NR 511 CEA Exam
Your 22 year old male patient states during his review of A -Varicocele
systems thathis scrotum is very enlarged and feels like it is
full a powerlifter and works as a trash collector. You
suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele
The point of maximum impulse (PMI) is MOST often B -Left 5th intercostal space, midclavicular line
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
A40 year old, female, African American patient presents for B -Hyperthyroidism
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?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
Your patient with a suspected diagnosis of COPD has D -Forced vital capacity
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
afollow-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?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
Your patient has a diagnosis of Addison's disease. Which B -Dowager hump
of the following might you expect to find during
examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
The nurse practitioner's evaluation of a patient with D -All of these are appropriate options
Diabetes Mellitus type 2 should include which of the
following while evaluating for end organ dysfunction of the
disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
, NR 511 CEA Exam
During your visit with a 19 year old patient for a college D -Face and Lips
health physical, your health history includes a diagnosis of
angioedema. What of the following parts of the body are
were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
Which of the following dermatologic lesions is A -Actinic Keratosis
precancerous and likely due to prolonged exposure to UV-
B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
Based on your evaluation of ABCDE for melanoma, which A -Irregular borders
of the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
Your patient is complaining of hypersomnia, lack of B -Serotonin
motivation, weight gain, and anhedonia. Suspecting a
diagnosis of clinical depression, you anticipate the patient
will benefit from treating their underlying deficit of which of
the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
As a prudent nurse practitioner, the diabetic, hypertensive B -Urinalysis with micro/macro albumin
patient you are seeing should be evaluated for early
evidence of renal damage from both diabetes and
hypertension. Which of the following assessment tools
should the nurse practitioner order first for the evaluation
of early renal dysfunction secondary to diabetes or
hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
While evaluating a patient in your clinic for a routine health B -Atelectasis
visit, you auscultate crackles in the poster left lower lobe,
have the patient cough, with follow-up auscultation
revealing clear breath sounds. Which one of the following
would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.
Your 39 year old patient who has recently been C -Atelectasis
hospitalized for an appendectomy and is being seen in
your clinic for post-operative follow-up with primary care.
On assessment, the patient complains of some incisional
pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax
over lung tissue. Which of the following diagnoses would
be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
, NR 511 CEA Exam
You are evaluating a 41 year old female patient in your B -Cholecystitis
clinic with symptoms of right upper quadrant pain which
worsens with deep breathing. The patient exhibits a
positive Murphy sign. These findings are most consistent
which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis
In educating your patient about the non-pharmacologic D -Gastric dumping, or increased emptying into the small intestines
management of gastroesophageal reflux disease, you
include teaching to the patient that their heartburn is
aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small
intestines
The patient is experiencing acute closed angle glaucoma. B -Increase in intraocular pressure
Which of the following examination findings by the nurse
practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
While managing the care of the patient with chronic D -Elevated MCV and MCH
alcoholism, the nurse practitioner would likely anticipate
which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an B -Diabetes Mellitus Type 2
elevated WBC, fever, chills, and malaise. When developing
a differential diagnosis for this finding, which of the
following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy
Your 21 year old sexually active female patient states C -Human papilomavirus type 6 and 1
during a routine health exam that they have some "weird
bumps" on their vulva.She is concerned she has a sexually
transmitted infection. You notify her that condyloma are
caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19
Yourpatient who has underwent a recent major medical B -Situation depression
medical procedure is at a rehabilitation center and is
having a hard time being motivated to do therapy. When
you interview them as the nurse practitioner on staff for the
subacute rehab center, they appeardespondent, and are
having a hard time being wakeful during therapy sessions.
They have stable vital signs, temperature, urine output,
and are not ill-appearing. As a prudent nurse practitioner,
you understand this may represent which of the following?
A -Cushing syndrome
B -Situation depression
C -Addison's disease
D -Untreated anxiety
Your 22 year old male patient states during his review of A -Varicocele
systems thathis scrotum is very enlarged and feels like it is
full a powerlifter and works as a trash collector. You
suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele
The point of maximum impulse (PMI) is MOST often B -Left 5th intercostal space, midclavicular line
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
A40 year old, female, African American patient presents for B -Hyperthyroidism
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?
