NR 511 CEA exam Questions with Verified Answers (Correct
Update)
Question 1: Your 22 year old male patient states during his review of 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
Answer: A -Varicocele
Question 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
Question 3: A40 year old, female, African American patient presents for 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
Answer: B -Hyperthyroidism
Question 4: Your patient with a suspected diagnosis of COPD has 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
Answer: D -Forced vital capacity
Question 5: Your patient has a diagnosis of Addison's disease. Which of the following might you
expect to find during examination? A -Abdominal striae B -Dowager hump C -Low body
temperature D -Moon face
Answer: B -Dowager hump
Page 1
,Question 6: The nurse practitioner's evaluation of a patient with 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
Answer: D -All of these are appropriate options
Question 7: During your visit with a 19 year old patient for a college 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
Answer: D -Face and Lips
Question 8: Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV- B? A -Actinic Keratosis B -Basal cell carcinoma C -Verucca D
-Seborrheic dermatitis
Answer: A -Actinic Keratosis
Question 9: Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding? A -Irregular borders B -Symmetrical nature C -Brown color D
-Diameter of 0.4 cm
Answer: A -Irregular borders
Question 10: Your patient is complaining of hypersomnia, lack of 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
Answer: B -Serotonin
Question 11: As a prudent nurse practitioner, the diabetic, hypertensive 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
Answer: B -Urinalysis with micro/macro albumin
Question 12: While evaluating a patient in your clinic for a routine health 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.
Answer: B -Atelectasis
Page 2
, Question 13: Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative followup 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
Answer: C -Atelectasis
Question 14: You are evaluating a 41 year old female patient in your 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
Answer: B -Cholecystitis
Question 15: In educating your patient about the non-pharmacologic 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
Answer: D -Gastric dumping, or increased emptying into the small intestines
Question 16: The patient is experiencing acute closed angle glaucoma. 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
Answer: B -Increase in intraocular pressure
Question 17: While managing the care of the patient with chronic 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
Answer: D -Elevated MCV and MCH
Question 18: The nurse practitioner is caring for a patient with an 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
Answer: B -Diabetes Mellitus Type 2
Page 3
Update)
Question 1: Your 22 year old male patient states during his review of 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
Answer: A -Varicocele
Question 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
Question 3: A40 year old, female, African American patient presents for 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
Answer: B -Hyperthyroidism
Question 4: Your patient with a suspected diagnosis of COPD has 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
Answer: D -Forced vital capacity
Question 5: Your patient has a diagnosis of Addison's disease. Which of the following might you
expect to find during examination? A -Abdominal striae B -Dowager hump C -Low body
temperature D -Moon face
Answer: B -Dowager hump
Page 1
,Question 6: The nurse practitioner's evaluation of a patient with 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
Answer: D -All of these are appropriate options
Question 7: During your visit with a 19 year old patient for a college 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
Answer: D -Face and Lips
Question 8: Which of the following dermatologic lesions is precancerous and likely due to
prolonged exposure to UV- B? A -Actinic Keratosis B -Basal cell carcinoma C -Verucca D
-Seborrheic dermatitis
Answer: A -Actinic Keratosis
Question 9: Based on your evaluation of ABCDE for melanoma, which of the following
represents a suspicous finding? A -Irregular borders B -Symmetrical nature C -Brown color D
-Diameter of 0.4 cm
Answer: A -Irregular borders
Question 10: Your patient is complaining of hypersomnia, lack of 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
Answer: B -Serotonin
Question 11: As a prudent nurse practitioner, the diabetic, hypertensive 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
Answer: B -Urinalysis with micro/macro albumin
Question 12: While evaluating a patient in your clinic for a routine health 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.
Answer: B -Atelectasis
Page 2
, Question 13: Your 39 year old patient who has recently been hospitalized for an appendectomy
and is being seen in your clinic for post-operative followup 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
Answer: C -Atelectasis
Question 14: You are evaluating a 41 year old female patient in your 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
Answer: B -Cholecystitis
Question 15: In educating your patient about the non-pharmacologic 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
Answer: D -Gastric dumping, or increased emptying into the small intestines
Question 16: The patient is experiencing acute closed angle glaucoma. 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
Answer: B -Increase in intraocular pressure
Question 17: While managing the care of the patient with chronic 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
Answer: D -Elevated MCV and MCH
Question 18: The nurse practitioner is caring for a patient with an 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
Answer: B -Diabetes Mellitus Type 2
Page 3
