NR667- CEA FNP | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: 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
Answer: D
Question: 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
Answer: C
Question: 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
Answer: B
Question: 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
Answer: C
,Question: 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. 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
Answer: D
Question: 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
Answer: B
Question: Progression to Acute Myelogenous Leukemia (AML) is a risk
for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
Answer: D
Question: Treatment for symptomatic aplastic anemia includes all the
following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer: D
,Question: A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would
likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric
bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26
y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with
menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with
ulcerative colitis
Answer: A
Question: Which of the following is not a common mechanism of
neutrophil expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular
endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Answer: C
Question: Which of the following blood lead levels (BLL) would likely
require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer: C
Question: A geriatric patient with anemia, back pain, osteoporosis, and
elevated erythrocyte sedimentation rate should be evaluated
for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.
Answer: D
Question: Overactivation of coagulation and fibrinolysis resulting in
thrombosis and hemorrhage is a trademark of which of the
following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
Answer: D
, Question: A patient on warfarin (Coumadin) therapy for recurrent deep
vein thrombosis (DVT) is about to have lumbar spinal fusion
surgery. The patient's warfarin is put on hold starting 5 days
prior to the surgery and subcutaneous enoxaparin (Lovenox)
has been ordered for DVT prophylaxis until the resumption of
the warfarin. The nurse practitioner knows that the patient's
postoperative warfarin dose should be restarted based on
the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
Answer: B
Question: Your patient presented yesterday to urgent care with
symptoms of lower extremity weakness and then went home
for observation with family. They have returned to urgent care,
and it now appears to be affecting the patient’s abdomen in
just the past few hours. What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for
airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
Answer: B
Question: Which of the following is a common symptom of Systemic
Lupus Erythematosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath
Answer: A
Question: Patients with Stevens-Johnson syndrome should be managed
by which of the following mechanisms?
A. With negative pressure isolation due to contagious nature
of SJS
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients due to risk of
hypervolemia
D. With off floor privileges to encourage mobility and
retaining muscle mass
Answer: B
Latest Update 2026/2027
Question: 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
Answer: D
Question: 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
Answer: C
Question: 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
Answer: B
Question: 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
Answer: C
,Question: 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. 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
Answer: D
Question: 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
Answer: B
Question: Progression to Acute Myelogenous Leukemia (AML) is a risk
for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
Answer: D
Question: Treatment for symptomatic aplastic anemia includes all the
following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer: D
,Question: A patient diagnosed with iron deficiency anemia requires iron
supplementation. Which of the following treatments would
likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric
bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26
y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with
menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with
ulcerative colitis
Answer: A
Question: Which of the following is not a common mechanism of
neutrophil expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular
endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Answer: C
Question: Which of the following blood lead levels (BLL) would likely
require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer: C
Question: A geriatric patient with anemia, back pain, osteoporosis, and
elevated erythrocyte sedimentation rate should be evaluated
for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.
Answer: D
Question: Overactivation of coagulation and fibrinolysis resulting in
thrombosis and hemorrhage is a trademark of which of the
following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
Answer: D
, Question: A patient on warfarin (Coumadin) therapy for recurrent deep
vein thrombosis (DVT) is about to have lumbar spinal fusion
surgery. The patient's warfarin is put on hold starting 5 days
prior to the surgery and subcutaneous enoxaparin (Lovenox)
has been ordered for DVT prophylaxis until the resumption of
the warfarin. The nurse practitioner knows that the patient's
postoperative warfarin dose should be restarted based on
the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
Answer: B
Question: Your patient presented yesterday to urgent care with
symptoms of lower extremity weakness and then went home
for observation with family. They have returned to urgent care,
and it now appears to be affecting the patient’s abdomen in
just the past few hours. What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for
airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
Answer: B
Question: Which of the following is a common symptom of Systemic
Lupus Erythematosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath
Answer: A
Question: Patients with Stevens-Johnson syndrome should be managed
by which of the following mechanisms?
A. With negative pressure isolation due to contagious nature
of SJS
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients due to risk of
hypervolemia
D. With off floor privileges to encourage mobility and
retaining muscle mass
Answer: B
