NR603 CEA Exam Actual Exam Questions and
Answers| Latest Update
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?
Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what?
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?
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?
Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing
which of the following conditions?
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?
Hospitalization for IV fluids and opioids
Which medication class is the foundation of the care of heart failure and has
been shown to reduce mortality?
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:
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?
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?
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?
Cerebrospinal fluid leak
Answers| Latest Update
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?
Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what?
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?
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?
Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing
which of the following conditions?
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?
Hospitalization for IV fluids and opioids
Which medication class is the foundation of the care of heart failure and has
been shown to reduce mortality?
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:
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?
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?
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?
Cerebrospinal fluid leak
