NR 603
CEA Exam | Family Practice Practice Questions,
Answers & Detailed Rationales | FNP Review
Resource Features
➢ NR 603 CEA practice questions
➢ Detailed answers and rationales
➢ Family Practice review
➢ Clinical case scenarios
➢ Differential-diagnosis practice
, NR 603 CEA Exam | Family Practice Practice
Questions, Answers & Detailed Rationales | FNP
Review
Question 1
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?
Options:
A) Thalassemia
B) Iron deficiency anemia
C) Anemia of chronic disease
D) Sideroblastic anemia
Correct Answer: B) Iron deficiency anemia
Rationale: Microcytic hypochromic anemia is characterized by
small (low MCV) and pale (low MCHC) red blood cells. Iron
deficiency anemia is the most common cause of this presentation,
particularly in a postmenopausal woman where gastrointestinal
,blood loss should be considered. The patient's hypertension and
diabetes are risk factors for chronic kidney disease, but microcytic
hypochromic indices point toward iron deficiency rather than
anemia of chronic disease (which is typically
normocytic/normochromic).
Question 2
Treatment for symptomatic aplastic anemia includes which of the
following?
Options:
A) Bone marrow transplant only
B) Prophylactic antibiotics only
C) PRBC/Platelet/WBC transfusions only
D) All of the above
Correct Answer: D) All of the above
Rationale: Symptomatic aplastic anemia is a life-threatening
condition characterized by pancytopenia. Treatment is
multifaceted and includes: (1) bone marrow transplantation (stem
cell transplant) for eligible patients, (2) prophylactic antibiotics to
prevent infections due to neutropenia, (3) transfusions of packed
red blood cells, platelets, and white blood cells as needed to
, manage symptomatic anemia, thrombocytopenia, and severe
neutropenia. These interventions are often used in combination
depending on the patient's clinical status and treatment plan.
Question 3
A patient presents to urgent care with SOB, fatigue, headache,
and chest pain. Cardiac workup is negative but CBC reveals a
hemoglobin of 6.5. What would indicate a potential iron
deficiency anemia?
Options:
A) MCV 90, MCHC 34
B) MCV 67, MCHC 29
C) MCV 85, MCHC 32
D) MCV 75, MCHC 36
Correct Answer: B) MCV 67, MCHC 29
Rationale: Iron deficiency anemia is characterized by microcytic
(low MCV, typically <80 fL) and hypochromic (low MCHC, typically
<32 g/dL) red blood cells. An MCV of 67 fL and MCHC of 29 g/dL
are consistent with these findings. The severe anemia (Hgb 6.5)
with microcytic hypochromic indices strongly suggests iron
CEA Exam | Family Practice Practice Questions,
Answers & Detailed Rationales | FNP Review
Resource Features
➢ NR 603 CEA practice questions
➢ Detailed answers and rationales
➢ Family Practice review
➢ Clinical case scenarios
➢ Differential-diagnosis practice
, NR 603 CEA Exam | Family Practice Practice
Questions, Answers & Detailed Rationales | FNP
Review
Question 1
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?
Options:
A) Thalassemia
B) Iron deficiency anemia
C) Anemia of chronic disease
D) Sideroblastic anemia
Correct Answer: B) Iron deficiency anemia
Rationale: Microcytic hypochromic anemia is characterized by
small (low MCV) and pale (low MCHC) red blood cells. Iron
deficiency anemia is the most common cause of this presentation,
particularly in a postmenopausal woman where gastrointestinal
,blood loss should be considered. The patient's hypertension and
diabetes are risk factors for chronic kidney disease, but microcytic
hypochromic indices point toward iron deficiency rather than
anemia of chronic disease (which is typically
normocytic/normochromic).
Question 2
Treatment for symptomatic aplastic anemia includes which of the
following?
Options:
A) Bone marrow transplant only
B) Prophylactic antibiotics only
C) PRBC/Platelet/WBC transfusions only
D) All of the above
Correct Answer: D) All of the above
Rationale: Symptomatic aplastic anemia is a life-threatening
condition characterized by pancytopenia. Treatment is
multifaceted and includes: (1) bone marrow transplantation (stem
cell transplant) for eligible patients, (2) prophylactic antibiotics to
prevent infections due to neutropenia, (3) transfusions of packed
red blood cells, platelets, and white blood cells as needed to
, manage symptomatic anemia, thrombocytopenia, and severe
neutropenia. These interventions are often used in combination
depending on the patient's clinical status and treatment plan.
Question 3
A patient presents to urgent care with SOB, fatigue, headache,
and chest pain. Cardiac workup is negative but CBC reveals a
hemoglobin of 6.5. What would indicate a potential iron
deficiency anemia?
Options:
A) MCV 90, MCHC 34
B) MCV 67, MCHC 29
C) MCV 85, MCHC 32
D) MCV 75, MCHC 36
Correct Answer: B) MCV 67, MCHC 29
Rationale: Iron deficiency anemia is characterized by microcytic
(low MCV, typically <80 fL) and hypochromic (low MCHC, typically
<32 g/dL) red blood cells. An MCV of 67 fL and MCHC of 29 g/dL
are consistent with these findings. The severe anemia (Hgb 6.5)
with microcytic hypochromic indices strongly suggests iron
