CEA Prep: Full Practice Exam
QUESTIONS AND CORRECT ANSWERS
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,A 2-day old newborn has purulent discharge of the eyes and erythema.
History includes a vaginal birth at term delivered at home. What is the
most likely culprit?
*Chlamydia trachomatis infection
*E-coli infection
*Staph infection
*Viral infection - CORRECT ANSWER- Chlamydia trachomatis
infection
Rationale: Chlamydia conjunctivitis is usually spread through direct
contact with discharge from the eyes or genital secretions of someone
infected with Chlamydia trachomatis. It can occur in newborns during
childbirth (neonatal conjunctivitis) or in adults through sexual contact
(adult inclusion conjunctivitis).
Symptoms: The symptoms can include:
Redness in the eye(s).
Watery or mucopurulent discharge (yellow or green discharge from the
eyes).
Swelling of the eyelids.
Sensitivity to light (photophobia).
Itching or burning sensation in the eyes.
A 5-year-old child presents with frequent episodes of otitis media. His
parents are concerned about his hearing and speech development.
What is the most appropriate next step in management?
*Referral to an audiologist for a hearing evaluation
*Monitoring and reassessing in 3 months
*Prescribing long-term antibiotics
*Immediate referral for tympanostomy tube placement - CORRECT
ANSWER- Referral to an audiologist for a hearing evaluation
Rationale: Otitis media can cause temporary conductive hearing loss
due to fluid buildup in the middle ear, which can affect sound
transmission to the inner ear. Chronic or recurrent infections may lead to
more persistent hearing issues. An audiologist can assess the child's
hearing sensitivity and determine if there is any hearing loss present.
The 16-year-old mother presents 1-month-old reporting that the child is
very irritable and does not feed well. Physical examination demonstrates
the child's head drops back and the child exhibits sudden flexing of the
,extremities. As the flexing stops, the child cries uncontrollably.
Funduscopic examination reveals retinal hemorrhages. Which of the
following diagnostic tests should be ordered?
*Skull X-rays
*MRI
*PET scan
*CT scan - CORRECT ANSWER- CT scan
Rationale: An urgent CT scan should be done to evaluate for intracranial
hemorrhage or hydrocephalus.
During a well-child examination of a 24 month old, premature tooth
decay and inflamed gums, particularly of the maxillary incisors, are
noted. The approach to this problem includes:
*referring the child to a dentist, assessing for bottle feeding and fluoride
in local water.
*recommending fluoride mouthwash and toothpaste, suggesting celery
sticks for snacks.
*providing fluoride treatment, teaching dental hygiene, and eating foods
high in calcium.
*teaching the mother to brush the child's teeth, encouraging vitamin
supplements. - CORRECT ANSWER- referring the child to a dentist,
assessing for bottle feeding and fluoride in local water.
Rationale: Refer to a periodontist if the child has moderate to severe
gum disease this ensures comprehensive care, including orthodontic
evaluation if misaligned teeth are contributing to gum disease.
A mother brings her 8-week-old to the clinic who has been inconsolably
crying for the last 4 days. The physical exam shows normal findings.
Which of the following diagnostic tests should the nurse practitioner
order next?
*CMP
*MRI
*Urinalysis
*Blood cultures - CORRECT ANSWER- Urinalysis
Rationale: Newborn irritability can be a sign of various underlying
conditions, including infections, metabolic disturbances, and other
medical issues. A urinalysis is a valuable diagnostic tool that can help
, identify or rule out urinary tract infections (UTIs) and other metabolic
disorders that might be contributing to the infant's symptoms.
A 5-year-old girl presents with fever, rash, hacking cough, and swollen,
tender lymph nodes. The rash started on her face and has spread to the
rest of her body. What is the most likely diagnosis?
*Chickenpox
*Measles
*Fifth disease
*Scarlet fever - CORRECT ANSWER- Measles
Rationale: Measles, also known as rubeola, is a highly contagious viral
infection caused by the measles virus. The symptoms of measles
typically appear in stages over a period of about 10-14 days after
exposure to the virus. Here are the common symptoms associated with
measles:
Initial Symptoms (Prodromal Stage):
Fever: Often high, typically begins about 10-12 days after exposure to
the virus.
Malaise: General feeling of discomfort, tiredness, and lack of well-being.
Runny Nose: Nasal congestion and discharge.
Cough: Dry, persistent cough.
Koplik Spots: These are small, white spots that may appear inside the
mouth, usually on the inner lining of the cheek. They are characteristic of
measles and may precede the rash by 1-2 days.
Rash (Exanthematous Stage):
A characteristic red or reddish-brown rash typically begins on the face
and hairline, spreading downward to the rest of the body.
The rash consists of flat, red spots that may blend together as they
spread.
It usually lasts for about 5-7 days and fades in the order it appeared,
often accompanied by fever.
A healthy unvaccinated child is exposed to Hepatitis A. The best option
for therapy is:
*zidovudine
*inactive hepatitis A vaccine
*hepatitis B vaccine
*immune globulin - CORRECT ANSWER- immune globulin
QUESTIONS AND CORRECT ANSWERS
CHECKPOINT VERIFIED
APPROVED
100% GUARANTEED PASS
,A 2-day old newborn has purulent discharge of the eyes and erythema.
