1|Page
NR547 CEA exam {CHAMBERLAIN UNIVERSITY
ASSESSMENT (CEA)} | {LATEST 2026/ 2027 UPDATE}
COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
During a post-hospital discharge visit, you notice your 71 year old
female patient has been diagnosed with a "new murmur" found by the
hospitalist during their recent hospitalization for CHF exacerbation. In
evaluating the patient, during which phase of the cardiac cycle would
you anticipate auscultation of a S3 or S4 heart sound?
*Diastole
*S3 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole ......ANSWER......Diastole
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?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
pg. 1
,2|Page
*Right 2nd intercostal space, midclavicular line.
......ANSWER......Palpable at Left 5th Intercostal space, midclavicular line
The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while
watching the EKG rhythm. Where would the S1 heart sounds correlate
with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave. ......ANSWER......Peak of the R wave
Michael, a 72 year old male patient who previously presented with
stable cardiac-type chest pain has underwent a stress test. He presents
today to review the stress test results, which show EKG findings of ST
segment depression during the exam in leads V3 and V4 as well as some
concurrent chest discomfort. Based on these findings, which of the
following are NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography•
*Check for thyroid dysfunction ......ANSWER......Check for thyroid
dysfunction
pg. 2
,3|Page
While examining a 53 year old female patient, you auscultate abnormal
breath sounds over all fields, and now assess transmission of voice
sounds by having the patient say "ee" while auscultating the chest with
the diaphragm of your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a" sound. Which
one of the following will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony ......ANSWER......Positive for Egophony
While assessing the 19 year old patient for a new onset cough, the
nurse practitioner may inspect, auscultate, palpate, and/or percuss.How
does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest
wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated ......ANSWER......To identify if underlying tissue are air-
filled, fluid-filled or consolidated
pg. 3
, 4|Page
Your 42 year old male patient has been referred to your clinic for
establishing care and on his intake survey, you note he has documented
diagnosis of interstitial lung disease. You have decided to perform a
diaphragmatic excursion test on the patient. Which one of the following
results would you expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a
decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted bilaterally on
expiration, though often much less on the right side due to the location
of the heart and great vessels.
*Much greater descent of the diaphragm on the right side due to the
liver present (two-three times larger).
*Absent or no change in movement of the diaphragm noted between
full inspiration and full expiration measurement.
......ANSWER......Approximately equal level of change in the descent of
the diaphragm bilaterally during maximal inspiration and expiration,
with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary care
giver in 20+ years and is here for a history and physical examination.
While examining the head and face, you see your patient has nonpitting
periorbital edema, particularly underneath their eyes and very dry,
thinned hair, including the lateral third of eyebrows (as pictured below:
pg. 4
NR547 CEA exam {CHAMBERLAIN UNIVERSITY
ASSESSMENT (CEA)} | {LATEST 2026/ 2027 UPDATE}
COMPLETE ACTUAL AND AUTHENTIC EXAM |
BRAND NEW!
During a post-hospital discharge visit, you notice your 71 year old
female patient has been diagnosed with a "new murmur" found by the
hospitalist during their recent hospitalization for CHF exacerbation. In
evaluating the patient, during which phase of the cardiac cycle would
you anticipate auscultation of a S3 or S4 heart sound?
*Diastole
*S3 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole ......ANSWER......Diastole
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?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
pg. 1
,2|Page
*Right 2nd intercostal space, midclavicular line.
......ANSWER......Palpable at Left 5th Intercostal space, midclavicular line
The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while
watching the EKG rhythm. Where would the S1 heart sounds correlate
with the electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave. ......ANSWER......Peak of the R wave
Michael, a 72 year old male patient who previously presented with
stable cardiac-type chest pain has underwent a stress test. He presents
today to review the stress test results, which show EKG findings of ST
segment depression during the exam in leads V3 and V4 as well as some
concurrent chest discomfort. Based on these findings, which of the
following are NOT priority medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography•
*Check for thyroid dysfunction ......ANSWER......Check for thyroid
dysfunction
pg. 2
,3|Page
While examining a 53 year old female patient, you auscultate abnormal
breath sounds over all fields, and now assess transmission of voice
sounds by having the patient say "ee" while auscultating the chest with
the diaphragm of your stethoscope. Normally, you should auscultate a
muffled "e" sound, however, you hear hear a nasally "a" sound. Which
one of the following will you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony ......ANSWER......Positive for Egophony
While assessing the 19 year old patient for a new onset cough, the
nurse practitioner may inspect, auscultate, palpate, and/or percuss.How
does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest
wall.
*To identify if underlying tissue are air-filled, fluid-filled or
consolidated ......ANSWER......To identify if underlying tissue are air-
filled, fluid-filled or consolidated
pg. 3
, 4|Page
Your 42 year old male patient has been referred to your clinic for
establishing care and on his intake survey, you note he has documented
diagnosis of interstitial lung disease. You have decided to perform a
diaphragmatic excursion test on the patient. Which one of the following
results would you expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a
decreased overall inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted bilaterally on
expiration, though often much less on the right side due to the location
of the heart and great vessels.
*Much greater descent of the diaphragm on the right side due to the
liver present (two-three times larger).
*Absent or no change in movement of the diaphragm noted between
full inspiration and full expiration measurement.
......ANSWER......Approximately equal level of change in the descent of
the diaphragm bilaterally during maximal inspiration and expiration,
with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary care
giver in 20+ years and is here for a history and physical examination.
While examining the head and face, you see your patient has nonpitting
periorbital edema, particularly underneath their eyes and very dry,
thinned hair, including the lateral third of eyebrows (as pictured below:
pg. 4
