NR603- CEA Exam QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A 60-year-old woman with a history of hypertension and diabetes presents with progressive
fatigue and anemia. Her laboratory results show microcytic hypochromic anemia. What is the most
likely diagnosis? - CORRECT ANSWERS Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - CORRECT ANSWERS Bone
marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac work up
is negative but CBC reveals a hemoglobin of 6.5. What would indicate a potential iron deficiency
anemia? - CORRECT ANSWERS MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a
history of rectal adenocarcinoma and completed concurrent chemo/radiation earlier this year. His
CBC shows Hgb 7.5, Plt 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What
additional work up would you anticipate for this patient? - CORRECT ANSWERS Bone
marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the following
conditions? - CORRECT ANSWERS B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor deficiency. Intrinsic
factor deficiency is a result of gastric resection or IF autoantibody.
A 35-year-old man presents with recurrent episodes of severe pain in his back, chest and
extremities. He has a history of sickle cell disease. What is the most appropriate initial
management during a pain crisis? - CORRECT ANSWERS Hospitalization for IV fluids and
opioids
Which of the following medication classes is the foundation of the care of heart failure and has
been shown to reduce mortality? - CORRECT ANSWERS Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is currently
taking methotrexate and over the counter ibuprofen. Today she complains of severe stomach pain
and intense abdominal cramping. After the NP makes appropriate adjustments to the patient's
medication regimen, the patient still complains of abdominal discomfort and reports dark stools.
The practitioner suspects: - CORRECT ANSWERS Gastric ulceration
, A 43-year-old male with past medical history significant for GERD, smoking, and obesity presents to
your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings would diagnose the patient with
Barret's esophagus? - CORRECT ANSWERS Intestinal metaplasia with goblet cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative substance.
Which of the following techniques is useful to assist in removal of the agent? - CORRECT ANSWERS
Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the following
represent a potential complication of this type of fracture? - CORRECT ANSWERS
Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - CORRECT ANSWERS
Bilateral high-frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are encouraged
to use to aid in providing continuity and reduction of cost per the Affordable Care Act? - CORRECT
ANSWERS The Medical Home
Which of the following blood lead levels would likely require chelation therapy? - CORRECT
ANSWERS >100 mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia? - CORRECT ANSWERS Loss of circulating neutrophils in acute blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is 5.5 mg/dL.
The nurse practitioner would: - CORRECT ANSWERS Hold the warfarin for 1 day and
then recheck in two days
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on her face.
What is the most appropriate initial management in primary care? - CORRECT ANSWERS
Referral to rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type of
immunoglobulin? - CORRECT ANSWERS IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with "all these
medications ". Which of the following represents the most reasonable goal in the treatment of
HIV? - CORRECT ANSWERS Reducing viral load to an undetectable level
Patient with a new diagnosis of primary progressive multiple sclerosis are most likely to benefit
from treatment with which of the following agents? - CORRECT ANSWERS Rituximab
Your patient has been noticing cracking and peeling in their hands and having some vesicular rash
component. Which of the following is not likely the diagnosis? - CORRECT ANSWERS
Psoriasis
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
A 60-year-old woman with a history of hypertension and diabetes presents with progressive
fatigue and anemia. Her laboratory results show microcytic hypochromic anemia. What is the most
likely diagnosis? - CORRECT ANSWERS Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - CORRECT ANSWERS Bone
marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac work up
is negative but CBC reveals a hemoglobin of 6.5. What would indicate a potential iron deficiency
anemia? - CORRECT ANSWERS MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a
history of rectal adenocarcinoma and completed concurrent chemo/radiation earlier this year. His
CBC shows Hgb 7.5, Plt 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What
additional work up would you anticipate for this patient? - CORRECT ANSWERS Bone
marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the following
conditions? - CORRECT ANSWERS B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor deficiency. Intrinsic
factor deficiency is a result of gastric resection or IF autoantibody.
A 35-year-old man presents with recurrent episodes of severe pain in his back, chest and
extremities. He has a history of sickle cell disease. What is the most appropriate initial
management during a pain crisis? - CORRECT ANSWERS Hospitalization for IV fluids and
opioids
Which of the following medication classes is the foundation of the care of heart failure and has
been shown to reduce mortality? - CORRECT ANSWERS Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is currently
taking methotrexate and over the counter ibuprofen. Today she complains of severe stomach pain
and intense abdominal cramping. After the NP makes appropriate adjustments to the patient's
medication regimen, the patient still complains of abdominal discomfort and reports dark stools.
The practitioner suspects: - CORRECT ANSWERS Gastric ulceration
, A 43-year-old male with past medical history significant for GERD, smoking, and obesity presents to
your clinic for worsening GERD symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings would diagnose the patient with
Barret's esophagus? - CORRECT ANSWERS Intestinal metaplasia with goblet cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative substance.
Which of the following techniques is useful to assist in removal of the agent? - CORRECT ANSWERS
Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the following
represent a potential complication of this type of fracture? - CORRECT ANSWERS
Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - CORRECT ANSWERS
Bilateral high-frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are encouraged
to use to aid in providing continuity and reduction of cost per the Affordable Care Act? - CORRECT
ANSWERS The Medical Home
Which of the following blood lead levels would likely require chelation therapy? - CORRECT
ANSWERS >100 mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and resultant
neutropenia? - CORRECT ANSWERS Loss of circulating neutrophils in acute blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is 5.5 mg/dL.
The nurse practitioner would: - CORRECT ANSWERS Hold the warfarin for 1 day and
then recheck in two days
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on her face.
What is the most appropriate initial management in primary care? - CORRECT ANSWERS
Referral to rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type of
immunoglobulin? - CORRECT ANSWERS IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with "all these
medications ". Which of the following represents the most reasonable goal in the treatment of
HIV? - CORRECT ANSWERS Reducing viral load to an undetectable level
Patient with a new diagnosis of primary progressive multiple sclerosis are most likely to benefit
from treatment with which of the following agents? - CORRECT ANSWERS Rituximab
Your patient has been noticing cracking and peeling in their hands and having some vesicular rash
component. Which of the following is not likely the diagnosis? - CORRECT ANSWERS
Psoriasis
