CEA EXAM 2025 | CEA FNP TEST /NR 667 CEA EXAM WITH
150 EXAM PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS, LATEST 2025/2026 GRADED A+
1. During a post-hospital discharge visit, you notice your 71 year old female patient has been
diagnosed with a "new murmur" found by the hospitalist during their recent hospitalization for
CHF exacerbation. In evaluating the patient, during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 heart sound?
Diastole
2. 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?
left 5th ICS, MCL
3. The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess for a pulse
deficit by auscultating the patient's heart while watching the EKG rhythm. Where would the S1
heart sound correlate with the electrocardiographic waves?
Peak of the R wave
4. Michael, a 72 year old male patient who previously presented with stable cardiac-type chest
pain has underwent a stress test. He presents today to review the stress test results, which show
EKG findings of ST segment depression during the exam in leads V3 and V4 as well as some
concurrent chest discomfort. Based on these findings, which of the following are NOT priority
medical decisions? *Prescribe metoprolol (Lopressor) 12.5mg PO BID *Prescribe aspirin 81mg
PO daily *Refer to cardiology for angiography • Check for thyroid dysfunction
Check for thyroid dysfunction
5. Your newly established patient states in the past year, they have progressively developed a
noticeable bump on their neck and when asked about symptoms, they report feeling very
anxious, have developed a tremor, and are commonly feeling palpitations in their chest.On
examination, you identify an enlarged thyroid gland suspicious for a goiter. Of the following
diagnoses, which is most likely for the patient to develop based on these findings above?-
thyrotoxicosis
1|DynamicNurse
,6. Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
Low body temperature
7. Your patient with a diagnosis of autoimmune hepatitis is beingseen in your clinic for routine
liver serology and follow-up examination. Which of the following correctly identifies the normal
liver span when percussing the liver of a HEALTHY adult?
6-12 cm in the right midclavicular line.
8. The 19 year old male patient presents with acute symptoms of abdominal pain and a history of
intermittent heartburn and spicy food intolerance, as well as anxiety due to his college athletic
performance. You have a concern the patient may have a perforated gastric ulcer and is
experiencing peritonitis. Which of the following exam findings is NOT supportive of this
diagnosis?
Absence of pain with withdrawal of palpation.
9. Your new patient intake history of an elderly man includes a history of Ehlers-Danlos with
complications of retinal detachment treated with gas pneumopexy. In discussing this history, you
recall the transparent mass of gelatinous material where the gas pneumopexy is performed can be
found in which chamber(s) of the eye?
Anterior only
10. While assessing the patient, you covered their right eye while you covered your left eye, then
brought a set number of fingers or wiggling fingers into each quadrant of the patient's visual field
while you had them identify when they saw your fingers/movement. A normal exam would be
documented as which of the following?
Normal Confrontation
11. A patient of Mediterranean descent who presents with microcytic anemia with normal red
cell distribution width should be evaluated using gel electrophoresis to confirm which of the
following types of anemia?
Thalassemia
2|DynamicNurse
, 12. The 43 year old male patient with macrocytic anemia should be evaluated for which of the
following lab levels to help narrow down the etiology?
Vitamin B12
13. While examining a 53 year old female patient, you auscultate abnormal breath sounds over
all fields, and now assess transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?*Positive stereognosis.*Positive for egophony.*Negative for
bronchophony.*Negative for egophony
Positive for egophony
14. While assessing the 19 year old patient for a new onset cough, the nurse practitioner may
inspect, auscultate, palpate, and/or percuss.How does performing percussion of the thorax assist
the provider during the physical examination?*To assist with the confirmation of cardiac origin
of angina.*To assess for deep-seated lesion and tumors.*To assess for any pain or discomfort
prior to palpitation of the chest wall.*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
To identify if underlying tissue are air-filled, fluid-filled or consolidated
15. Your 42 year old male patient has been referred to your clinic for establishing care and on his
intake survey, you note he has documented diagnosis of interstitial lung disease. You have
decided to perform a diaphragmatic excursion test on the patient. Which one of the following
results would you expect to see in this patient?
Approximately equal level of change in the descent of the diaphragm bilaterally during
maximal inspiration and expiration. with a decreased overall inspiratory capacity
16. Your 50 year old Caucasian male patient has not seen a primary care giver in 20+ years and
is here for a history and physical examination. While examining the head and face, you see your
patient has nonpitting periorbital edema, particularly underneath their eyes and very dry, thinned
hair, including the lateral third of eyebrows (as pictured below Sparse hairline, thin lateral
eyebrows, Periobital edema). Which one of the folowing would you expect to cause this finding?
