NR 511 CEA EXAM QUESTIONS AND ANSWERS

NR 511 CEA EXAM QUESTIONS AND
ANSWERS
Yourml22mlyearmloldmlmalemlpatientmlstatesmlduringmlhismlreviewmlofmlsystemsmlthathismlscro
tummlismlverymlenlargedmlandmlfeelsmllikemlitmlismlfullmlamlpowerliftermlandmlworksmlasmlamltras
hmlcollector.mlYoumlsuspectmlthemlpatientmllikelymlhasmlwhichmlofmlthemlfollowingmldiagnoses
?
Aml-Varicocele
Bml-Meningocele
Cml-Rectocele
Dml-Hydroceleml-mlanswer--Aml-Varicocele

Themlpointmlofmlmaximummlimpulseml(PMI)mlismlMOSTmloftenmlpalpablemlinmlhealthymladults
mlwhenmlpositionedmlinmlthemlsupinemlormlleftmllateralmldecubitusmlposition.mlWhichmlonemlofm

lthemlfollowingmllocationsmlismlmostmlcommonlymldescribedmlasmlthemlPMImlinmlamlhealthymla

dult?
Aml-Leftml2ndmlintercostalmlspace,mlmidaxillarymlline
Bml-Leftml5thmlintercostalmlspace,mlmidclavicularmlline
Cml-Rightml4thmlintercostalmlspace,mlmidaxillarymlline
Dml-Rightml2ndmlintercostalmlspace,mlmidclavicularmllineml-mlanswer--Bml-
Leftml5thmlintercostalmlspace,mlmidclavicularmlline

A40mlyearmlold,mlfemale,mlAfricanmlAmericanmlpatientmlpresentsmlformlhistorymlandmlphysic
al.mlUponmlyourmlinitialmlassessment,mlyoumlnoticemlshemlhasmlseveremlexophthalmosmlasml
picturedmlbelow.mlWhichmlonemlofmlthemlfollowingmldiagnosesmlbelowmlwouldmlbemlthemlhigh
estmlonmlyourmldifferentialmldiagnosemlofmlthismlphysicalmlexaminationmlfinding?
Aml-Bilateralmlconjunctivitis
Bml-Hyperthyroidism
Cml-hypothyroidism
Dml-Myexedmaml-mlanswer--Bml-Hyperthyroidism

YourmlpatientmlwithmlamlsuspectedmldiagnosismlofmlCOPDmlhasmlbeenmlseenmlbymlpulmonol
ogymlandmlhasmlunderwentmlamlpulmonarymlfunctionmltestml(PFT)mlwithmlspirometry.mlAsmlth
emlpatient'smlprimarymlhealthcaremlprovider,mlyoumlhavemlbeenmlaskedmltomlexplainmlthemlfi
ndingsmlofmlthemlPFTmltomlthemlpatientmlinmlafollow-
upmlvisitmlatmlwhichmltimemlthemlpatientmlasksmlwhatmlthemlstudymlwasmlevaluating.mlTomldes
cribemlthemlPFTmltomlthemlpatientmlinmlmoremlusefulmlterms,mlyoumlstatemlthatmlthemllargemlins
pirationmlofmlairmltomlthemlfurthestmlextentmltheymlcouldmlreasonablymlaccomplishmlfollowedm
lbymlamlfullmlexhalationmlismlreferredmltomlasmlwhichmlofmlthemlfollowingmlmeasurementsmlduri

ngmlthemlPFT?
Aml-ForcedmlExpiratorymlVolumemloverml1mlsecondml(FEV1)
Bml-FunctionalmlReservemlCapacity
Cml-InspiratorymlReserve
Dml-ForcedmlVitalmlCapacityml-mlanswer--Dml-Forcedmlvitalmlcapacity

,YourmlpatientmlhasmlamldiagnosismlofmlAddison'smldisease.mlWhichmlofmlthemlfollowingmlmig
htmlyoumlexpectmltomlfindmlduringmlexamination?
Aml-Abdominalmlstriae
Bml-Dowagermlhump
Cml-Lowmlbodymltemperature
Dml-Moonmlfaceml-mlanswer--Bml-Dowagermlhump

Themlnursemlpractitioner'smlevaluationmlofmlamlpatientmlwithmlDiabetesmlMellitusmltypeml2mls
houldmlincludemlwhichmlofmlthemlfollowingmlwhilemlevaluatingmlformlendmlorganmldysfunction
mlofmlthemldisease?

