NR 547 CEA Exam Questions and Answers
1. 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?
A. Diastole
B. 53 in systole while S4 in diastole
C. Systole
D. S4 in diastole while S3 in systole
Answer A. Diastole
2. 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
,3. 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 electrocar- diographic waves?
A. At the end of the T wave.
B. At the start of the T wave.
C. Peak of the R wave.
D. At the start of the P wave.
Answer C. Peak of the R wave.
4. 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 depres-
sion 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?
A. Prescribe metoprolol (Lopressor) 12.5mg PO BID
B. Prescribe aspirin 81mg PO daily
C. Refer to cardiology for angiography
D. Check for thyroid dysfunction
Answer D. Check for thyroid dysfunction
,5. 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 a nasally
"a" sound. Which one of the following will you document is present?
A. Positive stereognosis.
B. Positive for egophony.
C. Negative for bronchophony.
D. Negative for egophony
Answer B. Positive for egophony
6. 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?
A. To assist with the confirmation of cardiac origin of angina.
B. To assess for deep-seated lesion and tumors.
C. To assess for any pain or discomfort prior to palpitation of the chest
wall.
D. To identify if underlying tissue are air-filled, fluid-filled or
, consolidated
Answer D. To identify if underlying tissue are air-filled, fluid-filled or consolidated
7. 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 in- terstitial 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?
A. Approximately equal level of change in the descent of the
diaphragm bi- laterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity.
B. 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.
C. Much greater descent of the diaphragm on the right side due
to the liver present (two-three times larger).
D. Absent or no change in movement of the diaphragm noted
between full inspiration and full expiration measurement.
Answer A. Approximately equal level of change in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a decreased overall inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen a primary care
giver in
1. 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?
A. Diastole
B. 53 in systole while S4 in diastole
C. Systole
D. S4 in diastole while S3 in systole
Answer A. Diastole
2. 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
,3. 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 electrocar- diographic waves?
A. At the end of the T wave.
B. At the start of the T wave.
C. Peak of the R wave.
D. At the start of the P wave.
Answer C. Peak of the R wave.
4. 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 depres-
sion 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?
A. Prescribe metoprolol (Lopressor) 12.5mg PO BID
B. Prescribe aspirin 81mg PO daily
C. Refer to cardiology for angiography
D. Check for thyroid dysfunction
Answer D. Check for thyroid dysfunction
,5. 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 a nasally
"a" sound. Which one of the following will you document is present?
A. Positive stereognosis.
B. Positive for egophony.
C. Negative for bronchophony.
D. Negative for egophony
Answer B. Positive for egophony
6. 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?
A. To assist with the confirmation of cardiac origin of angina.
B. To assess for deep-seated lesion and tumors.
C. To assess for any pain or discomfort prior to palpitation of the chest
wall.
D. To identify if underlying tissue are air-filled, fluid-filled or
, consolidated
Answer D. To identify if underlying tissue are air-filled, fluid-filled or consolidated
7. 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 in- terstitial 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?
A. Approximately equal level of change in the descent of the
diaphragm bi- laterally during maximal inspiration and expiration.
with a decreased overall inspiratory capacity.
B. 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.
C. Much greater descent of the diaphragm on the right side due
to the liver present (two-three times larger).
D. Absent or no change in movement of the diaphragm noted
between full inspiration and full expiration measurement.
Answer A. Approximately equal level of change in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a decreased overall inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen a primary care
giver in
