NR 511 CEA EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+
Sara, a 28 year old female patient presented to your clinic with wheezing and
despite being treated with nebulized albuterol, she is not having any relief. You
believe she is experiencing status asthmaticus. As a prudent nurse practitioner,
you recall she may benefit from IM injection if which of the following agent?
A -Albuterol (Xopenex)
B -Glucagon (Glucagen)
C -Terbutaline (Bricanyl)
D -Atropine (AtroPen) - ANSWER-C -Terbutaline (Bricanyl)
Maya, your 52 year old patient is receiving education for her new mediation
regimen for her COPD. Which of the following agents should include rinsing
the mouth for risk of development of oral candidiasis (thrush)?
A -Long acting beta agonists
B -Short acting beta agonists
C -Leukotriene inhibitors
D -Inhaled corticosteroids - ANSWER-D -Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-
affirming therapy abruptly stopped their medication regimen for the last two
weeks due to insurance issues. They present to your clinic with hypotension,
pallor, and hypothermia. Assuming they are taking al of the following
,medications, which of these is most likely the culprit for these symptoms after
abrupt withdrawal.
A -Progestin (Heather)
B -Prednisone (Deltasone)
C -Abarelix (Plenaxis)
D -Spironolactone (Aldactone) - ANSWER-B -Prednisone (Deltasone)
Based on current diabetes mellitus management guidelines by
the American Academy of Family Physicians (AAFP), at which Hgb A1C
level should a second oral anti-diabetic agent be considered
if control is not successful prior?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 - ANSWER-B -Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and
during your visit, states she is concerned about her weight gain, especially with
her history of diabetes mellitus type 2 and family history of premature coronary
artery disease. Which of the following pharmacologic agents may be a
reasonable solution for her unique health concerns of weight gain as well as
diabetes mellitus control?
A -Ozempic (Semaglutide)
B -Lantus (Insulin glargine)
C -Glipizide (Glucotrol)
D -Metformin (Glucophage) - ANSWER-A -Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid
leukemia (AML). Which of the following agents would be most likely to assist
in management of her anticipated side effects of cancer treatment?
,A -Furosemide (Lasix)
B -Allopurinol (Zyloprim)
C -N-acetylcystiene (NAC)
D -Colchicine (Colcrys) - ANSWER-B -Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for
evaluation of abdominal pain. She has a history of Crohn's disease with parital
small bowel resection which has been managed well on natalizumab (Tysabri),
a monoclonal antibody. Her abdomen is distended, tender, and she describes
frequent bloody stools. Based on her current presentation, what medication
decisions are most appropriate at this time?
A -Stop natalizumab (Tysabri) as it is not safe during flares
B -Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
C -Add adalimumab (Humira) to her natalizumab (Tysabri))
D -No change is needed, continue on current dosing of natalizumab (Tysabri) -
ANSWER-B -Initiate prednisone (Deltasone) and maintain dosing of
natalizumab (Tysabri)
Your patient has just been diagnosed with Hepatitis A. Which of the following
immunoglobulin are first to be elevated in the serum?
A -IgD
B -IgG
C -IgA
D -IgM - ANSWER-D -IgM
Your patient had a history of Hepatitis A approximately one year ago. Which of
the following immunoglobulin is most likely to be elevated at this time?
A -IgD
B -IgA
C -IgG
, D -IgM - ANSWER-C -IgG
Your 32 year old female patient presents with a suspected diagnosis of systemic
lupus erythematous (SLE). Which of the useful labs in making the diagnosis of
SLE?
A -Gel electrophoresis
B -Antinuclear antibody
C -Rheumatoid factor lab
D -Spectrophotometric assay - ANSWER-B -Antinuclear antibody
Which one of the following sweat glands concentrated in the palms of the hands
and soles of the feet and is involved in temperature regulation?
A -Sebaceous
B -Apocrine
C -Eccrine
D -Epidermis - ANSWER-C -Eccrine
Your 53 year old female patient with pale skin and easy freckling presents for a
skin survey due to their family history of skin cancer. When screening for
melanoma, which one of the following findings would be considered a
suspicious feature of a mole characteristic of a possible melanoma?
A -Regular border
B -Diameter of 0.3 cm
C -Dual color, particularly white-reddish or blue-black
D -Symmetry of the lesion, mirror-like image when divided in half - ANSWER-
C -Dual color, particularly white-reddish or blue-black
On examination, Kim, your 68 year old female patient has the following facial
muscle movements: Normal upper and lower on the rightside, Unable to move
both the upper and lower muscles on the left side. You would immediately
suspect which one of the following conditions?
