2026NR 603 CEA exam
You're a 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of worms. He is a power lifter and
works as a trash collector. You suspect that patient likely has which of the following
diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele -Answer--B. 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--C -Low body temperature
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
examination is normal, with the exception of dull percussion sounds noted on the
thorax over lung tissue. Which of the following diagnoses would be explained by this
finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease -Answer--C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right
upper quadrant pain which worsens with deep breathing. The patient exhibits a
positive Murphy sign. These findings are most consistent which one of the following?
A -Appendicitis
, B -Cholecystitis
C -Crohn's flare
D -Pancreatitis -Answer--B -Cholecystitis
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines -Answer--D
-Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their
diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume -Answer--B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH -Answer--D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and
malaise. When developing a differential diagnosis for this finding, which of the
following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy -Answer--B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health exam
that they have some "weird bumps" on their vulva.She is concerned she has a
sexually transmitted infection. You notify her that condyloma are caused by exposure
to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19 -Answer--C -Human papilomavirus type 6 and 1
You're a 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of worms. He is a power lifter and
works as a trash collector. You suspect that patient likely has which of the following
diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele -Answer--B. 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--C -Low body temperature
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
examination is normal, with the exception of dull percussion sounds noted on the
thorax over lung tissue. Which of the following diagnoses would be explained by this
finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease -Answer--C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right
upper quadrant pain which worsens with deep breathing. The patient exhibits a
positive Murphy sign. These findings are most consistent which one of the following?
A -Appendicitis
, B -Cholecystitis
C -Crohn's flare
D -Pancreatitis -Answer--B -Cholecystitis
In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines -Answer--D
-Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their
diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume -Answer--B -Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH -Answer--D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and
malaise. When developing a differential diagnosis for this finding, which of the
following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy -Answer--B -Diabetes Mellitus Type 2
Your 21 year old sexually active female patient states during a routine health exam
that they have some "weird bumps" on their vulva.She is concerned she has a
sexually transmitted infection. You notify her that condyloma are caused by exposure
to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19 -Answer--C -Human papilomavirus type 6 and 1
