tympanic
LATEST UPDATE 2026/2027 Verified
Questions and Answers with Detailed
Rationales
This comprehensive practice exam is designed to help students
prepare for the NUR 621 Final Exam at Utica College. NUR 621 is the
Health Promotion and Primary Care I course for Family Nurse
Practitioner (FNP) students, focusing on the assessment and
management of common health disorders across the lifespan in
primary care settings. The course includes 150 in-person practicum
hours and 75 iHuman simulation hours.
SECTION 1: EAR, NOSE & THROAT (EENT)
DISORDERS (Questions 1-30)
Question 1
A patient presents with fluctuating, unilateral hearing loss and
dizziness. What is the most likely diagnosis?
A. Acoustic neuroma
B. Presbycusis
C. Meniere's disease
D. Conductive hearing loss
,Correct Answer: C. Meniere's disease
Rationale: Meniere's disease is characterized by a classic triad of
symptoms: fluctuating unilateral hearing loss, episodic vertigo
(dizziness), and tinnitus. It is caused by endolymphatic hydrops
(increased fluid pressure in the inner ear). The episodes are typically
intermittent and unpredictable.
Question 2
A patient complains of unilateral progressive hearing loss and
frequent headaches. What is the most likely diagnosis?
A. Acoustic neuroma
B. Meniere's disease
C. Presbycusis
D. Conductive hearing loss
Correct Answer: A. Acoustic neuroma
Rationale: Acoustic neuroma (vestibular schwannoma) is a benign
tumor of the vestibulocochlear nerve (CN VIII). It typically presents
with unilateral progressive hearing loss, tinnitus, and often associated
with headaches. Unlike Meniere's disease, hearing loss in acoustic
neuroma is not fluctuating but progressively worsens over time.
Question 3
Which of the following are causes of sensorineural hearing loss?
(Select all that apply)
A. Cerumen impaction
B. Presbycusis
,C. Acoustic neuroma
D. Otosclerosis
E. Aminoglycoside-induced hearing loss
F. Congenital conductive abnormalities
Correct Answer: B. Presbycusis, C. Acoustic neuroma, and E.
Aminoglycoside-induced hearing loss
Rationale: Sensorineural hearing loss results from damage to the inner
ear (cochlea) or the vestibulocochlear nerve (CN VIII). Causes include
presbycusis (aging), acoustic neuroma, and aminoglycoside-induced
hearing loss. Cerumen impaction, otosclerosis, and congenital
conductive abnormalities are causes of conductive hearing loss,
which is typically reversible.
Question 4
A patient presents with sudden sensorineural hearing loss. What is the
next step for the provider?
A. Prescribe oral steroids
B. Refer to an otorhinolaryngologist (ENT)
C. Order a CT scan of the head
D. Reassure the patient and schedule a follow-up
Correct Answer: B. Refer to an otorhinolaryngologist (ENT)
Rationale: Sudden sensorineural hearing loss is an otologic
emergency that requires urgent evaluation by an ENT specialist. It can
be caused by viral infection, vascular events, or autoimmune
processes. Prompt referral can facilitate early diagnosis and
management to optimize the chance of hearing recovery.
, Question 5
What else should be included in the assessment of patients with
presbycusis?
A. Complete blood count
B. Mental health assessment
C. CT scan of the head
D. Audiometry only
Correct Answer: B. Mental health assessment
Rationale: Patients with presbycusis (age-related hearing loss) are at
increased risk for depression and suicide due to social isolation,
communication difficulties, and reduced quality of life. A mental health
assessment is an important component of their overall care. Patients
can feel marginalized and withdraw from social situations, leading to
significant psychological distress.
Question 6
Which type of hearing loss is considered reversible?
A. Sensorineural hearing loss
B. Conductive hearing loss
C. Both are reversible
D. Neither is reversible
Correct Answer: B. Conductive hearing loss
Rationale: Conductive hearing loss occurs when sound waves are
interrupted in their passage through the external or middle ear. It is
often caused by cerumen impaction, otitis media, perforated tympanic