A -Bilateral conjunctivitis
B -Hyperthyroidism
C -hypothyroidism
D -Myexedma
Your patient with a suspected diagnosis of COPD has D -Forced vital capacity
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
afollow-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?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity
Your patient has a diagnosis of Addison's disease. Which B -Dowager hump
of the following might you expect to find during
examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face
The nurse practitioner's evaluation of a patient with D -All of these are appropriate options
Diabetes Mellitus type 2 should include which of the
following while evaluating for end organ dysfunction of the
disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options
, NR 511 CEA Exam
During your visit with a 19 year old patient for a college D -Face and Lips
health physical, your health history includes a diagnosis of
angioedema. What of the following parts of the body are
were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips
Which of the following dermatologic lesions is A -Actinic Keratosis
precancerous and likely due to prolonged exposure to UV-
B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis
Based on your evaluation of ABCDE for melanoma, which A -Irregular borders
of the following represents a suspicous finding?
A -Irregular borders
B -Symmetrical nature
C -Brown color
D -Diameter of 0.4 cm
Your patient is complaining of hypersomnia, lack of B -Serotonin
motivation, weight gain, and anhedonia. Suspecting a
diagnosis of clinical depression, you anticipate the patient
will benefit from treating their underlying deficit of which of
the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate
As a prudent nurse practitioner, the diabetic, hypertensive B -Urinalysis with micro/macro albumin
patient you are seeing should be evaluated for early
evidence of renal damage from both diabetes and
hypertension. Which of the following assessment tools
should the nurse practitioner order first for the evaluation
of early renal dysfunction secondary to diabetes or
hypertension?
A -BUN/creatinine ratio
B -Urinalysis with micro/macro albumin
C -Renal biopsy
D -Urine sodium
While evaluating a patient in your clinic for a routine health B -Atelectasis
visit, you auscultate crackles in the poster left lower lobe,
have the patient cough, with follow-up auscultation
revealing clear breath sounds. Which one of the following
would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.
Your 39 year old patient who has recently been C -Atelectasis
hospitalized for an appendectomy and is being seen in
your clinic for post-operative follow-up with primary care.
On assessment, the patient complains of some incisional
pain and otherwise examination is normal, with the
exception of dull percussion sounds noted on the thorax
over lung tissue. Which of the following diagnoses would
be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease
, NR 511 CEA Exam
You are evaluating a 41 year old female patient in your B -Cholecystitis
clinic with symptoms of right upper quadrant pain which
worsens with deep breathing. The patient exhibits a
positive Murphy sign. These findings are most consistent
which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis
In educating your patient about the non-pharmacologic D -Gastric dumping, or increased emptying into the small intestines
management of gastroesophageal reflux disease, you
include teaching to the patient that their heartburn is
aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small
intestines
The patient is experiencing acute closed angle glaucoma. B -Increase in intraocular pressure
Which of the following examination findings by the nurse
practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
While managing the care of the patient with chronic D -Elevated MCV and MCH
alcoholism, the nurse practitioner would likely anticipate
which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH
The nurse practitioner is caring for a patient with an B -Diabetes Mellitus Type 2
elevated WBC, fever, chills, and malaise. When developing
a differential diagnosis for this finding, which of the
following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy
Your 21 year old sexually active female patient states C -Human papilomavirus type 6 and 1
during a routine health exam that they have some "weird
bumps" on their vulva.She is concerned she has a sexually
transmitted infection. You notify her that condyloma are
caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19
Yourpatient who has underwent a recent major medical B -Situation depression
medical procedure is at a rehabilitation center and is
having a hard time being motivated to do therapy. When
you interview them as the nurse practitioner on staff for the
subacute rehab center, they appeardespondent, and are
having a hard time being wakeful during therapy sessions.
They have stable vital signs, temperature, urine output,
and are not ill-appearing. As a prudent nurse practitioner,
you understand this may represent which of the following?
A -Cushing syndrome
B -Situation depression
C -Addison's disease
D -Untreated anxiety
