NR 511 CEA Clinical Evaluation and Assessment Exam Review
2026: Comprehensive Study Guide with 300 Practice Questions and
Verified Correct Answers for Differential Diagnosis and Primary
Care Practicum
Your 22 year old male patient states during his review of systems thathis scrotum
is very enlarged and feels like it is full a powerlifter and works as a trash collector.
You suspect the patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - Answer - A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults
when positioned in the supine or left lateral decubitus position. Which one of the
following locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - Answer - B -Left 5th
intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and physical.
Upon your initial assessment, you notice she has severe exophthalmos as pictured
below. Which one of the following diagnoses below would be the highest on your
differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
,D -Myexedma - Answer - B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology
and has underwent a pulmonary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been asked to explain the findings
of the PFT to the patient in afollow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in more useful terms, you
state that the large inspiration of air to the furthest extent they could reasonably
accomplish followed by a full exhalation is referred to as which of the following
measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - Answer - D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - Answer - B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2
should include which of the following while evaluating for end organ dysfunction
of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
,D -All of these are appropriate options - Answer - D -All of these are appropriate
options
During your visit with a 19 year old patient for a college health physical, your
health history includes a diagnosis of angioedema. What of the following parts of
the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - Answer - D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - Answer - A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - Answer - A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient
, will benefit from treating their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - Answer - B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient 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 the evaluation of early renal dysfunction secondary to
diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium - Answer - B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the poster left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. - Answer - B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative follow-up with primary care. On
assessment, the patient complains of some incisional pain and otherwise
2026: Comprehensive Study Guide with 300 Practice Questions and
Verified Correct Answers for Differential Diagnosis and Primary
Care Practicum
Your 22 year old male patient states during his review of systems thathis scrotum
is very enlarged and feels like it is full a powerlifter and works as a trash collector.
You suspect the patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele - Answer - A -Varicocele
The point of maximum impulse (PMI) is MOST often palpable in healthy adults
when positioned in the supine or left lateral decubitus position. Which one of the
following locations is most commonly described as the PMI in a healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line - Answer - B -Left 5th
intercostal space, midclavicular line
A40 year old, female, African American patient presents for history and physical.
Upon your initial assessment, you notice she has severe exophthalmos as pictured
below. Which one of the following diagnoses below would be the highest on your
differential diagnose of this physical examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
,D -Myexedma - Answer - B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology
and has underwent a pulmonary function test (PFT) with spirometry. As the
patient's primary healthcare provider, you have been asked to explain the findings
of the PFT to the patient in afollow-up visit at which time the patient asks what the
study was evaluating. To describe the PFT to the patient in more useful terms, you
state that the large inspiration of air to the furthest extent they could reasonably
accomplish followed by a full exhalation is referred to as which of the following
measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity - Answer - D -Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might
you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face - Answer - B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2
should include which of the following while evaluating for end organ dysfunction
of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
,D -All of these are appropriate options - Answer - D -All of these are appropriate
options
During your visit with a 19 year old patient for a college health physical, your
health history includes a diagnosis of angioedema. What of the following parts of
the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips - Answer - D -Face and Lips
Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - Answer - A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm - Answer - A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient
, will benefit from treating their underlying deficit of which of the following
neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - Answer - B -Serotonin
As a prudent nurse practitioner, the diabetic, hypertensive patient 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 the evaluation of early renal dysfunction secondary to
diabetes or hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium - Answer - B -Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the poster left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis. - Answer - B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative follow-up with primary care. On
assessment, the patient complains of some incisional pain and otherwise
