NR 547/667 CEA CERTIFICATION EXAM QUESTIONS & ANSWERS 2026-2027 (RATIONA… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 547/667 CEA Certification
Exam Questions & Answers
2026-2027 (Rationales)
Verified Answers Exam Ready With Rationales
149 QUESTIONS
DOCUMENT OVERVIEW
This document provides 149 questions with their correct answers and detailed rationales for advanced
clinical assessment. It serves as a comprehensive study resource for clinical assessment principles.
Students can effectively use this material for certification preparation and in-depth review of key concepts.
CONTENTS
01 02 03
• Cardiovascular Assessment & Physiology
• Pulmonary Assessment & Conditions• Respiratory Pharmacology & Managem
04 05 06
• Endocrine & Metabolic Disorders • Pharmacology & Therapeutics • Gastrointestinal & Abdominal Assessm
07 08 09 • Hematology & Anemias
• Musculoskeletal & Connective Tissue• Neurological & Sensory Assessment
10 11 • Dermatology & Skin Lesions 12
• Infectious Diseases & Immunology • Psychiatric & Mental Health Condition
13
Page 1
, • Renal & Genitourinary Conditions
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 149
S3 or S4 heart sound phase
CORRECT ANSWER
Diastole
RATIONALE
S3 and S4 heart sounds, known as gallop rhythms, occur during diastole, representing rapid ventricular filling (S3) or atrial
contraction into a non-compliant ventricle (S4). The underlying principle tested is the timing of abnormal heart sounds within
the cardiac cycle.
Q2 QUESTION 2 OF 149
PMI location in a healthy adult
CORRECT ANSWER
Left 5th intercostal space, midclavicular line
RATIONALE
The point of maximal impulse (PMI), representing the apex of the left ventricle's contraction, is typically palpated at the left 5th
intercostal space at the midclavicular line in healthy adults due to the heart's anatomical position. This location reflects the
anterior projection of the left ventricle against the chest wall.
Q3 QUESTION 3 OF 149
Non-priority decision for ST depression and chest discomfort
CORRECT ANSWER
Check for thyroid dysfunction
Page 2
, RATIONALE
Thyroid dysfunction can mimic cardiac ischemia, presenting with chest discomfort and ST depression, but it is not an emergent
cardiac event requiring immediate intervention like acute coronary syndrome. This condition is managed medically rather than
through emergent cardiac reperfusion strategies.
Q4 QUESTION 4 OF 149
"Ee" to "a" sound on chest auscultation
CORRECT ANSWER
Positive for egophony
RATIONALE
Egophony is characterized by the spoken "ee" sound being transmitted through consolidated lung tissue and heard as an "aa"
sound during auscultation. This phenomenon indicates alveolar consolidation, a common finding in pneumonia.
Q5 QUESTION 5 OF 149
Expected finding in Addison's disease
CORRECT ANSWER
Low body temperature
RATIONALE
Addison's disease results in cortisol deficiency, which impairs thermoregulation, leading to a reduced basal metabolic rate and
a lower body temperature. This reflects the hormone's role in maintaining metabolic processes that generate heat.
Q6 QUESTION 6 OF 149
S1 heart sound correlation on EKG
CORRECT ANSWER
Peak of the R wave
Page 3
, RATIONALE
The first heart sound (S1), the "lub," corresponds to the closure of the atrioventricular valves, which is triggered by ventricular
depolarization and the subsequent ventricular contraction, occurring shortly after the peak of the R wave on the
electrocardiogram. This R wave represents ventricular depolarization, initiating the ventricular systole during which S1 is
produced.
Q7 QUESTION 7 OF 149
NYHA class for CHF with SOB on activity, none at rest
CORRECT ANSWER
Class III
RATIONALE
The New York Heart Association (NYHA) classification system defines Class III as marked limitation of physical activity, where
patients experience symptoms with less than ordinary activity but are comfortable at rest. This aligns with the described
symptoms of dyspnea occurring only upon exertion, not at rest.
Q8 QUESTION 8 OF 149
Priority for irregularly irregular heart rate of 100
CORRECT ANSWER
Maintain rate control and anticoagulate
RATIONALE
Atrial fibrillation causes an irregularly irregular rhythm and increases stroke risk due to stasis-induced thrombus formation,
necessitating both rate control and anticoagulation. This addresses the hemodynamic instability from uncontrolled ventricular
response and the embolic potential of the arrhythmia.
