CEA Preclinical Study Guide Exam
Questions with 100% Correct Answers
Latest Versions
Your 22-year-old male patient states during his review of systems that
his scrotum is very enlarged and feels like it is full of a powerlifter and
works as a trash collector. Which of the following diagnoses do you
suspect the patient likely has?
Varicocele
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?
Left 5th intercostal space midclavicular line
A 40-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 diagnosis
of this physical examination finding?
Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has undergone 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 a
follow-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?
Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the
following might you expect to find during an examination?
Low body temperature
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?
,Renal function panel
Urinalysis
Non-dilated eye exam
D -All of these are appropriate options
During your visit with a 19-year-old patient for a college health
physical, your health history includes a diagnosis of angioedema.
Which of the following parts of the body was likely involved?
Face and lips
Which of the following dermatologic lesions is precancerous and
likely due to prolonged exposure to UV-B?
Actinic keratosis
Based on your evaluation of ABCDE for melanoma, which of the
following represents a suspicious finding?
Irregular borders
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?
Serotonin
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?
Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the posterolateral left lower lobe and have the
patient cough. Follow-up auscultation reveals clear breath sounds.
Which one of the following would you suspect?
Atelectasis- condition where one or more areas of the lungs collapse or
don't inflate properly, leading to reduced oxygen levels in the blood
Your 39-year-old patient, who has recently been hospitalized for an
appendectomy, 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 standard, 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 a post-operative patient?
Atelectasis
, You are evaluating a 41-year-old female patient in your clinic with
symptoms of right upper quadrant pain that worsens with deep
breathing. The patient exhibits a positive Murphy sign. These findings
are most consistent with which one of the following?
Cholecystitis- inflammation of the gallbladder
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?
Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of
the following examination findings by the nurse practitioner is most
consistent with their diagnosis?
Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the
nurse practitioner would likely anticipate which findings on the CBC
with differential?
Elevated MCV and MCH
MCV- Measures the average size or volume of RBC
MCH- measure the average amount of HBG in a single red blood cell
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?
Diabetes Mellitus Type 2
Your 21-year-old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva. She is
concerned that she has a sexually transmitted infection. You notify
her that condyloma is caused by exposure to which of the following?
Human papillomavirus type 6 and 1
Your patient, who has undergone a recent major 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 appear to be responsive and
have difficulty being awake during therapy sessions. They have stable
vital signs, temperature, and urine output, and are not ill-appearing.
As a prudent nurse practitioner, you understand this may represent
which of the following?
Situational depression
Questions with 100% Correct Answers
Latest Versions
Your 22-year-old male patient states during his review of systems that
his scrotum is very enlarged and feels like it is full of a powerlifter and
works as a trash collector. Which of the following diagnoses do you
suspect the patient likely has?
Varicocele
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?
Left 5th intercostal space midclavicular line
A 40-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 diagnosis
of this physical examination finding?
Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by
pulmonology and has undergone 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 a
follow-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?
Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the
following might you expect to find during an examination?
Low body temperature
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?
,Renal function panel
Urinalysis
Non-dilated eye exam
D -All of these are appropriate options
During your visit with a 19-year-old patient for a college health
physical, your health history includes a diagnosis of angioedema.
Which of the following parts of the body was likely involved?
Face and lips
Which of the following dermatologic lesions is precancerous and
likely due to prolonged exposure to UV-B?
Actinic keratosis
Based on your evaluation of ABCDE for melanoma, which of the
following represents a suspicious finding?
Irregular borders
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?
Serotonin
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?
Urinalysis with micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the posterolateral left lower lobe and have the
patient cough. Follow-up auscultation reveals clear breath sounds.
Which one of the following would you suspect?
Atelectasis- condition where one or more areas of the lungs collapse or
don't inflate properly, leading to reduced oxygen levels in the blood
Your 39-year-old patient, who has recently been hospitalized for an
appendectomy, 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 standard, 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 a post-operative patient?
Atelectasis
, You are evaluating a 41-year-old female patient in your clinic with
symptoms of right upper quadrant pain that worsens with deep
breathing. The patient exhibits a positive Murphy sign. These findings
are most consistent with which one of the following?
Cholecystitis- inflammation of the gallbladder
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?
Gastric dumping, or increased emptying into the small intestines
The patient is experiencing acute closed angle glaucoma. Which of
the following examination findings by the nurse practitioner is most
consistent with their diagnosis?
Increase in intraocular pressure
While managing the care of the patient with chronic alcoholism, the
nurse practitioner would likely anticipate which findings on the CBC
with differential?
Elevated MCV and MCH
MCV- Measures the average size or volume of RBC
MCH- measure the average amount of HBG in a single red blood cell
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?
Diabetes Mellitus Type 2
Your 21-year-old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva. She is
concerned that she has a sexually transmitted infection. You notify
her that condyloma is caused by exposure to which of the following?
Human papillomavirus type 6 and 1
Your patient, who has undergone a recent major 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 appear to be responsive and
have difficulty being awake during therapy sessions. They have stable
vital signs, temperature, and urine output, and are not ill-appearing.
As a prudent nurse practitioner, you understand this may represent
which of the following?
Situational depression
