NR667-CEA FNP EXAM WITH
QUESTIONS AND ANSWERS LATEST
UPDATE 2025
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
D
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
C
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
B
,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
C
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
D
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
B
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
D
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
D
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
A
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
C
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
C
, 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.
D
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
D
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
B
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
QUESTIONS AND ANSWERS LATEST
UPDATE 2025
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
D
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
C
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
B
,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
C
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
D
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
B
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
D
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
D
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
A
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
C
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
C
, 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.
D
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
D
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
B
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
