NR 667 Week 3 Full Length CEA Exam | Questions and
Answers | 2025 Update |100% Correct.
NR 667 Week 3 Full Length CEA Exam
Table of Contents
Section Topic Questions
I Advanced Health Assessment & Clinical Reasoning 1–15
II Cardiovascular Disorders 16–30
III Respiratory & Pulmonary 31–45
IV Endocrine & Metabolic 46–60
V Hematology & Oncology 61–75
VI Dermatology & Musculoskeletal 76–90
VII Renal & Genitourinary 91–105
VIII Neurologic & Special Senses 106–120
IX Professional Practice, Ethics & Clinical Decision-Making 121–135
X High-Yield Integration & Prioritization 136–150
— Complete Answer Key —
,Section Topic Questions
— High-Yield Review —
Section I: Advanced Health Assessment & Clinical Reasoning
Questions 1–15
Question 1
A nurse practitioner is preparing to administer a medication and reviews the patient's chart for
drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are
reflective of which step of the Clinical Judgment Measurement Model (NCJMM)?
A) Recognize Cues (Assessment)
B) Analyze Cues & Prioritize Hypotheses (Analysis)
C) Generate Solutions (Planning)
D) Take Action (Implementation)
Correct Answer: A) Recognize Cues (Assessment)
Rationale: Recognizing cues (assessment) involves gathering subjective and objective
information about the patient and the medication. Laboratory values from the patient's chart
are considered collection of objective data. This is the foundational first step of the nursing
process and clinical judgment .
Question 2
All of the following would be considered subjective data, EXCEPT:
A) Patient-reported health history
B) Patient-reported signs and symptoms of their illness
C) Financial barriers reported by the patient's caregiver
D) Vital signs obtained from the medical record
Correct Answer: D) Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members communicate to
the nurse. Patient-reported health history, signs and symptoms, and caregiver-reported barriers
are subjective. Vital signs obtained from the medical record are objective data .
,Question 3
The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
A) Assessment
B) Patient problem
C) Planning
D) Right drug
Correct Answer: D) Right drug
Rationale: The nursing process consists of five steps: assessment, patient problem
(diagnosis), planning, implementation, and evaluation. "Right drug" is one of the "Six Rights" of
medication administration, not a step in the nursing process .
Question 4
A nurse is caring for a patient who is receiving a newly prescribed medication. Which action best
demonstrates the evaluation phase of the nursing process?
A) Asking the patient about their medication history
B) Setting a goal to reduce pain to 3/10 within 1 hour
C) Administering the medication via the prescribed route
D) Assessing the patient's response 30 minutes after administration
Correct Answer: D) Assessing the patient's response 30 minutes after administration
Rationale: Evaluation involves assessing the patient's response to the medication and
determining if goals have been met. Asking about history is assessment, setting goals is
planning, and administering is implementation .
Question 5
A patient is receiving a drug that is known to be highly protein-bound. Which finding would the
nurse expect if the patient has low serum albumin levels?
A) Reduced drug effect
B) Increased risk of drug toxicity
C) Decreased drug absorption
D) Faster drug excretion
, Correct Answer: B) Increased risk of drug toxicity
Rationale: Low serum albumin levels mean fewer protein-binding sites are available for
the drug. This results in more unbound (free) drug circulating, which can lead to increased
pharmacologic effect and risk of toxicity .
Question 6
A patient is prescribed a medication that undergoes extensive first-pass metabolism. The nurse
anticipates that the prescriber will:
A) Increase the oral dose
B) Administer the drug via the IV route
C) Decrease the oral dose
D) Administer the drug with food
Correct Answer: B) Administer the drug via the IV route
Rationale: First-pass metabolism refers to the extensive metabolism of a drug by the
liver before it reaches systemic circulation. Administering the drug via the IV route bypasses
first-pass metabolism, allowing more drug to reach systemic circulation .
Question 7
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 a nasally "a" sound. Which one of the following will you
document is present?
A) Positive stereognosis
B) Positive for egophony
C) Negative for bronchophony
D) Positive for tactile fremitus
Correct Answer: B) Positive for egophony
Rationale: Egophony is present when the patient says "ee" and you hear a nasal "a"
sound. This indicates increased transmission of voice sounds, often due to consolidation (e.g.,
pneumonia) .
