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NR667- CEA FNP: 2025/ 2026 Update
Exam
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
pg. 1
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Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
pg. 2
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A 35-year-old woman presents with allergic rhinitis, experiencing significant
nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter
antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
pg. 3
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A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and
fevers. He has a history of rectal adenocarcinoma and completed
concurrent chemotherapy/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?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his
oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
pg. 4
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NR667- CEA FNP: 2025/ 2026 Update
Exam
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
pg. 1
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
pg. 2
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
A 35-year-old woman presents with allergic rhinitis, experiencing significant
nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter
antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
A patient currently undergoing concurrent chemotherapy/radiation
treatment for glottic squamous cell carcinoma is admitted to the rehab unit
you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8.
Which of the following conditions is this patient at risk for?
pg. 3
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, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and
fevers. He has a history of rectal adenocarcinoma and completed
concurrent chemotherapy/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?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his
oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
pg. 4
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