NR569 Final Exam (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026]
1. Patient presents with sudden chest pain radiating to the left arm and jaw. BP 150/90, HR 110.
First action:
Answer: Obtain 12-lead ECG and cardiac enzymes
Rationale: Sudden chest pain with radiation may indicate acute MI; rapid assessment guides
emergent intervention.
2. Patient with suspected acute MI develops shortness of breath and crackles in lungs. Priority
intervention:
Answer: Apply supplemental oxygen and assess for pulmonary edema
Rationale: MI can cause left-sided heart failure; oxygen and monitoring prevent hypoxia.
3. Patient with chest pain and hypotension, ECG shows ST elevation in inferior leads. Best next
step:
Answer: Notify cardiology for emergent reperfusion therapy
Rationale: ST-elevation MI requires rapid reperfusion to minimize myocardial damage.
Bicipital Tendon Rupture - CORRECT ANSWER Long head of bicep tendon tears
from proximal shoulder insertion, usually from lifting a heavy object. Sudden pain,
swelling, bruising. (Popeye deformity)
Lateral Epicondylitis - CORRECT ANSWER Sharp, radiating pain down outside of
elbow, Pain occurs with extension of wrist and gripping. May have weakness in forearm
or weak grip, injury of the wrist extensor muscles
Paxino's sign - CORRECT ANSWER Acromioclavicular sprain. Place hand over
the shoulder, with the fingers on the clavicle and the thumb on the back of the shoulder,
then pinch. Pain is a positive sign.
1
Acromioclavicular sprain - CORRECT ANSWER Pain in clavicular area after direct
Page
trauma or excessive pushing/pulling of upper extremity. Common in young males;
2026 Graded A+ EXAM
, typically associated with fall with arm abduction. Pain increases with lying on arm,
adduction/abduction past 90, heavy lifting
Spinal Stenosis - CORRECT ANSWER refers to the local, segmental, or
generalized narrowing within the vertebral spinal column by bony overgrowth and
hypertrophic changes in the facet joints, intraspinal canal, lateral recess, neural foramen
as well as through a thickening of the ligamentum flavum. typically slow and may
worsen over months or years. Back pain that worsens with activity is common.
Unilateral leg numbness or paresthesias may occur.
Medial Epicondylitis - CORRECT ANSWER Sharp, radiating pain down inside of
elbow, Pain occurs with supination of forearm and gripping motions. May have
weakness in hand or wrist, numbness or tingling in ring/little fingers. overuse injury of
the wrist flexor muscles.
Most common bacteria with OM - CORRECT ANSWER Strep Pneumoniae
First line treatment for OM - CORRECT ANSWER Augmentin
OM with effusion - CORRECT ANSWER Presence of fluid in the middle ear
without s/s of acute infection. As fluid builds up in the middle ear and eustachian tube it
places pressure on the tympanic membrane.
Cholesteatoma - CORRECT ANSWER Abnormal skin growth or skin cyst trapped
behind the eardrum or the bone behind the ear.
Cholesteatoma symptoms - CORRECT ANSWER Hearing loss, foul smelling
drainage, recurrent ear infections, ear fullness, dizziness, facial weakness on the side of
the infection, earache/pain.
Treatment for Choleseatoma - CORRECT ANSWER ENT referral, may need
surgery. CT/MRI if extracranial complications suspected. Culture and then IV antibiotics.
Ramsay Hunt Syndrome - CORRECT ANSWER Herpes zoster oticus.
Characterized by hearing loss, pain, and vesicles in the ear or mouth along with
ipsilateral facial palsy. Can be accompanied with vertigo and tinnitus.
Necrotizing Otitis Externa - CORRECT ANSWER Otitis externa that spreads To
stylomastoid and jugular foramina. Can spread to osteomyelitis of the temporal bone.
