NR547 CEA EXAM | PRE-CLINICAL DIAGNOSTIC
COMPREHENSIVE ASSESSMENT | 2 VERSIONS |
QUESTIONS & ANSWERS COMPLETE STUDY
GUIDE – CHAMBERLAIN UNIVERSITY | LATEST
2026/2027 | 100% VERIFIED QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
1. A nurse practitioner is assessing a patient's chest and notes the
anatomical landmarks shown in the diagram below. The angle of Louis
is located at which of the following anatomical positions?
[DIAGRAM: Anterior view of the thorax showing the sternum with the
manubriosternal junction marked. Labels indicate: A = Suprasternal notch, B
= Angle of Louis (sternal angle), C = Xiphoid process, D = Costal margin]
,A. Suprasternal notch
B. Angle of Louis (sternal angle)
C. Xiphoid process
D. Costal margin
B. Angle of Louis (sternal angle)
RATIONALE: The angle of Louis (sternal angle) is the palpable ridge at
the manubriosternal junction. It is a critical landmark because the second rib
attaches at this level, making it the starting point for counting ribs and
intercostal spaces. It also marks the level of the carina (bifurcation of the
trachea) and the T4-T5 vertebral level.
2. A nurse practitioner is performing a cardiovascular assessment and
is locating the point of maximal impulse (PMI). Based on the diagram
below, the PMI is normally located at which position?
[DIAGRAM: Anterior view of the chest showing the heart silhouette with the
apex marked. Labels indicate: A = Aortic area (2nd ICS, right sternal border),
B = Pulmonic area (2nd ICS, left sternal border), C = Tricuspid area (4th ICS,
left sternal border), D = Mitral area/PMI (5th ICS, left midclavicular line)]
A. Aortic area (2nd ICS, right sternal border)
B. Pulmonic area (2nd ICS, left sternal border)
,C. Tricuspid area (4th ICS, left sternal border)
D. Mitral area/PMI (5th ICS, left midclavicular line)
D. Mitral area/PMI (5th ICS, left midclavicular line)
RATIONALE: The point of maximal impulse (PMI) is the location where
the apical pulse is best felt or heard. In most adults, it is located at the fifth
intercostal space at the left midclavicular line, which corresponds to the
mitral valve area. The aortic area (A) is at the second intercostal space, right
sternal border.
3. A nurse practitioner is assessing a patient with suspected
hepatomegaly. Based on the diagram below showing abdominal
quadrants, in which quadrant is the liver primarily located?
[DIAGRAM: Abdomen divided into four quadrants labeled RUQ (Right Upper
Quadrant), LUQ (Left Upper Quadrant), RLQ (Right Lower Quadrant), and
LLQ (Left Lower Quadrant). The liver is outlined primarily in the RUQ
extending across the midline.]
A. Right Upper Quadrant (RUQ)
B. Left Upper Quadrant (LUQ)
, C. Right Lower Quadrant (RLQ)
D. Left Lower Quadrant (LLQ)
A. Right Upper Quadrant (RUQ)
RATIONALE: The liver is primarily located in the Right Upper Quadrant
(RUQ) of the abdomen, extending from the right costal margin to the
epigastric region. The spleen is in the LUQ, the appendix is in the RLQ, and
the sigmoid colon is in the LLQ.
4. A nurse practitioner is performing an otoscopic examination. Based
on the diagram below showing the tympanic membrane, which
structure is identified by the arrow?
[DIAGRAM: Otoscopic view of the tympanic membrane showing: A = Pars
flaccida, B = Umbo (tip of malleus), C = Cone of light (reflected from
otoscope), D = Annulus (fibrous ring)]
A. Pars flaccida
B. Umbo (tip of malleus)
C. Cone of light
D. Annulus
COMPREHENSIVE ASSESSMENT | 2 VERSIONS |
QUESTIONS & ANSWERS COMPLETE STUDY
GUIDE – CHAMBERLAIN UNIVERSITY | LATEST
2026/2027 | 100% VERIFIED QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD
PDF.
1. A nurse practitioner is assessing a patient's chest and notes the
anatomical landmarks shown in the diagram below. The angle of Louis
is located at which of the following anatomical positions?
[DIAGRAM: Anterior view of the thorax showing the sternum with the
manubriosternal junction marked. Labels indicate: A = Suprasternal notch, B
= Angle of Louis (sternal angle), C = Xiphoid process, D = Costal margin]
,A. Suprasternal notch
B. Angle of Louis (sternal angle)
C. Xiphoid process
D. Costal margin
B. Angle of Louis (sternal angle)
RATIONALE: The angle of Louis (sternal angle) is the palpable ridge at
the manubriosternal junction. It is a critical landmark because the second rib
attaches at this level, making it the starting point for counting ribs and
intercostal spaces. It also marks the level of the carina (bifurcation of the
trachea) and the T4-T5 vertebral level.
2. A nurse practitioner is performing a cardiovascular assessment and
is locating the point of maximal impulse (PMI). Based on the diagram
below, the PMI is normally located at which position?
[DIAGRAM: Anterior view of the chest showing the heart silhouette with the
apex marked. Labels indicate: A = Aortic area (2nd ICS, right sternal border),
B = Pulmonic area (2nd ICS, left sternal border), C = Tricuspid area (4th ICS,
left sternal border), D = Mitral area/PMI (5th ICS, left midclavicular line)]
A. Aortic area (2nd ICS, right sternal border)
B. Pulmonic area (2nd ICS, left sternal border)
,C. Tricuspid area (4th ICS, left sternal border)
D. Mitral area/PMI (5th ICS, left midclavicular line)
D. Mitral area/PMI (5th ICS, left midclavicular line)
RATIONALE: The point of maximal impulse (PMI) is the location where
the apical pulse is best felt or heard. In most adults, it is located at the fifth
intercostal space at the left midclavicular line, which corresponds to the
mitral valve area. The aortic area (A) is at the second intercostal space, right
sternal border.
3. A nurse practitioner is assessing a patient with suspected
hepatomegaly. Based on the diagram below showing abdominal
quadrants, in which quadrant is the liver primarily located?
[DIAGRAM: Abdomen divided into four quadrants labeled RUQ (Right Upper
Quadrant), LUQ (Left Upper Quadrant), RLQ (Right Lower Quadrant), and
LLQ (Left Lower Quadrant). The liver is outlined primarily in the RUQ
extending across the midline.]
A. Right Upper Quadrant (RUQ)
B. Left Upper Quadrant (LUQ)
, C. Right Lower Quadrant (RLQ)
D. Left Lower Quadrant (LLQ)
A. Right Upper Quadrant (RUQ)
RATIONALE: The liver is primarily located in the Right Upper Quadrant
(RUQ) of the abdomen, extending from the right costal margin to the
epigastric region. The spleen is in the LUQ, the appendix is in the RLQ, and
the sigmoid colon is in the LLQ.
4. A nurse practitioner is performing an otoscopic examination. Based
on the diagram below showing the tympanic membrane, which
structure is identified by the arrow?
[DIAGRAM: Otoscopic view of the tympanic membrane showing: A = Pars
flaccida, B = Umbo (tip of malleus), C = Cone of light (reflected from
otoscope), D = Annulus (fibrous ring)]
A. Pars flaccida
B. Umbo (tip of malleus)
C. Cone of light
D. Annulus