History includes a vaginal birth at term delivered at home. What is the
most likely culprit?
*Chlamydia trachomatis infection
*E-coli infection
*Staph infection
*Viral infection - CORRECT ANSWER- Chlamydia trachomatis
infection
Rationale: Chlamydia conjunctivitis is usually spread through direct
contact with discharge from the eyes or genital secretions of someone
infected with Chlamydia trachomatis. It can occur in newborns during
childbirth (neonatal conjunctivitis) or in adults through sexual contact
(adult inclusion conjunctivitis).
Symptoms: The symptoms can include:
Redness in the eye(s).
Watery or mucopurulent discharge (yellow or green discharge from the
eyes).
Swelling of the eyelids.
Sensitivity to light (photophobia).
Itching or burning sensation in the eyes.
A 5-year-old child presents with frequent episodes of otitis media. His
parents are concerned about his hearing and speech development.
What is the most appropriate next step in management?
*Referral to an audiologist for a hearing evaluation
*Monitoring and reassessing in 3 months
*Prescribing long-term antibiotics
*Immediate referral for tympanostomy tube placement - CORRECT
ANSWER- Referral to an audiologist for a hearing evaluation
Rationale: Otitis media can cause temporary conductive hearing loss
due to fluid buildup in the middle ear, which can affect sound
transmission to the inner ear. Chronic or recurrent infections may lead to
more persistent hearing issues. An audiologist can assess the child's
hearing sensitivity and determine if there is any hearing loss present.
The 16-year-old mother presents 1-month-old reporting that the child is
very irritable and does not feed well. Physical examination demonstrates
the child's head drops back and the child exhibits sudden flexing of the
,extremities. As the flexing stops, the child cries uncontrollably.
Funduscopic examination reveals retinal hemorrhages. Which of the
following diagnostic tests should be ordered?
*Skull X-rays
*MRI
*PET scan
*CT scan - CORRECT ANSWER- CT scan
Rationale: An urgent CT scan should be done to evaluate for intracranial
hemorrhage or hydrocephalus.
During a well-child examination of a 24 month old, premature tooth
decay and inflamed gums, particularly of the maxillary incisors, are
noted. The approach to this problem includes:
*referring the child to a dentist, assessing for bottle feeding and fluoride
in local water.
*recommending fluoride mouthwash and toothpaste, suggesting celery
sticks for snacks.
*providing fluoride treatment, teaching dental hygiene, and eating foods
high in calcium.
*teaching the mother to brush the child's teeth, encouraging vitamin
supplements. - CORRECT ANSWER- referring the child to a dentist,
assessing for bottle feeding and fluoride in local water.
Rationale: Refer to a periodontist if the child has moderate to severe
gum disease this ensures comprehensive care, including orthodontic
evaluation if misaligned teeth are contributing to gum disease.
A mother brings her 8-week-old to the clinic who has been inconsolably
crying for the last 4 days. The physical exam shows normal findings.
Which of the following diagnostic tests should the nurse practitioner
order next?
*CMP
*MRI
*Urinalysis
*Blood cultures - CORRECT ANSWER- Urinalysis
Rationale: Newborn irritability can be a sign of various underlying
conditions, including infections, metabolic disturbances, and other
medical issues. A urinalysis is a valuable diagnostic tool that can help
, identify or rule out urinary tract infections (UTIs) and other metabolic
disorders that might be contributing to the infant's symptoms.
A 5-year-old girl presents with fever, rash, hacking cough, and swollen,
tender lymph nodes. The rash started on her face and has spread to the
rest of her body. What is the most likely diagnosis?
*Chickenpox
*Measles
*Fifth disease
*Scarlet fever - CORRECT ANSWER- Measles
Rationale: Measles, also known as rubeola, is a highly contagious viral
infection caused by the measles virus. The symptoms of measles
typically appear in stages over a period of about 10-14 days after
exposure to the virus. Here are the common symptoms associated with
measles:
Initial Symptoms (Prodromal Stage):
Fever: Often high, typically begins about 10-12 days after exposure to
the virus.
Malaise: General feeling of discomfort, tiredness, and lack of well-being.
Runny Nose: Nasal congestion and discharge.
Cough: Dry, persistent cough.
Koplik Spots: These are small, white spots that may appear inside the
mouth, usually on the inner lining of the cheek. They are characteristic of
measles and may precede the rash by 1-2 days.
Rash (Exanthematous Stage):
A characteristic red or reddish-brown rash typically begins on the face
and hairline, spreading downward to the rest of the body.
The rash consists of flat, red spots that may blend together as they
spread.
It usually lasts for about 5-7 days and fades in the order it appeared,
often accompanied by fever.
A healthy unvaccinated child is exposed to Hepatitis A. The best option
for therapy is:
*zidovudine
*inactive hepatitis A vaccine
*hepatitis B vaccine
*immune globulin - CORRECT ANSWER- immune globulin
