Master CEA Exam NR667 FNP Dec 2025 | Chamberlain University-Illinois |
Questions with 100% Verified Answers | Latest Update
Question: Your 51-year-old female patient has been diagnosed with a
"new murmur" during a near syncopal episode workup. In evaluating
this patient, during which phase of the cardiac cycle would you
anticipate auscultation of an S1 heart sound?
Answer:
Systole
Question: The initial workup for a patient with a new chief complaint
of palpitations should include which of the following tests first?
Answer:
BMP and 12-lead electrocardiogram (ECG)
Question: Which of the following locations is most commonly
described as the best location to identify the aortic valve in a healthy
adult?
Answer:
Left 2nd intercostal space, right sternal border
Question: Jason, a 63-year-old male who had a cardiac drug-eluting
stent placed and had an elevated troponin of 1.6, asks how long he will
need to be on aspirin plus clopidogrel (Plavix). How long should Jason
be on dual antiplatelet therapy after his stent?
Answer:
6 to 12 months minimum
Question: Which of the following locations is most commonly
described as the best location to identify the mitral valve in a healthy
adult?
Answer:
Left 5th intercostal space, midclavicular line
Question: "Your patient is a 52-year-old post-MI patient in your clinic.
What is the recommended initial medication choice for dual antiplatelet
therapy after a myocardial infarction?
Answer:
Aspirin plus clopidogrel (Plavix)
,Question: Your patient with congestive heart failure (EF 30%) becomes
short of breath during activities of daily living (ADLs) but has no
symptoms at rest. This presentation is most consistent with which New
York Heart Association (NYHA) heart failure classification?
Answer:
Class III
Question: "Your patient presents with a new-onset rapid heart rate that
is 'regularly irregular' with a heart rate of 100, blood pressure of 120/74,
respiratory rate of 15 (non-labored), and an oxygen saturation of 99%.
They state that this has been occurring intermittently for about a week,
but for the last 4 days it has persisted continuously. What is your first
priority intervention for this patient?"
Answer:
Maintain rate control and anticoagulated prior to rhythm control
Question: "Your 61-year-old female patient presents with chest
pressure, arm numbness/tingling, and shortness of breath with exertion.
Her medical history includes diabetes mellitus, hypertension,
hyperlipidemia, and rheumatoid arthritis. Her symptoms relieve with
rest but are becoming more frequent, causing her considerable anxiety.
Based on these findings, which diagnosis and management plan is most
appropriate?"
Answer:
Stable angina, initiate a long-acting oral nitrate
Question: "Your 72-year-old female patient, with a history of CABG
and a bioprosthetic aortic valve replacement 7 years ago, who is on a
stable regimen including thrice-weekly dialysis via an arm fistula for
ESRD, now presents with shortness of breath, fever, night sweats, and a
new murmur. In evaluating her for potential endocarditis, which of the
following physical signs should be assessed?"
Answer:
Splinter hemorrhages on the fingernails
Question: A 55-year-old male diabetic with exertional left lower leg
pain, numbness at rest, hair loss on anterior tibia. Which diagnosis?
Answer:
Peripheral arterial disease, order ankle-brachial index
,Question: A patient off diuretics for vacation gained 21 lbs, has
bilateral crackles, severe generalized edema including abdomen. Which
condition describes this?
Answer:
Anasarca
Question: A 45-year-old male with known peripheral arterial disease
(PAD) and intermittent claudication with no surgical history. Which
medication should he be on if not already?
Answer:
Cilostazol (Pletal)
Question: Which of the following exam findings is confirmatory for
peripheral arterial disease (PAD)?
Answer:
Waxy pale legs
Question: A 19-year-old male with supraventricular tachycardia (SVT)
at rate 220. On EKG, SVT is typically seen as what?
Answer:
Narrow QRS complex and regular
Question: A 52-year-old with HFrEF (EF 35%) needs optimal medical
therapy. Which drug is generally avoided as part of first-line HFrEF
management?
Answer:
Amlodipine (Norvasc)
Question: The most common metabolic cause for a patient with a new
chief complaint of palpitations is which of the following?
Answer:
hypokalemia
Question: Kevein, a 19-year-old male, presents with a racing heart and
is diagnosed via EKG with SVT at a rate of 220. EMS is called. Which
of the following is the least likely extrinsic cause of his arrhythmia?
Answer:
Supplementing Vitamin C 5000 IU daily
, Question: What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply?
Answer:
Consolidation (pneumonia)
Question: While assessing a 15-year-old patient for a new onset of
cough, how does performing percussion of the thorax assist the provider
during the physical examination?
Answer:
To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Question: Which of the following patients would you expect to show a
less-than-expected forced vital capacity (FVC) on pulmonary function
testing?
Answer:
Severe interstitial lung disease
Question: Which decreased exam segment suggests a diagnosis of
restrictive lung disease?
Answer:
Forced vital capacity (FVC)
Question: In obstructive lung disease, a decreased level in which of the
following spirometry parameters is most suggestive of diagnosis?
Answer:
Forced Expiratory Volume in 1 second (FEV₁)
Question: Which of the following patients would you expect to have a
less than expected forced expiratory volume in the first second (FEV₁)
on pulmonary function testing?
Answer:
Emphysema
Question: Which of the following is a common cause of gram-negative
bacterial pneumonia?
