NR667 CEA Final exam
1. Your 18-year-old patient has recently been diagnosed with
streptococcal infection and has been successfully treated with an
appropriate antimicrobial agent. They have no other noteworthy health
history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the
diagnosis of which of the following? - correct answer ✔ ✔
glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early renal
dysfunction secondary to diabetes or hypertension? - correct answer ✔
✔ urinalysis with micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following? - correct answer ✔ ✔ maintain rate control and
anticoagulation prior to rhythm conversion
,4. As a prudent nurse practitioner, you know that a 28-year-old male
patient with HIV would be considered well managed when they have
which of the following in addition to having undetectable or very low
viral copies? - correct answer ✔ ✔ CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you
identify as a darkened, round, and raised lesion. This benign lesion that
appears like "stuck on" to the skin. Which of the following lesions best
fits this description? - correct answer ✔ ✔ Seborrheic keratosis
6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions? - correct answer
✔ ✔ Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the posterior left lower lobe, have the patient
cough, with follow-up auscultation revealing clear breath sounds. Which
one of the following would you suspect? - correct answer ✔ ✔
Atelectasis
, 8. Gladys is a 72-year-old patient with a history of anemia of chronic
disease from kidney failure, diabetes mellitus, and hypothyroidism,
presents today with concerns her thyroid medication is not working well
enough. Her most recent labs reflect her TSH is 5.9 (normal range 0.5-5
uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would you expect a
patient with these findings to present with? - correct answer ✔ ✔
cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick
out their tongue and notice that the tongue deviates by pointing to the
left. Which one of the following is the correct diagnosis of this finding?
- correct answer ✔ ✔ cranial nerve XII (hypoglossal nerve) lesion on
the left
10. Your 31-year-old female patient states they are experiencing lateral
lower back pain and urinalysis reveals bacteria in the urine, culture
reveals gram negative rods after 24 hours of growth. Which of the
following is least likely agent to cause her urinary tract infection? -
correct answer ✔ ✔ Enterococcus
Marvin, your 47-year-old African American patient with a diagnosis of
severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his health history which
of the following agents is considered the safest beta blocker for his CAD
management? - correct answer ✔ ✔ Lopressor
1. Your 18-year-old patient has recently been diagnosed with
streptococcal infection and has been successfully treated with an
appropriate antimicrobial agent. They have no other noteworthy health
history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the
diagnosis of which of the following? - correct answer ✔ ✔
glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early renal
dysfunction secondary to diabetes or hypertension? - correct answer ✔
✔ urinalysis with micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is
irregularly irregular, heart rate 100, BP 120/74, respiration 16 non-
labored and an SpO2 is 99%. They state this has been going on for a
week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following? - correct answer ✔ ✔ maintain rate control and
anticoagulation prior to rhythm conversion
,4. As a prudent nurse practitioner, you know that a 28-year-old male
patient with HIV would be considered well managed when they have
which of the following in addition to having undetectable or very low
viral copies? - correct answer ✔ ✔ CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you
identify as a darkened, round, and raised lesion. This benign lesion that
appears like "stuck on" to the skin. Which of the following lesions best
fits this description? - correct answer ✔ ✔ Seborrheic keratosis
6. You are treating a patient who has stopped taking their diuretic
regimen against medical advice while they were on vacation since it
made them urinate too frequently for their plans. Now they are 21
pounds heavier than their baseline weight, have respiratory crackles in
bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions? - correct answer
✔ ✔ Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the posterior left lower lobe, have the patient
cough, with follow-up auscultation revealing clear breath sounds. Which
one of the following would you suspect? - correct answer ✔ ✔
Atelectasis
, 8. Gladys is a 72-year-old patient with a history of anemia of chronic
disease from kidney failure, diabetes mellitus, and hypothyroidism,
presents today with concerns her thyroid medication is not working well
enough. Her most recent labs reflect her TSH is 5.9 (normal range 0.5-5
uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL). Which
one of the following clinical signs and/or symptoms would you expect a
patient with these findings to present with? - correct answer ✔ ✔
cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick
out their tongue and notice that the tongue deviates by pointing to the
left. Which one of the following is the correct diagnosis of this finding?
- correct answer ✔ ✔ cranial nerve XII (hypoglossal nerve) lesion on
the left
10. Your 31-year-old female patient states they are experiencing lateral
lower back pain and urinalysis reveals bacteria in the urine, culture
reveals gram negative rods after 24 hours of growth. Which of the
following is least likely agent to cause her urinary tract infection? -
correct answer ✔ ✔ Enterococcus
Marvin, your 47-year-old African American patient with a diagnosis of
severe COPD and coronary artery disease has been complaining of
shortness of breath and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his health history which
of the following agents is considered the safest beta blocker for his CAD
management? - correct answer ✔ ✔ Lopressor
