NR667 CEA Final exam Questions and
Answers
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? - CORRECT ANSWERS glomerulonephritis
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? - CORRECT ANSWERS urinalysis with
micro and micro albumin
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? - CORRECT ANSWERS maintain rate control and
anticoagulation prior to rhythm conversion
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? - CORRECT ANSWERS CD4 count of 500
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? - CORRECT ANSWERS Seborrheic keratosis
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? - CORRECT ANSWERS
Anasarca
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? - CORRECT ANSWERS Atelectasis
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? - CORRECT ANSWERS cold
intolerance
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? - CORRECT ANSWERS cranial nerve XII (hypoglossal nerve) lesion on the left
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? - CORRECT ANSWERS
Enterococcus
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 history which of the following agents is
considered the safest beta blocker for his CAD management? - CORRECT ANSWERS Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of hypertension,
migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish care. She was without
any medical care for a long time and being newly established to your clinic is prescribed aspirin 81 mg
daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise. After the visit she calls your office nurse and states
Answers
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? - CORRECT ANSWERS glomerulonephritis
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? - CORRECT ANSWERS urinalysis with
micro and micro albumin
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? - CORRECT ANSWERS maintain rate control and
anticoagulation prior to rhythm conversion
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? - CORRECT ANSWERS CD4 count of 500
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? - CORRECT ANSWERS Seborrheic keratosis
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? - CORRECT ANSWERS
Anasarca
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? - CORRECT ANSWERS Atelectasis
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? - CORRECT ANSWERS cold
intolerance
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? - CORRECT ANSWERS cranial nerve XII (hypoglossal nerve) lesion on the left
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? - CORRECT ANSWERS
Enterococcus
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 history which of the following agents is
considered the safest beta blocker for his CAD management? - CORRECT ANSWERS Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of hypertension,
migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish care. She was without
any medical care for a long time and being newly established to your clinic is prescribed aspirin 81 mg
daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise. After the visit she calls your office nurse and states