Answers | 2025 Update |100% Correct.
NR 667 Week 3 Full Length CEA Exam
Table of Contents
Section Topic Questions
I Advanced Health Assessment & Clinical Reasoning 1–15
II Cardiovascular Disorders 16–30
III Respiratory & Pulmonary 31–45
IV Endocrine & Metabolic 46–60
V Hematology & Oncology 61–75
VI Dermatology & Musculoskeletal 76–90
VII Renal & Genitourinary 91–105
VIII Neurologic & Special Senses 106–120
IX Professional Practice, Ethics & Clinical Decision-Making 121–135
X High-Yield Integration & Prioritization 136–150
— Complete Answer Key —
,Section Topic Questions
— High-Yield Review —
Section I: Advanced Health Assessment & Clinical Reasoning
Questions 1–15
Question 1
A nurse practitioner is preparing to administer a medication and reviews the patient's chart for
drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse's actions are
reflective of which step of the Clinical Judgment Measurement Model (NCJMM)?
A) Recognize Cues (Assessment)
B) Analyze Cues & Prioritize Hypotheses (Analysis)
C) Generate Solutions (Planning)
D) Take Action (Implementation)
Correct Answer: A) Recognize Cues (Assessment)
Rationale: Recognizing cues (assessment) involves gathering subjective and objective
information about the patient and the medication. Laboratory values from the patient's chart
are considered collection of objective data. This is the foundational first step of the nursing
process and clinical judgment .
Question 2
All of the following would be considered subjective data, EXCEPT:
A) Patient-reported health history
B) Patient-reported signs and symptoms of their illness
C) Financial barriers reported by the patient's caregiver
D) Vital signs obtained from the medical record
Correct Answer: D) Vital signs obtained from the medical record
Rationale: Subjective data is based on what patients or family members communicate to
the nurse. Patient-reported health history, signs and symptoms, and caregiver-reported barriers
are subjective. Vital signs obtained from the medical record are objective data .
,Question 3
The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
A) Assessment
B) Patient problem
C) Planning
D) Right drug
Correct Answer: D) Right drug
Rationale: The nursing process consists of five steps: assessment, patient problem
(diagnosis), planning, implementation, and evaluation. "Right drug" is one of the "Six Rights" of
medication administration, not a step in the nursing process .
Question 4
A nurse is caring for a patient who is receiving a newly prescribed medication. Which action best
demonstrates the evaluation phase of the nursing process?
A) Asking the patient about their medication history
B) Setting a goal to reduce pain to 3/10 within 1 hour
C) Administering the medication via the prescribed route
D) Assessing the patient's response 30 minutes after administration
Correct Answer: D) Assessing the patient's response 30 minutes after administration
Rationale: Evaluation involves assessing the patient's response to the medication and
determining if goals have been met. Asking about history is assessment, setting goals is
planning, and administering is implementation .
Question 5
A patient is receiving a drug that is known to be highly protein-bound. Which finding would the
nurse expect if the patient has low serum albumin levels?
A) Reduced drug effect
B) Increased risk of drug toxicity
C) Decreased drug absorption
D) Faster drug excretion
, Correct Answer: B) Increased risk of drug toxicity
Rationale: Low serum albumin levels mean fewer protein-binding sites are available for
the drug. This results in more unbound (free) drug circulating, which can lead to increased
pharmacologic effect and risk of toxicity .
Question 6
A patient is prescribed a medication that undergoes extensive first-pass metabolism. The nurse
anticipates that the prescriber will:
A) Increase the oral dose
B) Administer the drug via the IV route
C) Decrease the oral dose
D) Administer the drug with food
Correct Answer: B) Administer the drug via the IV route
Rationale: First-pass metabolism refers to the extensive metabolism of a drug by the
liver before it reaches systemic circulation. Administering the drug via the IV route bypasses
first-pass metabolism, allowing more drug to reach systemic circulation .
Question 7
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 a nasally "a" sound. Which one of the following will you
document is present?
A) Positive stereognosis
B) Positive for egophony
C) Negative for bronchophony
D) Positive for tactile fremitus
Correct Answer: B) Positive for egophony
Rationale: Egophony is present when the patient says "ee" and you hear a nasal "a"
sound. This indicates increased transmission of voice sounds, often due to consolidation (e.g.,
pneumonia) .
