NR 603 Week 1 Exam (Meniere’s Disease – 20+ Questions) – Vertigo, Hearing Loss, Diagnostics, Management – Chamberlain University

This document includes over 20 fully answered and graded exam questions covering Meniere’s disease, sourced from the NR 603 Week 1 Exam for the 2025/2026 academic year at Chamberlain University. It provides essential clinical knowledge for nurse practitioner students and healthcare trainees managing vestibular and auditory disorders in adult and geriatric populations. Topics include the hallmark symptom cluster of Meniere’s disease—recurrent spinning vertigo, low-frequency sensorineural hearing loss, tinnitus, and aural fullness. The pathophysiology is explained as excessive endolymphatic fluid pressure in the inner ear. The exam covers diagnostic criteria, including two episodes of spontaneous vertigo lasting at least 20 minutes, confirmed hearing loss, and exclusion of other causes. Physical exam findings such as Rinne and Weber test results, spontaneous nystagmus, and neurologic assessment are reviewed. Diagnostic tools include audiograms and MRI to rule out CNS pathology, with labs like TSH, RPR, glucose, and Lyme serologies for differential screening. Treatment and education focus on symptom relief using meclizine, antiemetics like promethazine, and safety during vertigo episodes. This guide is ideal for: Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) students Family Nurse Practitioner (FNP) students MSN students in adult primary care or neurology modules Physician Assistant (PA) and medical students studying ENT/vestibular disorders Clinical instructors or providers preparing for certification Keywords: NR 603, Meniere’s disease, vertigo, tinnitus, aural fullness, sensorineural hearing loss, meclizine, promethazine, audiogram, vestibular disorder, endolymphatic pressure, Rinne test, Weber test, nystagmus, MRI, TSH, Lyme, nurse practitioner, Chamberlain University