NR 511 CEA EXAM QUESTIONS WITH
CORRECT ANSWERS 2025/2026 A+
GRADED.
Your 22 year old male patient states during his review of systems thathis scrotum is very
enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - ANS-A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned
in the supine or left lateral decubitus position. Which one of the following locations is most
commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - ANS-B -Left 5th intercostal space,
midclavicular line
A40 year old, female, African American patient presents for history and physical. Upon your
initial assessment, you notice she has severe exophthalmos as pictured below. Which one of
the following diagnoses below would be the highest on your differential diagnose of this physical
examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - ANS-B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT to the patient in afollow-up visit
at which time the patient asks what the study was evaluating. To describe the PFT to the patient
in more useful terms, you state that the large inspiration of air to the furthest extent they could
reasonably accomplish followed by a full exhalation is referred to as which of the following
measurements during the PFT?
,A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - ANS-D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - ANS-B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include
which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - ANS-D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your health history
includes a diagnosis of angioedema. What of the following parts of the body are were likely
involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - ANS-D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - ANS-A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - ANS-A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia.
Suspecting a diagnosis of clinical depression, you anticipate the patient will benefit from treating
their underlying deficit of which of the following neurotransmitters?
,A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - ANS-B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage from both diabetes and hypertension. Which of
the following assessment tools should the nurse practitioner order first for the evaluation of early
renal dysfunction secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium - ANS-B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
poster left lower lobe, have the patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. - ANS-B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy and is being
seen in your clinic for post-operative follow-up with primary care. On assessment, the patient
complains of some incisional pain and otherwise examination is normal, with the exception of
dull percussion sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease - ANS-C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper
quadrant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis - ANS-B -Cholecystitis
In educating your patient about the non-pharmacologic management of gastroesophageal reflux
disease, you include teaching to the patient that their heartburn is aggravated by al of the
following except which one?
A -Activities including lifting or bending over
, B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines - ANS-D -Gastric dumping,
or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following examination
findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume - ANS-B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse practitioner would
likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH - ANS-D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise.
When developing a differential diagnosis for this finding, which of the following is not a potential
cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy - ANS-B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health exam that they
have some "weird bumps" on their vulva.She is concerned she has a sexually transmitted
infection. You notify her that condyloma are caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19 - ANS-C -Human papilomavirus type 6 and 1
Yourpatient who has underwent a recent major medical medical procedure is at a rehabilitation
center and is having a hard time being motivated to do therapy. When you interview them as the
nurse practitioner on staff for the subacute rehab center, they appeardespondent, and are
having a hard time being wakeful during therapy sessions. They have stable vital signs,
temperature, urine output, and are not ill-appearing. As a prudent nurse practitioner, you
understand this may represent which of the following?
A -Cushing syndrome
B -Situation depression
C -Addison's disease
CORRECT ANSWERS 2025/2026 A+
GRADED.
Your 22 year old male patient states during his review of systems thathis scrotum is very
enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - ANS-A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned
in the supine or left lateral decubitus position. Which one of the following locations is most
commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - ANS-B -Left 5th intercostal space,
midclavicular line
A40 year old, female, African American patient presents for history and physical. Upon your
initial assessment, you notice she has severe exophthalmos as pictured below. Which one of
the following diagnoses below would be the highest on your differential diagnose of this physical
examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma - ANS-B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. As the patient's primary healthcare
provider, you have been asked to explain the findings of the PFT to the patient in afollow-up visit
at which time the patient asks what the study was evaluating. To describe the PFT to the patient
in more useful terms, you state that the large inspiration of air to the furthest extent they could
reasonably accomplish followed by a full exhalation is referred to as which of the following
measurements during the PFT?
,A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - ANS-D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - ANS-B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include
which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - ANS-D -All of these are appropriate options
During your visit with a 19 year old patient for a college health physical, your health history
includes a diagnosis of angioedema. What of the following parts of the body are were likely
involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - ANS-D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - ANS-A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - ANS-A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia.
Suspecting a diagnosis of clinical depression, you anticipate the patient will benefit from treating
their underlying deficit of which of the following neurotransmitters?
,A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - ANS-B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage from both diabetes and hypertension. Which of
the following assessment tools should the nurse practitioner order first for the evaluation of early
renal dysfunction secondary to diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium - ANS-B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
poster left lower lobe, have the patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. - ANS-B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy and is being
seen in your clinic for post-operative follow-up with primary care. On assessment, the patient
complains of some incisional pain and otherwise examination is normal, with the exception of
dull percussion sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease - ANS-C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper
quadrant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis - ANS-B -Cholecystitis
In educating your patient about the non-pharmacologic management of gastroesophageal reflux
disease, you include teaching to the patient that their heartburn is aggravated by al of the
following except which one?
A -Activities including lifting or bending over
, B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines - ANS-D -Gastric dumping,
or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following examination
findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume - ANS-B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse practitioner would
likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH - ANS-D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise.
When developing a differential diagnosis for this finding, which of the following is not a potential
cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy - ANS-B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health exam that they
have some "weird bumps" on their vulva.She is concerned she has a sexually transmitted
infection. You notify her that condyloma are caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19 - ANS-C -Human papilomavirus type 6 and 1
Yourpatient who has underwent a recent major medical medical procedure is at a rehabilitation
center and is having a hard time being motivated to do therapy. When you interview them as the
nurse practitioner on staff for the subacute rehab center, they appeardespondent, and are
having a hard time being wakeful during therapy sessions. They have stable vital signs,
temperature, urine output, and are not ill-appearing. As a prudent nurse practitioner, you
understand this may represent which of the following?
A -Cushing syndrome
B -Situation depression
C -Addison's disease