Q9 QUESTION 9 OF 149
Diagnosis and plan for chest pressure relieved by rest
CORRECT ANSWER
Stable angina, initiate long-acting nitrate
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NR 547/667 CEA Certification
Exam Questions & Answers
2026-2027 (Rationales)
Verified Answers Exam Ready With Rationales
149 QUESTIONS
DOCUMENT OVERVIEW
This document provides 149 questions with their correct answers and detailed rationales for advanced
clinical assessment. It serves as a comprehensive study resource for clinical assessment principles.
Students can effectively use this material for certification preparation and in-depth review of key concepts.
CONTENTS
01 02 03
• Cardiovascular Assessment & Physiology
• Pulmonary Assessment & Conditions• Respiratory Pharmacology & Managem
04 05 06
• Endocrine & Metabolic Disorders • Pharmacology & Therapeutics • Gastrointestinal & Abdominal Assessm
07 08 09 • Hematology & Anemias
• Musculoskeletal & Connective Tissue• Neurological & Sensory Assessment
10 11 • Dermatology & Skin Lesions 12
• Infectious Diseases & Immunology • Psychiatric & Mental Health Condition
13
Page 1
, • Renal & Genitourinary Conditions
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 149
S3 or S4 heart sound phase
CORRECT ANSWER
Diastole
RATIONALE
S3 and S4 heart sounds, known as gallop rhythms, occur during diastole, representing rapid ventricular filling (S3) or atrial
contraction into a non-compliant ventricle (S4). The underlying principle tested is the timing of abnormal heart sounds within
the cardiac cycle.
Q2 QUESTION 2 OF 149
PMI location in a healthy adult
CORRECT ANSWER
Left 5th intercostal space, midclavicular line
RATIONALE
The point of maximal impulse (PMI), representing the apex of the left ventricle's contraction, is typically palpated at the left 5th
intercostal space at the midclavicular line in healthy adults due to the heart's anatomical position. This location reflects the
anterior projection of the left ventricle against the chest wall.
Q3 QUESTION 3 OF 149
Non-priority decision for ST depression and chest discomfort
CORRECT ANSWER
Check for thyroid dysfunction
Page 2
, RATIONALE
Thyroid dysfunction can mimic cardiac ischemia, presenting with chest discomfort and ST depression, but it is not an emergent
cardiac event requiring immediate intervention like acute coronary syndrome. This condition is managed medically rather than
through emergent cardiac reperfusion strategies.
Q4 QUESTION 4 OF 149
"Ee" to "a" sound on chest auscultation
CORRECT ANSWER
Positive for egophony
RATIONALE
Egophony is characterized by the spoken "ee" sound being transmitted through consolidated lung tissue and heard as an "aa"
sound during auscultation. This phenomenon indicates alveolar consolidation, a common finding in pneumonia.
Q5 QUESTION 5 OF 149
Expected finding in Addison's disease
CORRECT ANSWER
Low body temperature
RATIONALE
Addison's disease results in cortisol deficiency, which impairs thermoregulation, leading to a reduced basal metabolic rate and
a lower body temperature. This reflects the hormone's role in maintaining metabolic processes that generate heat.
Q6 QUESTION 6 OF 149
S1 heart sound correlation on EKG
CORRECT ANSWER
Peak of the R wave
Page 3
, RATIONALE
The first heart sound (S1), the "lub," corresponds to the closure of the atrioventricular valves, which is triggered by ventricular
depolarization and the subsequent ventricular contraction, occurring shortly after the peak of the R wave on the
electrocardiogram. This R wave represents ventricular depolarization, initiating the ventricular systole during which S1 is
produced.
Q7 QUESTION 7 OF 149
NYHA class for CHF with SOB on activity, none at rest
CORRECT ANSWER
Class III
RATIONALE
The New York Heart Association (NYHA) classification system defines Class III as marked limitation of physical activity, where
patients experience symptoms with less than ordinary activity but are comfortable at rest. This aligns with the described
symptoms of dyspnea occurring only upon exertion, not at rest.
Q8 QUESTION 8 OF 149
Priority for irregularly irregular heart rate of 100
CORRECT ANSWER
Maintain rate control and anticoagulate
RATIONALE
Atrial fibrillation causes an irregularly irregular rhythm and increases stroke risk due to stasis-induced thrombus formation,
necessitating both rate control and anticoagulation. This addresses the hemodynamic instability from uncontrolled ventricular
response and the embolic potential of the arrhythmia.
Q9 QUESTION 9 OF 149
Diagnosis and plan for chest pressure relieved by rest
CORRECT ANSWER
Stable angina, initiate long-acting nitrate
Page 4
