NR667 CEA Final Exam Questions AND Correct Answers
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? - ✔✔glomerulonephritis
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? - ✔✔Enterococcus
100. A 75-year-old male complains of sudden painless loss of
vision in one eye. Fundoscopic exam shows a pale retina with
a cherry-red spot. What is the most likely diagnosis? -
✔✔Central retinal artery occlusion
101. A 65-year-old patient presents with new onset jaw pain
while chewing and scalp tenderness. ESR is markedly
elevated. What is the most likely diagnosis? - ✔✔Temporal
arteritis
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? -
✔✔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? - ✔✔maintain rate control and anticoagulation
prior to rhythm conversion
31. Your 64-year-old female patient presents with a
complaint of severe pain in her left big toe that began acutely
this morning. It is red, warm, and very tender to touch. She
reports drinking wine with dinner last night. Based on these
findings, which of the following is the most likely diagnosis? -
✔✔Gout
32. A 40-year-old patient with hyperpigmented, velvety
patches in the axilla and neck should be evaluated for which
of the following underlying disorders? - ✔✔Diabetes mellitus
, 33. Which of the following dermatologic lesions can be
described as a small (<1 cm), circumscribed, elevated, fluid-
filled lesion? - ✔✔Vesicle
34. A patient presents with a bulls-eye lesion after a camping
trip in the Northeast United States. What is the most likely
diagnosis? - ✔✔Lyme disease
35. A patient presents with a widespread, itchy, red rash with
silvery scales over the extensor surfaces of the elbows and
knees. What is the most likely diagnosis? - ✔✔Psoriasis
36. A patient with a suspected diagnosis of basal cell
carcinoma would most likely present with which of the
following skin lesions? - ✔✔Pearly papule with rolled borders
37. Your 68-year-old male patient presents with difficulty
starting urination and a weak urinary stream. He also reports
nocturia and urgency. What is the most likely diagnosis? -
✔✔Benign prostatic hyperplasia
38. Which of the following medications is most appropriate as
initial management of benign prostatic hyperplasia? -
✔✔Tamsulosin
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? - ✔✔glomerulonephritis
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? - ✔✔Enterococcus
100. A 75-year-old male complains of sudden painless loss of
vision in one eye. Fundoscopic exam shows a pale retina with
a cherry-red spot. What is the most likely diagnosis? -
✔✔Central retinal artery occlusion
101. A 65-year-old patient presents with new onset jaw pain
while chewing and scalp tenderness. ESR is markedly
elevated. What is the most likely diagnosis? - ✔✔Temporal
arteritis
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? -
✔✔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? - ✔✔maintain rate control and anticoagulation
prior to rhythm conversion
31. Your 64-year-old female patient presents with a
complaint of severe pain in her left big toe that began acutely
this morning. It is red, warm, and very tender to touch. She
reports drinking wine with dinner last night. Based on these
findings, which of the following is the most likely diagnosis? -
✔✔Gout
32. A 40-year-old patient with hyperpigmented, velvety
patches in the axilla and neck should be evaluated for which
of the following underlying disorders? - ✔✔Diabetes mellitus
, 33. Which of the following dermatologic lesions can be
described as a small (<1 cm), circumscribed, elevated, fluid-
filled lesion? - ✔✔Vesicle
34. A patient presents with a bulls-eye lesion after a camping
trip in the Northeast United States. What is the most likely
diagnosis? - ✔✔Lyme disease
35. A patient presents with a widespread, itchy, red rash with
silvery scales over the extensor surfaces of the elbows and
knees. What is the most likely diagnosis? - ✔✔Psoriasis
36. A patient with a suspected diagnosis of basal cell
carcinoma would most likely present with which of the
following skin lesions? - ✔✔Pearly papule with rolled borders
37. Your 68-year-old male patient presents with difficulty
starting urination and a weak urinary stream. He also reports
nocturia and urgency. What is the most likely diagnosis? -
✔✔Benign prostatic hyperplasia
38. Which of the following medications is most appropriate as
initial management of benign prostatic hyperplasia? -
✔✔Tamsulosin
