NR511 / NR 511 FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 NEWEST VERSION .
,1. Janet is a 30 year old woman who has been recently diagnosed with a herni- ated 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
2. 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 ☑correct answer a. a high mortality rate
3. 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
4. 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 vestic-
,ular 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.
5. 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
6. The differential diagnosis for vertigo can be classified into which of the following categories ☑
correct answer
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above ☑correct answer d. all of the above
7. 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 ☑correct answer b. unilateral radicular pain symptoms
that extend below the knee and are equal to or greater than the back pain
, 8. Preceptors must always see the patients that the students see in the clinical setting
a. true
b. false ☑correct answer a. true
9. 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 ☑correct answer d. all of the above
10. Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents ☑correct answer a. dogs
11. 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
d. all of the above ☑correct answer d. all of the above
12. Which of the following data are indicative of testicular torsion?
QUESTIONS AND CORRECT
ANSWERS LATEST GUIDE
2026/2027 NEWEST VERSION .
,1. Janet is a 30 year old woman who has been recently diagnosed with a herni- ated 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
2. 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 ☑correct answer a. a high mortality rate
3. 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
4. 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 vestic-
,ular 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.
5. 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
6. The differential diagnosis for vertigo can be classified into which of the following categories ☑
correct answer
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above ☑correct answer d. all of the above
7. 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 ☑correct answer b. unilateral radicular pain symptoms
that extend below the knee and are equal to or greater than the back pain
, 8. Preceptors must always see the patients that the students see in the clinical setting
a. true
b. false ☑correct answer a. true
9. 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 ☑correct answer d. all of the above
10. Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents ☑correct answer a. dogs
11. 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
d. all of the above ☑correct answer d. all of the above
12. Which of the following data are indicative of testicular torsion?
