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NR667 CEA FINAL EXAM WITH VERIFIED
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? - 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
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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
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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
NR667 CEA FINAL EXAM WITH VERIFIED
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? - 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
,2|Page
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
, 3|Page
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
