NR 511 FINAL EXAM 4 NEWEST

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NR 511 FINAL EXAM 4 NEWEST

VERSION DIFFERENTIAL

DIAGNOSIS & PRIMARY CARE

PRACTICUM 70 QUESTIO NS WITH

GOLDEN TIPS SOLUTION S –

CHAMBERLAIN COLLEGE OF

NURSING

Question 1: Which of the following is a sign or symptom

of cauda equina compression?

• gastrocnemius weakness
• reduced or absent ankle reflex
• numbness of the lateral foot
• paresthesia of the perineum and buttocks

CORRECT ANSWER : d. paresthesia of the perineum

and buttocks

Question 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?

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• a high mortality rate
• an increased chance of recurrence
• 7% chance of the disease becoming chronic
• all of the above

CORRECT ANSWER : a. a high mortality rate

Question 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 favorable diagnostic trend
• disease progression
• the need to be more aggressive with Reuben's

medications

• the eradication of the HIV

CORRECT ANSWER : a. a favorable diagnostic trend

Question 4: Which is the differentiating symptom

between labyrinthitis and vestibular neuritis?

• symptoms with vestibular neuritis are usually acute in

onset, whereas with labyrinthitis the onset is more gradual

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• hearing loss may be associated with vestibular neuritis,

but not with labyrinthitis

• symptoms with labyrinthitis are usually acute in onset,

whereas with vestibular neuritis the onset is more gradual

• 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

Question 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 consistent with a diagnosis of lower UTI?

• back and abdominal pain
• fever, chills, costovertebral angle (CVA) tenderness
• blood in urine and frequency
• foul-smelling discharge, perineal itch

CORRECT ANSWER : c. blood in urine and frequency

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Question 6: The differential diagnosis for vertigo can be

classified into which of the following categories?

• peripheral vestibular disease
• CNS disorders
• systemic disorders
• all of the above

CORRECT ANSWER : d. all of the above

Question 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. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?

• morning stiffness and limited mobility of the lumbar

spine

• unilateral radicular pain symptoms that extend below

the knee and are equal to or greater than the back pain