NR667 CEA FNP ACTUAL EXAM /
QUESTIONS AND CORRECT
ANSWERS 2025/2026 GFRADED A+
LATEST GUIDE.
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168
,1. A patient currently undergoing concurrent chemotherapy/radiation treat- ment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is
this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression ANSWER D
2. Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis ANSWER C
3. Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss ANSWER B
4. A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing, and itchy
eyes. She has tried over-the-counter antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy ANSWER C
5. A patient currently undergoing concurrent chemotherapy/radiation treat- ment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is
this patient at risk for?
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168
,A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression ANSWER D
6. A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of rectal
adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC shows Hgb 7.5, PLT
88,WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-up would you anticipate for
this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his onco- logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks ANSWER B
7. Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive ANSWER
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome ANSWER D
8. Treatment for symptomatic aplastic anemia includes all the following ex- cept ANSWER
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants ANSWER D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen- tation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis ANSWER A
10. Which of the following is not a common mechanism of neutrophil expen- diture and resultant neutropenia?
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, A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction ANSWER C
11. Which of the following blood lead levels (BLL) would likely require chela- tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL ANSWER C
12. A geriatric patient with anemia, back pain, osteoporosis, and elevated erythrocyte sedimentation rate
should be evaluated for ANSWER
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma. ANSWER D
13. Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark of
which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation ANSWER D
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo- sis (DVT) is about to have lumbar
spinal fusion surgery.The patient's warfarin is put on hold starting 5 days prior to the surgery and subcutaneous
enoxa- parin (Lovenox) has been ordered for DVT prophylaxis until the resumption of the warfarin. The nurse
practitioner knows that the patient's postoperative warfarin dose should be restarted based on the ANSWER
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
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QUESTIONS AND CORRECT
ANSWERS 2025/2026 GFRADED A+
LATEST GUIDE.
1/
168
,1. A patient currently undergoing concurrent chemotherapy/radiation treat- ment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is
this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression ANSWER D
2. Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis ANSWER C
3. Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss ANSWER B
4. A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing, and itchy
eyes. She has tried over-the-counter antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy ANSWER C
5. A patient currently undergoing concurrent chemotherapy/radiation treat- ment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is
this patient at risk for?
2/
168
,A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression ANSWER D
6. A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of rectal
adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC shows Hgb 7.5, PLT
88,WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-up would you anticipate for
this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his onco- logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks ANSWER B
7. Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive ANSWER
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome ANSWER D
8. Treatment for symptomatic aplastic anemia includes all the following ex- cept ANSWER
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants ANSWER D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen- tation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis ANSWER A
10. Which of the following is not a common mechanism of neutrophil expen- diture and resultant neutropenia?
3/
168
, A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction ANSWER C
11. Which of the following blood lead levels (BLL) would likely require chela- tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL ANSWER C
12. A geriatric patient with anemia, back pain, osteoporosis, and elevated erythrocyte sedimentation rate
should be evaluated for ANSWER
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma. ANSWER D
13. Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is a trademark of
which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation ANSWER D
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo- sis (DVT) is about to have lumbar
spinal fusion surgery.The patient's warfarin is put on hold starting 5 days prior to the surgery and subcutaneous
enoxa- parin (Lovenox) has been ordered for DVT prophylaxis until the resumption of the warfarin. The nurse
practitioner knows that the patient's postoperative warfarin dose should be restarted based on the ANSWER
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
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168