Which nerves can be affected by NOE - CORRECT ANSWER Facial (7)
Glossopharyngeal (9)
2
Vagus (10)
Page
Accessory (11)
2026 Graded A+ EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND
ANSWERS) | GUARANTEED PASS A+ [2026]
1. Patient presents with sudden chest pain radiating to the left arm and jaw. BP 150/90, HR 110.
First action:
Answer: Obtain 12-lead ECG and cardiac enzymes
Rationale: Sudden chest pain with radiation may indicate acute MI; rapid assessment guides
emergent intervention.
2. Patient with suspected acute MI develops shortness of breath and crackles in lungs. Priority
intervention:
Answer: Apply supplemental oxygen and assess for pulmonary edema
Rationale: MI can cause left-sided heart failure; oxygen and monitoring prevent hypoxia.
3. Patient with chest pain and hypotension, ECG shows ST elevation in inferior leads. Best next
step:
Answer: Notify cardiology for emergent reperfusion therapy
Rationale: ST-elevation MI requires rapid reperfusion to minimize myocardial damage.
Bicipital Tendon Rupture - CORRECT ANSWER Long head of bicep tendon tears
from proximal shoulder insertion, usually from lifting a heavy object. Sudden pain,
swelling, bruising. (Popeye deformity)
Lateral Epicondylitis - CORRECT ANSWER Sharp, radiating pain down outside of
elbow, Pain occurs with extension of wrist and gripping. May have weakness in forearm
or weak grip, injury of the wrist extensor muscles
Paxino's sign - CORRECT ANSWER Acromioclavicular sprain. Place hand over
the shoulder, with the fingers on the clavicle and the thumb on the back of the shoulder,
then pinch. Pain is a positive sign.
1
Acromioclavicular sprain - CORRECT ANSWER Pain in clavicular area after direct
Page
trauma or excessive pushing/pulling of upper extremity. Common in young males;
2026 Graded A+ EXAM
, typically associated with fall with arm abduction. Pain increases with lying on arm,
adduction/abduction past 90, heavy lifting
Spinal Stenosis - CORRECT ANSWER refers to the local, segmental, or
generalized narrowing within the vertebral spinal column by bony overgrowth and
hypertrophic changes in the facet joints, intraspinal canal, lateral recess, neural foramen
as well as through a thickening of the ligamentum flavum. typically slow and may
worsen over months or years. Back pain that worsens with activity is common.
Unilateral leg numbness or paresthesias may occur.
Medial Epicondylitis - CORRECT ANSWER Sharp, radiating pain down inside of
elbow, Pain occurs with supination of forearm and gripping motions. May have
weakness in hand or wrist, numbness or tingling in ring/little fingers. overuse injury of
the wrist flexor muscles.
Most common bacteria with OM - CORRECT ANSWER Strep Pneumoniae
First line treatment for OM - CORRECT ANSWER Augmentin
OM with effusion - CORRECT ANSWER Presence of fluid in the middle ear
without s/s of acute infection. As fluid builds up in the middle ear and eustachian tube it
places pressure on the tympanic membrane.
Cholesteatoma - CORRECT ANSWER Abnormal skin growth or skin cyst trapped
behind the eardrum or the bone behind the ear.
Cholesteatoma symptoms - CORRECT ANSWER Hearing loss, foul smelling
drainage, recurrent ear infections, ear fullness, dizziness, facial weakness on the side of
the infection, earache/pain.
Treatment for Choleseatoma - CORRECT ANSWER ENT referral, may need
surgery. CT/MRI if extracranial complications suspected. Culture and then IV antibiotics.
Ramsay Hunt Syndrome - CORRECT ANSWER Herpes zoster oticus.
Characterized by hearing loss, pain, and vesicles in the ear or mouth along with
ipsilateral facial palsy. Can be accompanied with vertigo and tinnitus.
Necrotizing Otitis Externa - CORRECT ANSWER Otitis externa that spreads To
stylomastoid and jugular foramina. Can spread to osteomyelitis of the temporal bone.
Which nerves can be affected by NOE - CORRECT ANSWER Facial (7)
Glossopharyngeal (9)
2
Vagus (10)
Page
Accessory (11)
2026 Graded A+ EXAM
