Page 1 of 64
NR667 CEA Final exam LATEST 2026-2027
COMPLETE 400 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: 1. 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? -
ANSWER-maintain rate control and anticoagulation prior to rhythm conversion
Q; 2. 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? - ANSWER-
glomerulonephritis
QUESTION: 3. 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
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hypertension. Which of the following assessment tools should the nurse practitioner order first
for evaluation of early renal dysfunction secondary to diabetes or hypertension? - ANSWER-
urinalysis with micro and micro albumin
QUESTION: 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? - ANSWER-CD4 count of 500
QUESTION: 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? - ANSWER-Seborrheic keratosis
QUESTION: 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? - ANSWER-Anasarca
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QUESTION: 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? - ANSWER-
Atelectasis
QUESTION: 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? - ANSWER-cold intolerance
QUESTION: 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? - ANSWER-cranial nerve XII (hypoglossal nerve) lesion on
the left
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QUESTION: 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?
- ANSWER-Enterococcus
QUESTION: 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? - ANSWER-Lopressor
QUESTION: 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? - ANSWER-Norvasc
NR667 CEA Final exam LATEST 2026-2027
COMPLETE 400 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
QUESTION: 1. 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? -
ANSWER-maintain rate control and anticoagulation prior to rhythm conversion
Q; 2. 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? - ANSWER-
glomerulonephritis
QUESTION: 3. 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
,Page 2 of 64
hypertension. Which of the following assessment tools should the nurse practitioner order first
for evaluation of early renal dysfunction secondary to diabetes or hypertension? - ANSWER-
urinalysis with micro and micro albumin
QUESTION: 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? - ANSWER-CD4 count of 500
QUESTION: 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? - ANSWER-Seborrheic keratosis
QUESTION: 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? - ANSWER-Anasarca
,Page 3 of 64
QUESTION: 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? - ANSWER-
Atelectasis
QUESTION: 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? - ANSWER-cold intolerance
QUESTION: 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? - ANSWER-cranial nerve XII (hypoglossal nerve) lesion on
the left
, Page 4 of 64
QUESTION: 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?
- ANSWER-Enterococcus
QUESTION: 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? - ANSWER-Lopressor
QUESTION: 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? - ANSWER-Norvasc
