NR667 CEA FINAL EXAM PRACTICE TEST LATEST REVISED
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS 2026
GRADED A+
1. What term is used to describe severe generalized edema throughout the
body?
Edema
Ascites
Anasarca
Hydrothorax
2. What is the term used to describe the maximum amount of air a patient
can forcibly exhale after taking the deepest breath possible?
forced expiratory volume over one second
inspiratory reserve
functional reserve capacity
forced vital capacity
3. The nurse is monitoring the renal health of a client with diabetes mellitus.
What assessment is the earliest warning sign of diabetic nephropathy?
Microalbuminuria
Polyuria
Hypertension
Decreased GFR
4. A 54-year-old male presents to the ED complaining of shortness of
breath, cough, and swelling in the legs. He states he has gained 4 pounds
in the last week. His wife claims he has been complaining of the need to
urinate all the time. Assessment findings include: BP 132/89, crackles
auscultated in the left lower lobe, bounding pulse, and distended
abdomen. Which medical management is most appropriate for your
, patient?
The patient has fluid volume excess and should be put on a
diuretic (furosemide).
The patient has congestive heart failure and should be put on a
diuretic.
The patient has COPD and should be put on a bronchodilator.
The patient has fluid volume deficit and needs to be placed on
normal saline.
5. Describe the role of vitamin B12 in the context of macrocytic anemia and
why its levels are important to assess.
Vitamin B12 is necessary for calcium absorption, which is important
for overall health.
Vitamin B12 is involved in the synthesis of DNA, and its deficiency
can cause cell division issues.
Vitamin B12 is essential for red blood cell production, and low
levels can lead to macrocytic anemia.
Vitamin B12 helps in the absorption of iron, which is crucial for
hemoglobin synthesis.
6. If a patient presents with similar symptoms of non-pitting periorbital
edema and dry hair but also reports weight gain and fatigue, what
additional assessment would be most relevant to confirm a diagnosis of
severe hypothyroidism?
Electrocardiogram (ECG)
Liver function tests
Complete blood count (CBC)
Thyroid function tests (TSH and T4 levels)
,7. A 45-year-old presents to the clinic with multiple somatic complaints
including anorexia, bouts of diarrhea, fatigue, difficulty walking due to
tingling and numbness in her toes, and confusion and decreased
concentration. PE shows mild pallor, glossitis, decreased proprioception,
and vibratory sense. CBC shows a macrocytic anemia. Which of the
following labs is most important to obtain next?
Serum lead level
Ammonia
ANA
Serum B12
RBC folate
8. What type of sweat gland is primarily responsible for temperature
regulation in the palms and soles?
sebaceous
epidermis
eccrine
apocrine
9. What cardiac complication should be evaluated in a patient with a history
of aortic valve replacement who is experiencing near syncope when
standing?
Coronary artery disease progression
Hypertrophic obstructive cardiomyopathy
Tricuspid regurgitation
Bioprosthetic aortic valve stenosis
, 10. Describe the significance of the stereognosis test in clinical
assessments.
The stereognosis test measures a patient's visual acuity and
response to light.
The stereognosis test is used to determine a patient's level of
consciousness.
The stereognosis test evaluates a patient's ability to recognize
objects through tactile sensation, which can indicate
neurological function.
The stereognosis test assesses a patient's ability to distinguish
between different temperatures.
11. In a clinical scenario, if a 75-year-old patient presents with an S3 heart
sound during systole, what might this suggest about their cardiac
function?
Possible heart failure or volume overload.
Increased cardiac output.
Healthy heart valves.
Normal cardiac function.
12. Describe the role of Lovenox in the management of a patient diagnosed
with DVT who is also prescribed warfarin.
Lovenox is an alternative to warfarin and can be used alone.
Lovenox is only necessary if the patient has a history of bleeding.
Lovenox is used to treat the underlying cause of DVT.
Lovenox is used as a bridging therapy until the INR is
therapeutic with warfarin.
