NR511 Final exam Questions and
Answers Graded A+
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 - Correct 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?
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,a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - Correct 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 - Correct 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
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,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. - Correct 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 - Correct answer-c. blood in urine and
frequency
The differential diagnosis for vertigo can be classified into which of the following
categories:
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, a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - Correct 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
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Answers Graded A+
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 - Correct 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?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above - Correct 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 - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,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. - Correct 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 - Correct answer-c. blood in urine and
frequency
The differential diagnosis for vertigo can be classified into which of the following
categories:
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above - Correct 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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