Severe hypothyroidism
3|DynamicNurse
150 EXAM PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS, LATEST 2025/2026 GRADED A+
1. During a post-hospital discharge visit, you notice your 71 year old female patient has been
diagnosed with a "new murmur" found by the hospitalist during their recent hospitalization for
CHF exacerbation. In evaluating the patient, during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 heart sound?
Diastole
2. 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?
left 5th ICS, MCL
3. The nurse practitioner assessing the patient with a rapid cardiac rhythm may assess for a pulse
deficit by auscultating the patient's heart while watching the EKG rhythm. Where would the S1
heart sound correlate with the electrocardiographic waves?
Peak of the R wave
4. Michael, a 72 year old male patient who previously presented with stable cardiac-type chest
pain has underwent a stress test. He presents today to review the stress test results, which show
EKG findings of ST segment depression during the exam in leads V3 and V4 as well as some
concurrent chest discomfort. Based on these findings, which of the following are NOT priority
medical decisions? *Prescribe metoprolol (Lopressor) 12.5mg PO BID *Prescribe aspirin 81mg
PO daily *Refer to cardiology for angiography • Check for thyroid dysfunction
Check for thyroid dysfunction
5. Your newly established patient states in the past year, they have progressively developed a
noticeable bump on their neck and when asked about symptoms, they report feeling very
anxious, have developed a tremor, and are commonly feeling palpitations in their chest.On
examination, you identify an enlarged thyroid gland suspicious for a goiter. Of the following
diagnoses, which is most likely for the patient to develop based on these findings above?-
thyrotoxicosis
1|DynamicNurse
,6. Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during examination?
Low body temperature
7. Your patient with a diagnosis of autoimmune hepatitis is beingseen in your clinic for routine
liver serology and follow-up examination. Which of the following correctly identifies the normal
liver span when percussing the liver of a HEALTHY adult?
6-12 cm in the right midclavicular line.
8. The 19 year old male patient presents with acute symptoms of abdominal pain and a history of
intermittent heartburn and spicy food intolerance, as well as anxiety due to his college athletic
performance. You have a concern the patient may have a perforated gastric ulcer and is
experiencing peritonitis. Which of the following exam findings is NOT supportive of this
diagnosis?
Absence of pain with withdrawal of palpation.
9. Your new patient intake history of an elderly man includes a history of Ehlers-Danlos with
complications of retinal detachment treated with gas pneumopexy. In discussing this history, you
recall the transparent mass of gelatinous material where the gas pneumopexy is performed can be
found in which chamber(s) of the eye?
Anterior only
10. While assessing the patient, you covered their right eye while you covered your left eye, then
brought a set number of fingers or wiggling fingers into each quadrant of the patient's visual field
while you had them identify when they saw your fingers/movement. A normal exam would be
documented as which of the following?
Normal Confrontation
11. A patient of Mediterranean descent who presents with microcytic anemia with normal red
cell distribution width should be evaluated using gel electrophoresis to confirm which of the
following types of anemia?
Thalassemia
2|DynamicNurse
, 12. The 43 year old male patient with macrocytic anemia should be evaluated for which of the
following lab levels to help narrow down the etiology?
Vitamin B12
13. While examining a 53 year old female patient, you auscultate abnormal breath sounds over
all fields, and now assess transmission of voice sounds by having the patient say "ee" while
auscultating the chest with the diaphragm of your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?*Positive stereognosis.*Positive for egophony.*Negative for
bronchophony.*Negative for egophony
Positive for egophony
14. While assessing the 19 year old patient for a new onset cough, the nurse practitioner may
inspect, auscultate, palpate, and/or percuss.How does performing percussion of the thorax assist
the provider during the physical examination?*To assist with the confirmation of cardiac origin
of angina.*To assess for deep-seated lesion and tumors.*To assess for any pain or discomfort
prior to palpitation of the chest wall.*To identify if underlying tissue are air-filled, fluid-filled or
consolidated
To identify if underlying tissue are air-filled, fluid-filled or consolidated
15. Your 42 year old male patient has been referred to your clinic for establishing care and on his
intake survey, you note he has documented diagnosis of interstitial lung disease. You have
decided to perform a diaphragmatic excursion test on the patient. Which one of the following
results would you expect to see in this patient?
Approximately equal level of change in the descent of the diaphragm bilaterally during
maximal inspiration and expiration. with a decreased overall inspiratory capacity
16. Your 50 year old Caucasian male patient has not seen a primary care giver in 20+ years and
is here for a history and physical examination. While examining the head and face, you see your
patient has nonpitting periorbital edema, particularly underneath their eyes and very dry, thinned
hair, including the lateral third of eyebrows (as pictured below Sparse hairline, thin lateral
eyebrows, Periobital edema). Which one of the folowing would you expect to cause this finding?
Severe hypothyroidism
3|DynamicNurse
