CEA Exam Questions and Verified Answers Graded A+ 2026/27
Which of the following microorganisms are most frequently associated with acute bacterial
rhino-sinusitis? - Streptococcus pneumoniae and Haemophilus influenzae
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that their parent died
in their 40s from liver cancer. The nurse practitioner assesses that the patient is at risk for: -
hepatitis B.
Effective long-term treatment of systolic heart failure with reduced ejection fraction should
include which of the following? - Prescribing valsartan/sacubitril (Entresto) unless
contraindicated on discharge
*Angiotensin Receptor and Neprilysin Inhibition is considered goal-directed therapy for patients
with reduced systolic heart function
Which of the following medications is not considered part of optimal medical therapy for a 54
year-old male patient with a diagnosis of heart failure with reduced ejection fraction (HFrEF)
with an EF of 30%, known coronary artery disease, and normal renal function? -
Diltiazem (cardizem)
*Cardizem is not indicated for patients with heart failure it decreases myocardial contractility,
fluid retention, and lower cardiac output.
Appropriate for patient with HFrEF, CAD, and normal renal function are spironolactone
(aldactone), Carvedilol (Coreg). and Aspirin
,A 55 year-old female patient with no previous cardiac history and no family history of
hyperlipidemia with an acute myocardial infarction is treated successfully with a drug-eluting
stent during a recent hospitalization. As their long-term care provider, you anticipate they were
most likely to be also started on which of the following lipid-lowering agents at discharge? -
Patients with drug-eluting stents should take a lipid-lowering agent at discharge.
**The high intensity statin therapy is first line.
PCSK9 therapy is indicated if familial history of HLD or cardiac disease with failed statin
therapy
Your patient with a diagnosis of peripheral arterial disease asks you what is considered a non-
modifiable risk factor. Which of the following represent the best answer for his question? -
A non modifiable risk factor of peripheral artery disease is family history of peripheral
artery disease
Modifiable risk factors of peripheral artery disease are smoking, DM control, and medication
compliance
What is the chamber which directly pumps blood into the ascending aorta? - The left
ventricle pumps directly into the ascending aorta
A patient has been complaining of palpitations for the past week and presents to you at an urgent
care clinic for evaluation. You perform a 12 lead EKG and identify atrial fibrillation with a heart
, rate of 122 beats per minute. What is your next order? - Order a stat echocardiogram
(identify a clot burden) and prepare for patient to be transported to nearest hospital
Your patient with a history of two coronary stents and a LDL of 190 has been started on lipid-
lowering statin therapy on three separate attempts with considerable side effects such as leg pain
and in one event, hospitalization for rhabdomyolysis. Which is the best option moving forward to
manage their lipids? - PCSK9 Inhibitors.
*History of statin-induced rhabdomyolosis is a contraindication to reattempt statin therapy.
An older adult with diabetes mellitus presents with leg cramps. She states that the cramps as
worst when walking to the supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for: - intermittent claudication
Preventive cardiac care should focus primarily on addressing all the following except? -
Smoking cessation, exercise, and medication compliance are modifiable risk factors and
should be the focus of preventative care.
Non-modifiable risk factors like age, gender, and genetic/family history should not be a focus of
preventative care
The suggested International Normalized Ratio (INR) range in a patient being treated for atrial
fibrillation is: - 2.0-3.0 (normal is 1.0)
Which of the following microorganisms are most frequently associated with acute bacterial
rhino-sinusitis? - Streptococcus pneumoniae and Haemophilus influenzae
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that their parent died
in their 40s from liver cancer. The nurse practitioner assesses that the patient is at risk for: -
hepatitis B.
Effective long-term treatment of systolic heart failure with reduced ejection fraction should
include which of the following? - Prescribing valsartan/sacubitril (Entresto) unless
contraindicated on discharge
*Angiotensin Receptor and Neprilysin Inhibition is considered goal-directed therapy for patients
with reduced systolic heart function
Which of the following medications is not considered part of optimal medical therapy for a 54
year-old male patient with a diagnosis of heart failure with reduced ejection fraction (HFrEF)
with an EF of 30%, known coronary artery disease, and normal renal function? -
Diltiazem (cardizem)
*Cardizem is not indicated for patients with heart failure it decreases myocardial contractility,
fluid retention, and lower cardiac output.
Appropriate for patient with HFrEF, CAD, and normal renal function are spironolactone
(aldactone), Carvedilol (Coreg). and Aspirin
,A 55 year-old female patient with no previous cardiac history and no family history of
hyperlipidemia with an acute myocardial infarction is treated successfully with a drug-eluting
stent during a recent hospitalization. As their long-term care provider, you anticipate they were
most likely to be also started on which of the following lipid-lowering agents at discharge? -
Patients with drug-eluting stents should take a lipid-lowering agent at discharge.
**The high intensity statin therapy is first line.
PCSK9 therapy is indicated if familial history of HLD or cardiac disease with failed statin
therapy
Your patient with a diagnosis of peripheral arterial disease asks you what is considered a non-
modifiable risk factor. Which of the following represent the best answer for his question? -
A non modifiable risk factor of peripheral artery disease is family history of peripheral
artery disease
Modifiable risk factors of peripheral artery disease are smoking, DM control, and medication
compliance
What is the chamber which directly pumps blood into the ascending aorta? - The left
ventricle pumps directly into the ascending aorta
A patient has been complaining of palpitations for the past week and presents to you at an urgent
care clinic for evaluation. You perform a 12 lead EKG and identify atrial fibrillation with a heart
, rate of 122 beats per minute. What is your next order? - Order a stat echocardiogram
(identify a clot burden) and prepare for patient to be transported to nearest hospital
Your patient with a history of two coronary stents and a LDL of 190 has been started on lipid-
lowering statin therapy on three separate attempts with considerable side effects such as leg pain
and in one event, hospitalization for rhabdomyolysis. Which is the best option moving forward to
manage their lipids? - PCSK9 Inhibitors.
*History of statin-induced rhabdomyolosis is a contraindication to reattempt statin therapy.
An older adult with diabetes mellitus presents with leg cramps. She states that the cramps as
worst when walking to the supermarket. If she stops to rest, the pain subsides. The nurse
practitioner knows that this patient needs a workup for: - intermittent claudication
Preventive cardiac care should focus primarily on addressing all the following except? -
Smoking cessation, exercise, and medication compliance are modifiable risk factors and
should be the focus of preventative care.
Non-modifiable risk factors like age, gender, and genetic/family history should not be a focus of
preventative care
The suggested International Normalized Ratio (INR) range in a patient being treated for atrial
fibrillation is: - 2.0-3.0 (normal is 1.0)
