CEA FNP PRACTICE TESTS EXAM QUESTIONS AND ANSWERS
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1. An otherwise healthy patient reports episodes of palpitations lasting less than
5 minutes and occurring 3-5 times daily. The patient describes a substernal
flip-flop sensation with a sudden rapid heart rate, ending with a forceful beat.
Holter monitoring would most likely document:
a. atrial flutter
b. Premature ventricular contraction (extrasystole)
c. Sinus tachycardia
d. Paroxysmal supraventricular tachycardia: d. Paroxysmal supraventricular tachycardia
2. You are the nurse practitioner caring for the patient with a diagnosis of
premature atrial contractions. Initial treatment should include which priority
intervention?
a. Palpating a radial pulse while auscultating heart tones for pulse deficits
b. Performing a comprehensive physical examination
c. Ordering a 12-lead EKG
d. Ordering 2L NC oxygen if symptomatic: d. Ordering 2L NC oxygen if symptomatic
Premature atrial contractions are both common and typically not harmful to the patient other than causing mild
symptoms such as SOB, palpitations, and anxiety. This question is asking for an intervention. Although all these
are reasonable choices in managing this patient's care, none of the options above other than applying oxygen are
interventions; rather, they are evaluations.
3. Classic findings in a patient with a pheochromocytoma include which of the
following?
a. Postural hypotension
b. Generalized anxiety
,CEA FNP PRACTICE
c. Depression
d. Paroxysmal symptoms: d. Paroxysmal symptoms
4. All the following are symptoms of hypocalcemia except:
a. Tetany
b. Paresthesia in fingers and toes
c. Abdominal pain
d. Visual field deficits: d. Visual field deficits
Visual field deficits is a potential symptom of pituitary adenoma. All other are symptoms related to hypocalcemia.
5. A 45-year-old woman presents with chronic diarrhea, weight loss, and ab-
domical pain. Endoscopy reveals villous atrophy of the small intestine. What is
the most appropriate initial management?
a. Gluten-free diet
b. High-fiber diet
c. Antibiotics
d. Lactose-free diet: a. Gluten-free diet
Villous atrophy in the small intestine supports a diagnosis of celiac disease which can be managed by avoidance of
gluten.
6. An older adult has a follow-up fasting lipid panel 6 months after making thera-
peutic lifestyle changes. LDL=205mg/dL (Normal=<100mg/dL), HDL=44mg/dL,
and triglycerides=180mg/dL (Normal-<150mg/dL). The patient is placed on
statin therapy. Two months later, the patient presents for follow-up and com-
plains of body aches. In addition to creatine phosphokinase (CPK), which of the
following tests should the nurse practitioner order?
a. Liver transaminase (AST and ALT) levels
b. creatine phosphokinase (CPK) electrophoresis
c. Serum calcium levels
d. BUN and creatinine: a. Liver transaminase (AST and ALT) levels
Due to the potential liver function test elevation found with statin use, LFTs of AST/ALT should be checked routinely after
initiation of therapy.