Page 1 of 298
NR667- CEA FNP EXAM AND STUDY GUIDE
COMPLETE 580 QUESTIONS WITH DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NR667- CEA FNP EXAM 1
A 25-year-old woman presents with dysuria, frequency, and urgency. Urinalysis shows pyuria
and bacteriuria. What is the most likely diagnosis?
A. Pyelonephritis
B. Vaginitis
C. Vaginitis
D. Cystitis
D
What is the standard treatment for women with uncomplicated urinary tract infection in a
geographical area with less than 20% resistance?
A. Amoxicillin 875mg BID x 7 days
B. Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
C. Ciprofloxacin 500mg BID x 7 days
D. Nitrofurantoin 100mg BID x 5 days
B
An older adult female presents with a 2-month history of incontinence. She specifically
complains of an inability to make it to the bathroom without the loss of some urine most of
the time, and denies incontinence due to laughing, coughing, or sneezing; she denies dysuria.
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Her medications include an angiotensin-converting enzyme (ACE) inhibitor. The initial plan of
action for this patient would be:
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Which portion of the renin-angiotensin-aldosterone mechanism is inhibited by lisinopril?
A. Conversion of angiotensin I to angiotensin
B. Efferent arteriole dilation
C. Aldosterone secretion
D. Juxtaglomerular cell stimulation of renin
A
Your patient has presented with flank pain, CVA tenderness, frequency. Which diagnostic
finding would be useful to differentiate between cystitis and pyelonephritis?
A. Presence of hematuria
B. UA
C. UA with presence of RBC casts
D. UC positive for proteus mirabilis
C
The hospitalized patient you are caring for has experienced a low blood pressure for a period
of 2 hours before treatment with a fluid bolus. Which type acute renal dysfunction is being
described in this scenario?
A. Chronic kidney disease
B. Intrarenal
C. Postrenal
D. Prerenal
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D
What is the standard treatment for women with uncomplicated urinary tract infection in a
geographical area with more than 20% resistance?
A. Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
B. Amoxicillin 875mg BID x 7 days
C. Ciprofloxacin 500mg BID x 7 days
D. Nitrofurantoin 100mg BID x 5 days
D
Inability to reach the bathroom before urinating is a feature consistent with which of the
following diagnoses?
A. overflow incontinence
B. urge-type incontinence
C. stress incontinence
D. functional incontinence
B
A 24-year-old female reports urinary urgency with suprapubic tenderness relieved by bladder
emptying. The patient has been evaluated by urology and urogynecology. Review of
laboratory reports reveal negative urinalysis and cultures, negative results for sexually
transmitted infections, and an unremarkable cystoscopy. Which of the following is an
appropriate plan of care?
Amitriptyline (Elavil) 25 mg oral once daily
Patients with an elevated creatinine after receiving contrast from an angiogram are exhibiting
which classification of renal dysfunction?
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A. Post renal
B. Intrarenal
C. Prerenal
D. Chronic kidney disease
B
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by urinalysis. She
has no allergies. What is the most appropriate first-line antibiotic treatment?
A. Nitrofurantoin
B. Ciprofloxacin
C. Trimethoprim-sulfamethoxazole
D. Amoxicillin
A
Patients presenting to the emergency department with hematuria and RBC casts in their urine
should be considered for which diagnosis?
A. Acute tubular necrosis
B. Pyelonephritis
C. Glomerulonephritis
D. Nephrotic syndrome
C
The preferred treatment for early syphilis is:
A. ceftriaxone, 2 g IM once.
B. tetracycline, 500 mg q.i.d. for 14 days.
4
SUCCESS!
NR667- CEA FNP EXAM AND STUDY GUIDE
COMPLETE 580 QUESTIONS WITH DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NR667- CEA FNP EXAM 1
A 25-year-old woman presents with dysuria, frequency, and urgency. Urinalysis shows pyuria
and bacteriuria. What is the most likely diagnosis?
A. Pyelonephritis
B. Vaginitis
C. Vaginitis
D. Cystitis
D
What is the standard treatment for women with uncomplicated urinary tract infection in a
geographical area with less than 20% resistance?
A. Amoxicillin 875mg BID x 7 days
B. Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
C. Ciprofloxacin 500mg BID x 7 days
D. Nitrofurantoin 100mg BID x 5 days
B
An older adult female presents with a 2-month history of incontinence. She specifically
complains of an inability to make it to the bathroom without the loss of some urine most of
the time, and denies incontinence due to laughing, coughing, or sneezing; she denies dysuria.
1
SUCCESS!
,Page 2 of 298
Her medications include an angiotensin-converting enzyme (ACE) inhibitor. The initial plan of
action for this patient would be:
Obtaining a urinalysis for pyuria, hematuria, and glucosuria
Which portion of the renin-angiotensin-aldosterone mechanism is inhibited by lisinopril?
A. Conversion of angiotensin I to angiotensin
B. Efferent arteriole dilation
C. Aldosterone secretion
D. Juxtaglomerular cell stimulation of renin
A
Your patient has presented with flank pain, CVA tenderness, frequency. Which diagnostic
finding would be useful to differentiate between cystitis and pyelonephritis?
A. Presence of hematuria
B. UA
C. UA with presence of RBC casts
D. UC positive for proteus mirabilis
C
The hospitalized patient you are caring for has experienced a low blood pressure for a period
of 2 hours before treatment with a fluid bolus. Which type acute renal dysfunction is being
described in this scenario?
A. Chronic kidney disease
B. Intrarenal
C. Postrenal
D. Prerenal
2
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D
What is the standard treatment for women with uncomplicated urinary tract infection in a
geographical area with more than 20% resistance?
A. Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
B. Amoxicillin 875mg BID x 7 days
C. Ciprofloxacin 500mg BID x 7 days
D. Nitrofurantoin 100mg BID x 5 days
D
Inability to reach the bathroom before urinating is a feature consistent with which of the
following diagnoses?
A. overflow incontinence
B. urge-type incontinence
C. stress incontinence
D. functional incontinence
B
A 24-year-old female reports urinary urgency with suprapubic tenderness relieved by bladder
emptying. The patient has been evaluated by urology and urogynecology. Review of
laboratory reports reveal negative urinalysis and cultures, negative results for sexually
transmitted infections, and an unremarkable cystoscopy. Which of the following is an
appropriate plan of care?
Amitriptyline (Elavil) 25 mg oral once daily
Patients with an elevated creatinine after receiving contrast from an angiogram are exhibiting
which classification of renal dysfunction?
3
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, Page 4 of 298
A. Post renal
B. Intrarenal
C. Prerenal
D. Chronic kidney disease
B
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by urinalysis. She
has no allergies. What is the most appropriate first-line antibiotic treatment?
A. Nitrofurantoin
B. Ciprofloxacin
C. Trimethoprim-sulfamethoxazole
D. Amoxicillin
A
Patients presenting to the emergency department with hematuria and RBC casts in their urine
should be considered for which diagnosis?
A. Acute tubular necrosis
B. Pyelonephritis
C. Glomerulonephritis
D. Nephrotic syndrome
C
The preferred treatment for early syphilis is:
A. ceftriaxone, 2 g IM once.
B. tetracycline, 500 mg q.i.d. for 14 days.
4
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