NR603 CEA EXAM | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE FNP
STUDY GUIDE 2026/2027
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 answer ✔✔Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - correct answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer
✔✔Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - correct answer
✔✔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 answer ✔✔The Medical Home
STUDY GUIDE 2026/2027
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 answer ✔✔Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - correct answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer ✔✔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 answer
✔✔Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - correct answer
✔✔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 answer ✔✔The Medical Home
