1|Page
CEA EXAM QUESTION BANK 2025/2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED
{300 Q & A} ALREADY GRADE A+/ CEA EXAM PREP:
FULL PRACTICE EXAM | BRAND NEW!
An adolescent male college freshman presents to the student
health office with concerns about succeeding in school. He is in
his second semester and is on academic probation because of
poor grades. He states that he has always struggled in school
but managed to graduate from high school with a 3.5 grade point
average because his parents monitored and controlled his
studying. He wonders if he has a learning disability or other
disorder. The nurse practitioner should respond by:
*acknowledging that he might have an attention disorder or
learning disability, and then refer him for an evaluation
*informing him that he might have an attention disorder or
learning disability, but is too old for any diagnosis or treatment
*calling his parents after he leaves the office to report his school
problems and recommending tutoring services - ✔✔✔ Correct Answer
> acknowledging that he might have an attention disorder or
learning disability, and then refer him for an evaluation
Rationale: While specific prevalence rates among college
students may vary, learning disorders can indeed affect
academic performance and overall well-being. Early
,2|Page
identification, appropriate accommodations, and supportive
interventions can help college students with learning disorders
navigate their academic careers successfully.
Which of the following are not associated with alcohol abuse?
*Vitamin B12 deficiency
*Macrocytic anemia
*Thiamine deficiency
*Microcytic anemia - ✔✔✔ Correct Answer > Microcytic anemia
Rationale: Vitamin B12 and thiamine are commonly low in
patients who abuse alcohol chronically. Macrocytic anemia is
also common in this population. Microcytic anemia is more
common with iron deficient states and thalassemia.
Which of the following constellations of symptoms, lasting more
than 3 months, is most common in fibromyalgia?
*Diffuse pain, sleep abnormality, fatigue
*Depression, anxiety, fatigue
*Unilateral pain, headache, anxiety
*Tinnitus, joint stiffness and swelling - ✔✔✔ Correct Answer > Diffuse
pain, sleep abnormality, fatigue
Rationale: The combination of diffuse pain, sleep abnormalities,
and fatigue is characteristic of fibromyalgia syndrome (FMS).
,3|Page
Which of the following visual defects is associated with loss of
vision of the same side of the field in both eyes?
*Acute angle glaucoma
*Homonymous hemianopsia
*Astigmatism
*Amaurosis fugax - ✔✔✔ Correct Answer > Homonymous hemianopsia
Rationale: HH is described perfectly with this example.
Amaurosis fugax is more related to sudden loss and regaining of
vision in one or both eyes related to atherosclerosis.
Astigmatism is a "flat eyeball", and acute angle glaucoma tends
to lose vision in all periphery due to pressure exerted on the eye
from loss of aqueous flow through the trabecular apparatus.
A 70-year-old man presents with acute onset of right-sided
weakness and difficulty speaking. His symptoms started 2 hours
ago. What is the most appropriate initial intervention?
*Administer intravenous tPA
*Start anticoagulation therapy
*Perform a CT scan of the head
*Administer aspirin - ✔✔✔ Correct Answer > Perform a CT scan of the
head
Rationale: A CT scan may be performed in cases of right-sided
weakness and difficulty speaking (aphasia) to assess for
, 4|Page
possible acute neurological conditions, such as stroke or
intracranial hemorrhage. Stroke is a leading cause of sudden
onset right-sided weakness and aphasia. A CT scan of the brain
is often the initial imaging test used to assess for acute ischemic
stroke (due to a blocked blood vessel) or hemorrhagic stroke
(due to bleeding into the brain).
A 70-year-old man presents with sudden confusion, agitation,
and hallucinations. He has a history of hypertension and
diabetes. His laboratory tests reveal hyponatremia. What is the
most likely diagnosis?
*Delirium tremens
*Stroke
*Acute renal failure
*Hyponatremic encephalopathy - ✔✔✔ Correct Answer > Hyponatremic
encephalopathy
Rationale: Hyponatremic encephalopathy manifests with
neurological symptoms such as confusion, lethargy, seizures,
and in severe cases, coma. These symptoms occur due to the
brain's inability to maintain its normal fluid balance in the
presence of low sodium levels. Both hypertension and diabetes
often require multiple medications for management. Some
medications used to treat these conditions or their complications
can contribute to electrolyte disturbances, including
hyponatremia.
