NR603- CEA EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS
AA260-year-
oldA2womanA2withA2aA2historyA2ofA2hypertensionA2andA2diabetesA2presentsA2withA2progres
siveA2fatigueA2andA2anemia.A2HerA2laboratoryA2resultsA2showA2microcyticA2hypochromicA2
anemia.A2WhatA2isA2theA2mostA2likelyA2diagnosis?A2-A2Ans--A2IronA2deficiencyA2anemia
TreatmentA2forA2symptomaticA2aplasticA2anemiaA2includesA2what?A2-A2Ans--
A2BoneA2marrowA2transplantA2
ProphylacticA2antibioticsA2
PRBC/Platelet/WBCA2transfusions
AA2patientA2presentsA2toA2theA2urgentA2careA2withA2SOB,A2fatigue,A2headache,A2andA2ches
tA2pain.A2CardiacA2workA2upA2isA2negativeA2butA2CBCA2revealsA2aA2hemoglobinA2ofA26.5.A2
WhatA2wouldA2indicateA2aA2potentialA2ironA2deficiencyA2anemia?A2-A2Ans--A2MCVA267A2
MCHCA229
AA278-year-
oldA2maleA2patientA2reportsA2chronicA2infections,A2bruising,A2fatigue,A2SOB,A2andA2fevers.A
2HeA2hasA2aA2historyA2ofA2rectalA2adenocarcinomaA2andA2completedA2concurrentA2chemo/
radiationA2earlierA2thisA2year.A2HisA2CBCA2showsA2HgbA27.5,A2PltA288,A2WBCA21.2,A2ANCA2
0.8,A2andA2peripheralA2smearA2showsA2dysplasia.A2WhatA2additionalA2workA2upA2wouldA2y
ouA2anticipateA2forA2thisA2patient?A2-A2Ans--
A2BoneA2marrowA2biopsyA2andA2flowA2cytometry
AA2patientA2withA2aA2knownA2intrinsicA2factorA2autoantibodyA2isA2atA2riskA2forA2developingA2
whichA2ofA2theA2followingA2conditions?A2-A2Ans--
A2B12A2deficiencyA2andA2perniciousA2anemia
Rationale:A2CausesA2ofA2B12A2deficiencyA2includeA2malabsorptionA2andA2intrinsicA2factorA
2deficiency.A2IntrinsicA2factorA2deficiencyA2isA2aA2resultA2ofA2gastricA2resectionA2orA2IFA2aut
oantibody.
AA235-year-
oldA2manA2presentsA2withA2recurrentA2episodesA2ofA2severeA2painA2inA2hisA2back,A2chestA2
andA2extremities.A2HeA2hasA2aA2historyA2ofA2sickleA2cellA2disease.A2WhatA2isA2theA2mostA2a
ppropriateA2initialA2managementA2duringA2aA2painA2crisis?A2-A2Ans--
A2HospitalizationA2forA2IVA2fluidsA2andA2opioids
WhichA2ofA2theA2followingA2medicationA2classesA2isA2theA2foundationA2ofA2theA2careA2ofA2h
eartA2failureA2andA2hasA2beenA2shownA2toA2reduceA2mortality?A2-A2Ans--A2BetaA2blockers
AnA2adultA2femaleA2withA2rheumatoidA2arthritisA2presentsA2toA2theA2officeA2forA2aA2followA2
up.A2SheA2isA2currentlyA2takingA2methotrexateA2andA2overA2theA2counterA2ibuprofen.A2Tod
ayA2sheA2complainsA2ofA2severeA2stomachA2painA2andA2intenseA2abdominalA2cramping.A2
, AfterA2theA2NPA2makesA2appropriateA2adjustmentsA2toA2theA2patient'sA2medicationA2regim
en,A2theA2patientA2stillA2complainsA2ofA2abdominalA2discomfortA2andA2reportsA2darkA2stools
.A2TheA2practitionerA2suspects:A2-A2Ans--A2GastricA2ulceration
AA243-year-
oldA2maleA2withA2pastA2medicalA2historyA2significantA2forA2GERD,A2smoking,A2andA2obesit
yA2presentsA2toA2yourA2clinicA2forA2worseningA2GERDA2symptoms,A2heA2hasA2beenA2taking
A2ProtonixA240mgA2dailyA2withA2noA2improvement.A2HeA2hadA2anA2EGDA2doneA2withA2biop
sy.A2WhichA2findingsA2wouldA2diagnoseA2theA2patientA2withA2Barret'sA2esophagus?A2-
A2Ans--A2IntestinalA2metaplasiaA2withA2gobletA2cells
YourA2patientA2presentsA2withA2unilateralA2eyeA2painA2afterA2aA2workplaceA2exposureA2toA2
aA2causativeA2substance.A2WhichA2ofA2theA2followingA2techniquesA2isA2usefulA2toA2assistA2i