QUESTIONS WITH CORRECT AND VERIFIED ANSWERS 2026
GRADED A+
1. What term is used to describe severe generalized edema throughout the
body?
Edema
Ascites
Anasarca
Hydrothorax
2. What is the term used to describe the maximum amount of air a patient
can forcibly exhale after taking the deepest breath possible?
forced expiratory volume over one second
inspiratory reserve
functional reserve capacity
forced vital capacity
3. The nurse is monitoring the renal health of a client with diabetes mellitus.
What assessment is the earliest warning sign of diabetic nephropathy?
Microalbuminuria
Polyuria
Hypertension
Decreased GFR
4. A 54-year-old male presents to the ED complaining of shortness of
breath, cough, and swelling in the legs. He states he has gained 4 pounds
in the last week. His wife claims he has been complaining of the need to
urinate all the time. Assessment findings include: BP 132/89, crackles
auscultated in the left lower lobe, bounding pulse, and distended
abdomen. Which medical management is most appropriate for your
, patient?
The patient has fluid volume excess and should be put on a
diuretic (furosemide).
The patient has congestive heart failure and should be put on a
diuretic.
The patient has COPD and should be put on a bronchodilator.
The patient has fluid volume deficit and needs to be placed on
normal saline.
5. Describe the role of vitamin B12 in the context of macrocytic anemia and
why its levels are important to assess.
Vitamin B12 is necessary for calcium absorption, which is important
for overall health.
Vitamin B12 is involved in the synthesis of DNA, and its deficiency
can cause cell division issues.
Vitamin B12 is essential for red blood cell production, and low
levels can lead to macrocytic anemia.
Vitamin B12 helps in the absorption of iron, which is crucial for
hemoglobin synthesis.
6. If a patient presents with similar symptoms of non-pitting periorbital
edema and dry hair but also reports weight gain and fatigue, what
additional assessment would be most relevant to confirm a diagnosis of
severe hypothyroidism?
Electrocardiogram (ECG)
Liver function tests
Complete blood count (CBC)
Thyroid function tests (TSH and T4 levels)
,7. A 45-year-old presents to the clinic with multiple somatic complaints
including anorexia, bouts of diarrhea, fatigue, difficulty walking due to
tingling and numbness in her toes, and confusion and decreased
concentration. PE shows mild pallor, glossitis, decreased proprioception,
and vibratory sense. CBC shows a macrocytic anemia. Which of the
following labs is most important to obtain next?
Serum lead level
Ammonia
ANA
Serum B12
RBC folate
8. What type of sweat gland is primarily responsible for temperature
regulation in the palms and soles?
sebaceous
epidermis
eccrine
apocrine
9. What cardiac complication should be evaluated in a patient with a history
of aortic valve replacement who is experiencing near syncope when
standing?
Coronary artery disease progression
Hypertrophic obstructive cardiomyopathy
Tricuspid regurgitation
Bioprosthetic aortic valve stenosis
, 10. Describe the significance of the stereognosis test in clinical
assessments.
The stereognosis test measures a patient's visual acuity and
response to light.
The stereognosis test is used to determine a patient's level of
consciousness.
The stereognosis test evaluates a patient's ability to recognize
objects through tactile sensation, which can indicate
neurological function.
The stereognosis test assesses a patient's ability to distinguish
between different temperatures.
11. In a clinical scenario, if a 75-year-old patient presents with an S3 heart
sound during systole, what might this suggest about their cardiac
function?
Possible heart failure or volume overload.
Increased cardiac output.
Healthy heart valves.
Normal cardiac function.
12. Describe the role of Lovenox in the management of a patient diagnosed
with DVT who is also prescribed warfarin.
Lovenox is an alternative to warfarin and can be used alone.
Lovenox is only necessary if the patient has a history of bleeding.
Lovenox is used to treat the underlying cause of DVT.
Lovenox is used as a bridging therapy until the INR is
therapeutic with warfarin.