CEA EXAM QUESTION BANK 2025/2026 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL ANSWERED
{300 Q & A} ALREADY GRADE A+/ CEA EXAM PREP:
FULL PRACTICE EXAM | BRAND NEW!
An adolescent male college freshman presents to the student
health office with concerns about succeeding in school. He is in
his second semester and is on academic probation because of
poor grades. He states that he has always struggled in school
but managed to graduate from high school with a 3.5 grade point
average because his parents monitored and controlled his
studying. He wonders if he has a learning disability or other
disorder. The nurse practitioner should respond by:
*acknowledging that he might have an attention disorder or
learning disability, and then refer him for an evaluation
*informing him that he might have an attention disorder or
learning disability, but is too old for any diagnosis or treatment
*calling his parents after he leaves the office to report his school
problems and recommending tutoring services - ✔✔✔ Correct Answer
> acknowledging that he might have an attention disorder or
learning disability, and then refer him for an evaluation
Rationale: While specific prevalence rates among college
students may vary, learning disorders can indeed affect
academic performance and overall well-being. Early
,2|Page
identification, appropriate accommodations, and supportive
interventions can help college students with learning disorders
navigate their academic careers successfully.
Which of the following are not associated with alcohol abuse?
*Vitamin B12 deficiency
*Macrocytic anemia
*Thiamine deficiency
*Microcytic anemia - ✔✔✔ Correct Answer > Microcytic anemia
Rationale: Vitamin B12 and thiamine are commonly low in
patients who abuse alcohol chronically. Macrocytic anemia is
also common in this population. Microcytic anemia is more
common with iron deficient states and thalassemia.
Which of the following constellations of symptoms, lasting more
than 3 months, is most common in fibromyalgia?
*Diffuse pain, sleep abnormality, fatigue
*Depression, anxiety, fatigue
*Unilateral pain, headache, anxiety
*Tinnitus, joint stiffness and swelling - ✔✔✔ Correct Answer > Diffuse
pain, sleep abnormality, fatigue
Rationale: The combination of diffuse pain, sleep abnormalities,
and fatigue is characteristic of fibromyalgia syndrome (FMS).
,3|Page
Which of the following visual defects is associated with loss of
vision of the same side of the field in both eyes?
*Acute angle glaucoma
*Homonymous hemianopsia
*Astigmatism
*Amaurosis fugax - ✔✔✔ Correct Answer > Homonymous hemianopsia
Rationale: HH is described perfectly with this example.
Amaurosis fugax is more related to sudden loss and regaining of
vision in one or both eyes related to atherosclerosis.
Astigmatism is a "flat eyeball", and acute angle glaucoma tends
to lose vision in all periphery due to pressure exerted on the eye
from loss of aqueous flow through the trabecular apparatus.
A 70-year-old man presents with acute onset of right-sided
weakness and difficulty speaking. His symptoms started 2 hours
ago. What is the most appropriate initial intervention?
*Administer intravenous tPA
*Start anticoagulation therapy
*Perform a CT scan of the head
*Administer aspirin - ✔✔✔ Correct Answer > Perform a CT scan of the
head
Rationale: A CT scan may be performed in cases of right-sided
weakness and difficulty speaking (aphasia) to assess for
, 4|Page
possible acute neurological conditions, such as stroke or
intracranial hemorrhage. Stroke is a leading cause of sudden
onset right-sided weakness and aphasia. A CT scan of the brain
is often the initial imaging test used to assess for acute ischemic
stroke (due to a blocked blood vessel) or hemorrhagic stroke
(due to bleeding into the brain).
A 70-year-old man presents with sudden confusion, agitation,
and hallucinations. He has a history of hypertension and
diabetes. His laboratory tests reveal hyponatremia. What is the
most likely diagnosis?
*Delirium tremens
*Stroke
*Acute renal failure
*Hyponatremic encephalopathy - ✔✔✔ Correct Answer > Hyponatremic
encephalopathy
Rationale: Hyponatremic encephalopathy manifests with
neurological symptoms such as confusion, lethargy, seizures,
and in severe cases, coma. These symptoms occur due to the
brain's inability to maintain its normal fluid balance in the
presence of low sodium levels. Both hypertension and diabetes
often require multiple medications for management. Some
medications used to treat these conditions or their complications
can contribute to electrolyte disturbances, including
hyponatremia.
