NR 511 FINAL EXAM
NR 511 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 suspicion of cauda equant compression.
Which of the following is a sign or symptom of cauda equina
compression?
a. gastrocnemius weakness
b. reduced or absent ankle rifles
c. numbness of the lateral foot
d. paraesthesia of the perineum and buttocks ANS >> d.
paraesthesia 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?
,NR 511 FINAL EXAM
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above ANS >> 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 favourable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV ANS >> a. a favourable diagnostic
trend
Which is the differentiating symptom between labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the one is more gradual
,NR 511 FINAL EXAM
b. hearing loss may be associated with vestibular neuritis, but
not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
whereas with vesicular neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis, but not
with vestibular neuritis. ANS >> 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 consistent
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 ANS >> c. blood in urine
and frequency
The differential diagnosis for vertigo can be classified into which
of the following categories:
a. peripheral vestibular disease
, NR 511 FINAL EXAM
b. CNS disorders
c. Systemic disorders
d. all of the above ANS >> 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 ANS >> 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
NR 511 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 suspicion of cauda equant compression.
Which of the following is a sign or symptom of cauda equina
compression?
a. gastrocnemius weakness
b. reduced or absent ankle rifles
c. numbness of the lateral foot
d. paraesthesia of the perineum and buttocks ANS >> d.
paraesthesia 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?
,NR 511 FINAL EXAM
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming chronic
d. all of the above ANS >> 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 favourable diagnostic trend
b. disease progression
c. the need to be more aggressive with Reuben's medications
d. the eradication of the HIV ANS >> a. a favourable diagnostic
trend
Which is the differentiating symptom between labyrinthitis and
vestibular neuritis?
a. symptoms with vestibular neuritis are usually acute in onset,
whereas with labyrinthitis the one is more gradual
,NR 511 FINAL EXAM
b. hearing loss may be associated with vestibular neuritis, but
not with labyrinthitis
c. symptoms with labyrinthitis are usually acute in onset,
whereas with vesicular neuritis the onset is more gradual
d. hearing loss may be associated with labyrinthitis, but not
with vestibular neuritis. ANS >> 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 consistent
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 ANS >> c. blood in urine
and frequency
The differential diagnosis for vertigo can be classified into which
of the following categories:
a. peripheral vestibular disease
, NR 511 FINAL EXAM
b. CNS disorders
c. Systemic disorders
d. all of the above ANS >> 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 ANS >> 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
