NR 667 – CEA Final Exam | Clinical Evaluation & Assessment in
Advanced Practice | Chamberlain University
1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and has
been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been identified during this
visit. Based on this finding you can make the diagnosis of which of the following? - correct
answer glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early
renal dysfunction secondary to diabetes or hypertension? - correct answer urinalysis with
micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular, heart rate
100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this has been going
on for a week or so intermittently, but for the past four days straight it hasn't stopped. Your
first priority intervention for this patient is to do which of the following? - correct answer
maintain rate control and anticoagulation prior to rhythm conversion
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV would be
considered well managed when they have which of the following in addition to having
undetectable or very low viral copies? - correct answer CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you identify as a darkened,
round, and raised lesion. This benign lesion that appears like "stuck on" to the skin. Which of
the following lesions best fits this description? - correct answer Seborrheic keratosis
6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their plans.
Now they are 21 pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation, this is referred to as which of the following
conditions? - correct answer Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in
the posterior left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect? - correct answer
Atelectasis
, 8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you expect a patient with these findings to
present with? - correct answer cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick out their tongue and
notice that the tongue deviates by pointing to the left. Which one of the following is the correct
diagnosis of this finding? - correct answer cranial nerve XII (hypoglossal nerve) lesion on the
left
10. Your 31-year-old female patient states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infection? - correct
answer Enterococcus
Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing after
initiation of a new medicine for his coronary artery disease management. Given his health
history which of the following agents is considered the safest beta blocker for his CAD
management? - correct answer Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish
care. She was without any medical care for a long time and being newly established to your
clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20
mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she has been experiencing considerably
lower extremity edema and constipation since starting these medicines after your visit. Which
of the pharmacology agents she is prescribed is most likely the common cause of the side
effects? - correct answer Norvasc
Sarah, a 28-year-old female patient presented to your clinic with wheezing and despite being
treated with nebulized medication is not having any relief. You believe she is experiencing
status asthmaticus. As a prudent nurse practitioner, you recall that she may benefit from IM
injection of which of the following agents? - correct answer Terbutaline
Your 72-year-old female patient with a pertinent medical history of coronary artery bypass graft
and aortic valve replacement seven years ago with a porcine bioprosthetic valve has been
previously stable on their medical regimen. Today she complains of near syncope when
standing, which she states has been getting worse over the past six months but failed to tell
anyone as she felt it was just part of natural aging and taking medications. Your workup should
Advanced Practice | Chamberlain University
1. Your 18-year-old patient has recently been diagnosed with streptococcal infection and has
been successfully treated with an appropriate antimicrobial agent. They have no other
noteworthy health history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been identified during this
visit. Based on this finding you can make the diagnosis of which of the following? - correct
answer glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early
renal dysfunction secondary to diabetes or hypertension? - correct answer urinalysis with
micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular, heart rate
100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state this has been going
on for a week or so intermittently, but for the past four days straight it hasn't stopped. Your
first priority intervention for this patient is to do which of the following? - correct answer
maintain rate control and anticoagulation prior to rhythm conversion
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV would be
considered well managed when they have which of the following in addition to having
undetectable or very low viral copies? - correct answer CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you identify as a darkened,
round, and raised lesion. This benign lesion that appears like "stuck on" to the skin. Which of
the following lesions best fits this description? - correct answer Seborrheic keratosis
6. You are treating a patient who has stopped taking their diuretic regimen against medical
advice while they were on vacation since it made them urinate too frequently for their plans.
Now they are 21 pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation, this is referred to as which of the following
conditions? - correct answer Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in
the posterior left lower lobe, have the patient cough, with follow-up auscultation revealing
clear breath sounds. Which one of the following would you suspect? - correct answer
Atelectasis
, 8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney
failure, diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid
medication is not working well enough. Her most recent labs reflect her TSH is 5.9 (normal
range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you expect a patient with these findings to
present with? - correct answer cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick out their tongue and
notice that the tongue deviates by pointing to the left. Which one of the following is the correct
diagnosis of this finding? - correct answer cranial nerve XII (hypoglossal nerve) lesion on the
left
10. Your 31-year-old female patient states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infection? - correct
answer Enterococcus
Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing after
initiation of a new medicine for his coronary artery disease management. Given his health
history which of the following agents is considered the safest beta blocker for his CAD
management? - correct answer Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish
care. She was without any medical care for a long time and being newly established to your
clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20
mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she has been experiencing considerably
lower extremity edema and constipation since starting these medicines after your visit. Which
of the pharmacology agents she is prescribed is most likely the common cause of the side
effects? - correct answer Norvasc
Sarah, a 28-year-old female patient presented to your clinic with wheezing and despite being
treated with nebulized medication is not having any relief. You believe she is experiencing
status asthmaticus. As a prudent nurse practitioner, you recall that she may benefit from IM
injection of which of the following agents? - correct answer Terbutaline
Your 72-year-old female patient with a pertinent medical history of coronary artery bypass graft
and aortic valve replacement seven years ago with a porcine bioprosthetic valve has been
previously stable on their medical regimen. Today she complains of near syncope when
standing, which she states has been getting worse over the past six months but failed to tell
anyone as she felt it was just part of natural aging and taking medications. Your workup should
