NR667 CEA FINAL EXAM COMPLETE
QUESTIONS WITH VERIFIED ANSWERS
\Q\.1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and
has been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining today
of hematuria, RBC cast on urinalysis with microscopy have been identified during this visit.
Based on this finding you can make the diagnosis of which of the following? - ANSWERS✔-
glomerulonephritis
\Q\.2. As a prudent nurse practitioner, the diabetic, hypertensive patients you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension. Which
of the following assessment tools should the nurse practitioner order first for evaluation of early
renal dysfunction secondary to diabetes or hypertension? - ANSWERS✔-urinalysis with micro
and micro albumin
\Q\.3. Your patient presents with a new onset rapid heart rate that is irregularly irregular, heart
rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this has been
going on for a week or so intermittently, but for the past four days straight it hasn't stopped.
Your first priority intervention for this patient is to do which of the following? - ANSWERS✔-
maintain rate control and anticoagulation prior to rhythm conversion
\Q\.4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV would
be considered well managed when they have which of the following in addition to having
undetectable or very low viral copies? - ANSWERS✔-CD4 count of 500
\Q\.5. Your patient has expressed concern about a skin lesion which you identify as a darkened,
round, and raised lesion. This benign lesion that appears like "stuck on" to the skin. Which of
the following lesions best fits this description? - ANSWERS✔-Seborrheic keratosis
, \Q\.6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their plans.
Now they are 21 pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation, this is referred to as which of the following
conditions? - ANSWERS✔-Anasarca
\Q\.7. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the posterior left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect? - ANSWERS✔-Atelectasis
\Q\.8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you expect a patient with these findings to
present with? - ANSWERS✔-cold intolerance
\Q\.9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is the
correct diagnosis of this finding? - ANSWERS✔-cranial nerve XII (hypoglossal nerve) lesion on
the left
\Q\.10. Your 31-year-old female patient states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infection? -
ANSWERS✔-Enterococcus
\Q\.Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing after
initiation of a new medicine for his coronary artery disease management. Given his health
QUESTIONS WITH VERIFIED ANSWERS
\Q\.1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and
has been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining today
of hematuria, RBC cast on urinalysis with microscopy have been identified during this visit.
Based on this finding you can make the diagnosis of which of the following? - ANSWERS✔-
glomerulonephritis
\Q\.2. As a prudent nurse practitioner, the diabetic, hypertensive patients you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension. Which
of the following assessment tools should the nurse practitioner order first for evaluation of early
renal dysfunction secondary to diabetes or hypertension? - ANSWERS✔-urinalysis with micro
and micro albumin
\Q\.3. Your patient presents with a new onset rapid heart rate that is irregularly irregular, heart
rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this has been
going on for a week or so intermittently, but for the past four days straight it hasn't stopped.
Your first priority intervention for this patient is to do which of the following? - ANSWERS✔-
maintain rate control and anticoagulation prior to rhythm conversion
\Q\.4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV would
be considered well managed when they have which of the following in addition to having
undetectable or very low viral copies? - ANSWERS✔-CD4 count of 500
\Q\.5. Your patient has expressed concern about a skin lesion which you identify as a darkened,
round, and raised lesion. This benign lesion that appears like "stuck on" to the skin. Which of
the following lesions best fits this description? - ANSWERS✔-Seborrheic keratosis
, \Q\.6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their plans.
Now they are 21 pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation, this is referred to as which of the following
conditions? - ANSWERS✔-Anasarca
\Q\.7. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles
in the posterior left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect? - ANSWERS✔-Atelectasis
\Q\.8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you expect a patient with these findings to
present with? - ANSWERS✔-cold intolerance
\Q\.9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is the
correct diagnosis of this finding? - ANSWERS✔-cranial nerve XII (hypoglossal nerve) lesion on
the left
\Q\.10. Your 31-year-old female patient states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infection? -
ANSWERS✔-Enterococcus
\Q\.Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing after
initiation of a new medicine for his coronary artery disease management. Given his health
