1
NR 511 Final Exam Study Guide with
Comprehensive Questions and Verified
Answers
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
ANSWER: 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
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
, 2
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
, 3
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
, 4
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
b. cats
c. humans
d. rodents
ANSWER: a. dogs
Endoscopic report reveals the presents of Barrett's epithelium. Which of the
following information should the clinician include in the explaination of the
pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
NR 511 Final Exam Study Guide with
Comprehensive Questions and Verified
Answers
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
ANSWER: 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
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
, 2
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
, 3
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
, 4
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
b. cats
c. humans
d. rodents
ANSWER: a. dogs
Endoscopic report reveals the presents of Barrett's epithelium. Which of the
following information should the clinician include in the explaination of the
pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
