NR 603 Week 1 Exam (BPPV – 20+ Questions) – Vertigo, Diagnosis, Dix-Hallpike, Canalith Repositioning – Chamberlain University

This document includes over 20 thoroughly answered multiple-choice questions from the NR 603 Week 1 Exam focused on Benign Paroxysmal Positional Vertigo (BPPV), prepared for the 2025/2026 academic year at Chamberlain University. It is tailored for advanced practice students studying adult-gerontology or family primary care, with an emphasis on evidence-based diagnosis and management of vestibular disorders. Key topics include the hallmark signs and symptoms of BPPV, such as episodic vertigo triggered by head movements, the mechanism involving displaced otoconia in the semicircular canals, and diagnostic confirmation through the Dix-Hallpike maneuver. The resource explains the different nystagmus patterns associated with posterior and horizontal canal variants and guides appropriate use of diagnostic testing when neurologic symptoms are present. Management focuses on first-line use of canalith repositioning procedures (CRP), while also clarifying the limited role of vestibular suppressants like meclizine. Patient education is highlighted as essential, including the importance of continuing vestibular rehabilitation despite transient symptom exacerbation. This exam prep is ideal for: Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) students Family Nurse Practitioner (FNP) students MSN students studying neurology or primary care PA and medical students reviewing vestibular disorders Practicing clinicians preparing for board exams or clinical application Keywords: NR 603, BPPV, benign paroxysmal positional vertigo, Dix-Hallpike, vertigo, otoconia, nystagmus, semicircular canal, canalith repositioning, meclizine, vestibular therapy, AGPCNP, vestibular suppression, dizziness, vestibular assessment, nurse practitioner, Chamberlain University