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+
Sara, a 28 year old female patient presented to your clinic with wheezing and
despite being treated with nebulized albuterol, she is not having any relief. You
believe she is experiencing status asthmaticus. As a prudent nurse practitioner,
you recall she may benefit from IM injection if which of the following agent?
A -Albuterol (Xopenex)
B -Glucagon (Glucagen)
C -Terbutaline (Bricanyl)
D -Atropine (AtroPen) - ANSWER-C -Terbutaline (Bricanyl)
Maya, your 52 year old patient is receiving education for her new mediation
regimen for her COPD. Which of the following agents should include rinsing
the mouth for risk of development of oral candidiasis (thrush)?
A -Long acting beta agonists
B -Short acting beta agonists
C -Leukotriene inhibitors
D -Inhaled corticosteroids - ANSWER-D -Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-
affirming therapy abruptly stopped their medication regimen for the last two
weeks due to insurance issues. They present to your clinic with hypotension,
pallor, and hypothermia. Assuming they are taking al of the following
,medications, which of these is most likely the culprit for these symptoms after
abrupt withdrawal.
A -Progestin (Heather)
B -Prednisone (Deltasone)
C -Abarelix (Plenaxis)
D -Spironolactone (Aldactone) - ANSWER-B -Prednisone (Deltasone)
Based on current diabetes mellitus management guidelines by
the American Academy of Family Physicians (AAFP), at which Hgb A1C
level should a second oral anti-diabetic agent be considered
if control is not successful prior?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 - ANSWER-B -Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and
during your visit, states she is concerned about her weight gain, especially with
her history of diabetes mellitus type 2 and family history of premature coronary
artery disease. Which of the following pharmacologic agents may be a
reasonable solution for her unique health concerns of weight gain as well as
diabetes mellitus control?
A -Ozempic (Semaglutide)
B -Lantus (Insulin glargine)
C -Glipizide (Glucotrol)
D -Metformin (Glucophage) - ANSWER-A -Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid
leukemia (AML). Which of the following agents would be most likely to assist
in management of her anticipated side effects of cancer treatment?
,A -Furosemide (Lasix)
B -Allopurinol (Zyloprim)
C -N-acetylcystiene (NAC)
D -Colchicine (Colcrys) - ANSWER-B -Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for
evaluation of abdominal pain. She has a history of Crohn's disease with parital
small bowel resection which has been managed well on natalizumab (Tysabri),
a monoclonal antibody. Her abdomen is distended, tender, and she describes
frequent bloody stools. Based on her current presentation, what medication
decisions are most appropriate at this time?
A -Stop natalizumab (Tysabri) as it is not safe during flares
B -Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
C -Add adalimumab (Humira) to her natalizumab (Tysabri))
D -No change is needed, continue on current dosing of natalizumab (Tysabri) -
ANSWER-B -Initiate prednisone (Deltasone) and maintain dosing of
natalizumab (Tysabri)
Your patient has just been diagnosed with Hepatitis A. Which of the following
immunoglobulin are first to be elevated in the serum?
A -IgD
B -IgG
C -IgA
D -IgM - ANSWER-D -IgM
Your patient had a history of Hepatitis A approximately one year ago. Which of
the following immunoglobulin is most likely to be elevated at this time?
A -IgD
B -IgA
C -IgG
, D -IgM - ANSWER-C -IgG
Your 32 year old female patient presents with a suspected diagnosis of systemic
lupus erythematous (SLE). Which of the useful labs in making the diagnosis of
SLE?
A -Gel electrophoresis
B -Antinuclear antibody
C -Rheumatoid factor lab
D -Spectrophotometric assay - ANSWER-B -Antinuclear antibody
Which one of the following sweat glands concentrated in the palms of the hands
and soles of the feet and is involved in temperature regulation?
A -Sebaceous
B -Apocrine
C -Eccrine
D -Epidermis - ANSWER-C -Eccrine
Your 53 year old female patient with pale skin and easy freckling presents for a
skin survey due to their family history of skin cancer. When screening for
melanoma, which one of the following findings would be considered a
suspicious feature of a mole characteristic of a possible melanoma?
A -Regular border
B -Diameter of 0.3 cm
C -Dual color, particularly white-reddish or blue-black
D -Symmetry of the lesion, mirror-like image when divided in half - ANSWER-
C -Dual color, particularly white-reddish or blue-black
On examination, Kim, your 68 year old female patient has the following facial
muscle movements: Normal upper and lower on the rightside, Unable to move
both the upper and lower muscles on the left side. You would immediately
suspect which one of the following conditions?