nA2removalA2ofA2theA2agent?A2-A2Ans--A2FlushingA2withA2MorganA2lens
YourA2patientA2hasA2aA2LeA2FortA2IIIA2fractureA2andA2isA2admittedA2forA2closeA2monitoring.A
2WhichA2ofA2theA2followingA2representA2aA2potentialA2complicationA2ofA2thisA2typeA2ofA2fract
ure?A2-A2Ans--A2CerebrospinalA2fluidA2leak
WhichA2ofA2theA2followingA2bestA2characterizesA2presbycusisA2inA2theA2olderA2adult?A2-
A2Ans--A2BilateralA2high-frequencyA2sensorineuralA2hearingA2loss
WhichA2ofA2theA2followingA2refersA2toA2theA2primaryA2accessA2pointA2ofA2medicalA2careA2pa
tientsA2areA2encouragedA2toA2useA2toA2aidA2inA2providingA2continuityA2andA2reductionA2ofA2
costA2perA2theA2AffordableA2CareA2Act?A2-A2Ans--A2TheA2MedicalA2Home
WhichA2ofA2theA2followingA2bloodA2leadA2levelsA2wouldA2likelyA2requireA2chelationA2therapy
?A2-A2Ans--A2>100A2mcg/dL
WhichA2ofA2theA2followingA2isA2notA2aA2commonA2mechanismA2ofA2neutrophilA2expenditure
A2andA2resultantA2neutropenia?A2-A2Ans--
A2LossA2ofA2circulatingA2neutrophilsA2inA2acuteA2bloodA2loss
AA2patientA2isA2takingA2warfarin,A24A2mgA2dailyA2forA2atrialA2fibrillation.A2TheA2patient'sA2cur
rentA2INRA2isA25.5A2mg/dL.A2TheA2nurseA2practitionerA2would:A2-A2Ans--
A2HoldA2theA2warfarinA2forA21A2dayA2andA2thenA2recheckA2inA2twoA2days
AA235-year-oldA2womanA2presentsA2withA2fatigue,A2jointA2pain,A2andA2aA2butterfly-
shapedA2rashA2onA2herA2face.A2WhatA2isA2theA2mostA2appropriateA2initialA2managementA2i
nA2primaryA2care?A2-A2Ans--A2ReferralA2toA2rheumatology
Long-
termA2immunoglobulinA2thatA2isA2carriedA2frA2generationA2toA2generationA2isA2likelyA2which
A2typeA2ofA2immunoglobulin?A2-A2Ans--A2IgG
CORRECT VERIFIED ANSWERS
AA260-year-
oldA2womanA2withA2aA2historyA2ofA2hypertensionA2andA2diabetesA2presentsA2withA2progres
siveA2fatigueA2andA2anemia.A2HerA2laboratoryA2resultsA2showA2microcyticA2hypochromicA2
anemia.A2WhatA2isA2theA2mostA2likelyA2diagnosis?A2-A2Ans--A2IronA2deficiencyA2anemia
TreatmentA2forA2symptomaticA2aplasticA2anemiaA2includesA2what?A2-A2Ans--
A2BoneA2marrowA2transplantA2
ProphylacticA2antibioticsA2
PRBC/Platelet/WBCA2transfusions
AA2patientA2presentsA2toA2theA2urgentA2careA2withA2SOB,A2fatigue,A2headache,A2andA2ches
tA2pain.A2CardiacA2workA2upA2isA2negativeA2butA2CBCA2revealsA2aA2hemoglobinA2ofA26.5.A2
WhatA2wouldA2indicateA2aA2potentialA2ironA2deficiencyA2anemia?A2-A2Ans--A2MCVA267A2
MCHCA229
AA278-year-
oldA2maleA2patientA2reportsA2chronicA2infections,A2bruising,A2fatigue,A2SOB,A2andA2fevers.A
2HeA2hasA2aA2historyA2ofA2rectalA2adenocarcinomaA2andA2completedA2concurrentA2chemo/
radiationA2earlierA2thisA2year.A2HisA2CBCA2showsA2HgbA27.5,A2PltA288,A2WBCA21.2,A2ANCA2
0.8,A2andA2peripheralA2smearA2showsA2dysplasia.A2WhatA2additionalA2workA2upA2wouldA2y
ouA2anticipateA2forA2thisA2patient?A2-A2Ans--
A2BoneA2marrowA2biopsyA2andA2flowA2cytometry
AA2patientA2withA2aA2knownA2intrinsicA2factorA2autoantibodyA2isA2atA2riskA2forA2developingA2
whichA2ofA2theA2followingA2conditions?A2-A2Ans--
A2B12A2deficiencyA2andA2perniciousA2anemia
Rationale:A2CausesA2ofA2B12A2deficiencyA2includeA2malabsorptionA2andA2intrinsicA2factorA
2deficiency.A2IntrinsicA2factorA2deficiencyA2isA2aA2resultA2ofA2gastricA2resectionA2orA2IFA2aut
oantibody.
