5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
NR547 CEA Exam Questions with Correct Answers
2026–2027 | Chamberlain University Advanced Physical
Assessment & Clinical Diagnostic Exam Review |
Cardiac, Respiratory, Endocrine & GI Assessment.
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
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.
*Right 2nd intercostal space, midclavicular line.
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.
1/50
,5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
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
Check for thyroid dysfunction
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
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
To identify if underlying tissue are air-filled, fluid-filled or consolidated
2/50
,5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
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.
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: Sparse hairline, thin lateral eyebrows, Periobital
edema). Which one of the folowing would you expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
severe hypothyroidism
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? (eyes bulging out of her
head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
3/50
, 5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
*hypothyroidism
*myexedma
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 a follow-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?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Forced Vital Capacity
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms, they
report feeling very anxious, have developed a tremor, and are commonly feeling
palpitations in their chest.On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most likely for the
patient to develop based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis
Thyrotoxicosis
Your 32 year old female patient presented for a routine health exam states they
have a diagnoses of hyperthyroidism by another provider a year ago. In addition
to evaluation with TSH and T4 labwork, which of the following represent typical
signs of hyperthyroidism expected on your exam of this patient?
*Hypersomnia
4/50
PM
NR547 CEA Exam Questions with Correct Answers
2026–2027 | Chamberlain University Advanced Physical
Assessment & Clinical Diagnostic Exam Review |
Cardiac, Respiratory, Endocrine & GI Assessment.
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
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.
*Right 2nd intercostal space, midclavicular line.
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.
1/50
,5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
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
Check for thyroid dysfunction
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
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
To identify if underlying tissue are air-filled, fluid-filled or consolidated
2/50
,5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
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.
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: Sparse hairline, thin lateral eyebrows, Periobital
edema). Which one of the folowing would you expect to cause this finding?
*Severe hypothyroidism
*Addison's disease
*Grave's disease
*Alzhemiers.
severe hypothyroidism
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? (eyes bulging out of her
head)
*Bilateral conjunctivitis.
*Hyperthyroidism.
3/50
, 5/17/26, 8:53 NR 547 CEA Exam – Chamber
PM
*hypothyroidism
*myexedma
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 a follow-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?
*Forced Expiratory Volume over 1 second (FEV1).
*Functional Reserve Capacity.
*Inspiratory Reserve
*Forced Vital Capacity.
Forced Vital Capacity
Your newly established patient states in the past year, they have progressively
developed a noticeable bump on their neck and when asked about symptoms, they
report feeling very anxious, have developed a tremor, and are commonly feeling
palpitations in their chest.On examination, you identify an enlarged thyroid gland
suspicious for a goiter. Of the following diagnoses, which is most likely for the
patient to develop based on these findings above?
*Thyrotoxicosis.
*lodine Excess.
*Myxedema Coma.
*Hashimotos Thyroiditis
Thyrotoxicosis
Your 32 year old female patient presented for a routine health exam states they
have a diagnoses of hyperthyroidism by another provider a year ago. In addition
to evaluation with TSH and T4 labwork, which of the following represent typical
signs of hyperthyroidism expected on your exam of this patient?
*Hypersomnia
4/50