Answer:
Aspiration
Questions with 100% Verified Answers | Latest Update
Question: Your 51-year-old female patient has been diagnosed with a
"new murmur" during a near syncopal episode workup. In evaluating
this patient, during which phase of the cardiac cycle would you
anticipate auscultation of an S1 heart sound?
Answer:
Systole
Question: The initial workup for a patient with a new chief complaint
of palpitations should include which of the following tests first?
Answer:
BMP and 12-lead electrocardiogram (ECG)
Question: Which of the following locations is most commonly
described as the best location to identify the aortic valve in a healthy
adult?
Answer:
Left 2nd intercostal space, right sternal border
Question: Jason, a 63-year-old male who had a cardiac drug-eluting
stent placed and had an elevated troponin of 1.6, asks how long he will
need to be on aspirin plus clopidogrel (Plavix). How long should Jason
be on dual antiplatelet therapy after his stent?
Answer:
6 to 12 months minimum
Question: Which of the following locations is most commonly
described as the best location to identify the mitral valve in a healthy
adult?
Answer:
Left 5th intercostal space, midclavicular line
Question: "Your patient is a 52-year-old post-MI patient in your clinic.
What is the recommended initial medication choice for dual antiplatelet
therapy after a myocardial infarction?
Answer:
Aspirin plus clopidogrel (Plavix)
,Question: Your patient with congestive heart failure (EF 30%) becomes
short of breath during activities of daily living (ADLs) but has no
symptoms at rest. This presentation is most consistent with which New
York Heart Association (NYHA) heart failure classification?
Answer:
Class III
Question: "Your patient presents with a new-onset rapid heart rate that
is 'regularly irregular' with a heart rate of 100, blood pressure of 120/74,
respiratory rate of 15 (non-labored), and an oxygen saturation of 99%.
They state that this has been occurring intermittently for about a week,
but for the last 4 days it has persisted continuously. What is your first
priority intervention for this patient?"
Answer:
Maintain rate control and anticoagulated prior to rhythm control
Question: "Your 61-year-old female patient presents with chest
pressure, arm numbness/tingling, and shortness of breath with exertion.
Her medical history includes diabetes mellitus, hypertension,
hyperlipidemia, and rheumatoid arthritis. Her symptoms relieve with
rest but are becoming more frequent, causing her considerable anxiety.
Based on these findings, which diagnosis and management plan is most
appropriate?"
Answer:
Stable angina, initiate a long-acting oral nitrate
Question: "Your 72-year-old female patient, with a history of CABG
and a bioprosthetic aortic valve replacement 7 years ago, who is on a
stable regimen including thrice-weekly dialysis via an arm fistula for
ESRD, now presents with shortness of breath, fever, night sweats, and a
new murmur. In evaluating her for potential endocarditis, which of the
following physical signs should be assessed?"
Answer:
Splinter hemorrhages on the fingernails
Question: A 55-year-old male diabetic with exertional left lower leg
pain, numbness at rest, hair loss on anterior tibia. Which diagnosis?
Answer:
Peripheral arterial disease, order ankle-brachial index
,Question: A patient off diuretics for vacation gained 21 lbs, has
bilateral crackles, severe generalized edema including abdomen. Which
condition describes this?
Answer:
Anasarca
Question: A 45-year-old male with known peripheral arterial disease
(PAD) and intermittent claudication with no surgical history. Which
medication should he be on if not already?
Answer:
Cilostazol (Pletal)
Question: Which of the following exam findings is confirmatory for
peripheral arterial disease (PAD)?
Answer:
Waxy pale legs
Question: A 19-year-old male with supraventricular tachycardia (SVT)
at rate 220. On EKG, SVT is typically seen as what?
Answer:
Narrow QRS complex and regular
Question: A 52-year-old with HFrEF (EF 35%) needs optimal medical
therapy. Which drug is generally avoided as part of first-line HFrEF
management?
Answer:
Amlodipine (Norvasc)
Question: The most common metabolic cause for a patient with a new
chief complaint of palpitations is which of the following?
Answer:
hypokalemia
Question: Kevein, a 19-year-old male, presents with a racing heart and
is diagnosed via EKG with SVT at a rate of 220. EMS is called. Which
of the following is the least likely extrinsic cause of his arrhythmia?
Answer:
Supplementing Vitamin C 5000 IU daily
, Question: What illness or diagnosis would localized egophony on
auscultation over the left lower lobe most likely imply?
Answer:
Consolidation (pneumonia)
Question: While assessing a 15-year-old patient for a new onset of
cough, how does performing percussion of the thorax assist the provider
during the physical examination?
Answer:
To identify if underlying tissues are air-filled, fluid-filled, or consolidated
Question: Which of the following patients would you expect to show a
less-than-expected forced vital capacity (FVC) on pulmonary function
testing?
Answer:
Severe interstitial lung disease
Question: Which decreased exam segment suggests a diagnosis of
restrictive lung disease?
Answer:
Forced vital capacity (FVC)
Question: In obstructive lung disease, a decreased level in which of the
following spirometry parameters is most suggestive of diagnosis?
Answer:
Forced Expiratory Volume in 1 second (FEV₁)
Question: Which of the following patients would you expect to have a
less than expected forced expiratory volume in the first second (FEV₁)
on pulmonary function testing?
Answer:
Emphysema
Question: Which of the following is a common cause of gram-negative
bacterial pneumonia?
Answer:
Aspiration