AA235-year-
oldA2manA2presentsA2withA2recurrentA2episodesA2ofA2severeA2painA2inA2hisA2back,A2chestA2
andA2extremities.A2HeA2hasA2aA2historyA2ofA2sickleA2cellA2disease.A2WhatA2isA2theA2mostA2a
ppropriateA2initialA2managementA2duringA2aA2painA2crisis?A2-A2Ans--
A2HospitalizationA2forA2IVA2fluidsA2andA2opioids
WhichA2ofA2theA2followingA2medicationA2classesA2isA2theA2foundationA2ofA2theA2careA2ofA2h
eartA2failureA2andA2hasA2beenA2shownA2toA2reduceA2mortality?A2-A2Ans--A2BetaA2blockers
AnA2adultA2femaleA2withA2rheumatoidA2arthritisA2presentsA2toA2theA2officeA2forA2aA2followA2
up.A2SheA2isA2currentlyA2takingA2methotrexateA2andA2overA2theA2counterA2ibuprofen.A2Tod
ayA2sheA2complainsA2ofA2severeA2stomachA2painA2andA2intenseA2abdominalA2cramping.A2
, AfterA2theA2NPA2makesA2appropriateA2adjustmentsA2toA2theA2patient'sA2medicationA2regim
en,A2theA2patientA2stillA2complainsA2ofA2abdominalA2discomfortA2andA2reportsA2darkA2stools
.A2TheA2practitionerA2suspects:A2-A2Ans--A2GastricA2ulceration
AA243-year-
oldA2maleA2withA2pastA2medicalA2historyA2significantA2forA2GERD,A2smoking,A2andA2obesit
yA2presentsA2toA2yourA2clinicA2forA2worseningA2GERDA2symptoms,A2heA2hasA2beenA2taking
A2ProtonixA240mgA2dailyA2withA2noA2improvement.A2HeA2hadA2anA2EGDA2doneA2withA2biop
sy.A2WhichA2findingsA2wouldA2diagnoseA2theA2patientA2withA2Barret'sA2esophagus?A2-
A2Ans--A2IntestinalA2metaplasiaA2withA2gobletA2cells
YourA2patientA2presentsA2withA2unilateralA2eyeA2painA2afterA2aA2workplaceA2exposureA2toA2
aA2causativeA2substance.A2WhichA2ofA2theA2followingA2techniquesA2isA2usefulA2toA2assistA2i
nA2removalA2ofA2theA2agent?A2-A2Ans--A2FlushingA2withA2MorganA2lens
YourA2patientA2hasA2aA2LeA2FortA2IIIA2fractureA2andA2isA2admittedA2forA2closeA2monitoring.A
2WhichA2ofA2theA2followingA2representA2aA2potentialA2complicationA2ofA2thisA2typeA2ofA2fract
ure?A2-A2Ans--A2CerebrospinalA2fluidA2leak
WhichA2ofA2theA2followingA2bestA2characterizesA2presbycusisA2inA2theA2olderA2adult?A2-
A2Ans--A2BilateralA2high-frequencyA2sensorineuralA2hearingA2loss
WhichA2ofA2theA2followingA2refersA2toA2theA2primaryA2accessA2pointA2ofA2medicalA2careA2pa
tientsA2areA2encouragedA2toA2useA2toA2aidA2inA2providingA2continuityA2andA2reductionA2ofA2
costA2perA2theA2AffordableA2CareA2Act?A2-A2Ans--A2TheA2MedicalA2Home
WhichA2ofA2theA2followingA2bloodA2leadA2levelsA2wouldA2likelyA2requireA2chelationA2therapy
?A2-A2Ans--A2>100A2mcg/dL
WhichA2ofA2theA2followingA2isA2notA2aA2commonA2mechanismA2ofA2neutrophilA2expenditure
A2andA2resultantA2neutropenia?A2-A2Ans--
A2LossA2ofA2circulatingA2neutrophilsA2inA2acuteA2bloodA2loss
AA2patientA2isA2takingA2warfarin,A24A2mgA2dailyA2forA2atrialA2fibrillation.A2TheA2patient'sA2cur
rentA2INRA2isA25.5A2mg/dL.A2TheA2nurseA2practitionerA2would:A2-A2Ans--
A2HoldA2theA2warfarinA2forA21A2dayA2andA2thenA2recheckA2inA2twoA2days
AA235-year-oldA2womanA2presentsA2withA2fatigue,A2jointA2pain,A2andA2aA2butterfly-
shapedA2rashA2onA2herA2face.A2WhatA2isA2theA2mostA2appropriateA2initialA2managementA2i
nA2primaryA2care?A2-A2Ans--A2ReferralA2toA2rheumatology
Long-
termA2immunoglobulinA2thatA2isA2carriedA2frA2generationA2toA2generationA2isA2likelyA2which
A2typeA2ofA2immunoglobulin?A2-A2Ans--A2IgG