Aml-Renalmlfunctionmlpanel
Bml-Urinalysis
Cml-Non-dilatedmleyemlexam
Dml-Allmlofmlthesemlaremlappropriatemloptionsml-mlanswer--Dml-
Allmlofmlthesemlaremlappropriatemloptions

Duringmlyourmlvisitmlwithmlaml19mlyearmloldmlpatientmlformlamlcollegemlhealthmlphysical,mlyour
mlhealthmlhistorymlincludesmlamldiagnosismlofmlangioedema. mlWhatmlofmlthemlfollowingmlpart

smlofmlthemlbodymlaremlweremllikelymlinvolved?
Aml-Isolatedmltomlthemlcolon
Bml-Anywheremlinmlthemlenteralmltract
Cml-Chest
Dml-FacemlandmlLipsml-mlanswer--Dml-FacemlandmlLips

Whichmlofmlthemlfollowingmldermatologicmllesionsmlismlprecancerousmlandmllikelymlduemltoml
prolongedmlexposuremltomlUV-B?
Aml-ActinicmlKeratosis
Bml-Basalmlcellmlcarcinoma
Cml-Verucca
Dml-Seborrheicmldermatitisml-mlanswer--Aml-ActinicmlKeratosis

BasedmlonmlyourmlevaluationmlofmlABCDEmlformlmelanoma,mlwhichmlofmlthemlfollowingmlrep
resentsmlamlsuspicousmlfinding?
Aml-Irregularmlborders
Bml-Symmetricalmlnature
Cml-Brownmlcolor
Dml-Diametermlofml0.4mlcmml-mlanswer--Aml-Irregularmlborders

Yourmlpatientmlismlcomplainingmlofmlhypersomnia,mllackmlofmlmotivation,mlweightmlgain,mlan
dmlanhedonia.mlSuspectingmlamldiagnosismlofmlclinicalmldepression,mlyoumlanticipatemltheml
patientmlwillmlbenefitmlfrommltreatingmltheirmlunderlyingmldeficitmlofmlwhichmlofmlthemlfollowin
gmlneurotransmitters?
Aml-GABA
Bml-Serotonin
Cml-Dobutamine
Dml-Glutamateml-mlanswer--Bml-Serotonin

Asmlamlprudentmlnursemlpractitioner,mlthemldiabetic,mlhypertensivemlpatientmlyoumlaremlseei
ngmlshouldmlbemlevaluatedmlformlearlymlevidencemlofmlrenalmldamagemlfrommlbothmldiabetes
mlandmlhypertension.mlWhichmlofmlthemlfollowingmlassessmentmltoolsmlshouldmlthemlnurseml

,practitionermlordermlfirstmlformlthemlevaluationmlofmlearlymlrenalmldysfunctionmlsecondarymlto
mldiabetesmlormlhypertension?

Aml-BUN/creatininemlratio
Bml-Urinalysismlwithmlmicro/macromlalbumin
Cml-Renalmlbiopsy
Dml-Urinemlsodiumml-mlanswer--Bml-Urinalysismlwithmlmicro/macromlalbumin

Whilemlevaluatingmlamlpatientmlinmlyourmlclinicmlformlamlroutinemlhealthmlvisit,mlyoumlauscultat
emlcracklesmlinmlthemlpostermlleftmllowermllobe,mlhavemlthemlpatientmlcough,mlwithmlfollow-
upmlauscultationmlrevealingmlclearmlbreathmlsounds.mlWhichmlonemlofmlthemlfollowingmlwoul
dmlyoumlsuspect?
Aml-Congestivemlheartmlfailure
Bml-Atelectasis
Cml-Laryngospasm
Dml-Bronchiactasis.ml-mlanswer--Bml-Atelectasis

Yourml39mlyearmloldmlpatientmlwhomlhasmlrecentlymlbeenmlhospitalizedmlformlanmlappendect
omymlandmlismlbeingmlseenmlinmlyourmlclinicmlformlpost-operativemlfollow-
upmlwithmlprimarymlcare.mlOnmlassessment,mlthemlpatientmlcomplainsmlofmlsomemlincisional
mlpainmlandmlotherwisemlexaminationmlismlnormal,mlwithmlthemlexceptionmlofmldullmlpercussi

onmlsoundsmlnotedmlonmlthemlthoraxmlovermllungmltissue.mlWhichmlofmlthemlfollowingmldiagn
osesmlwouldmlbemlexplainedmlbymlthismlfindingmlinmlpost-operativemlpatient?
Aml-Left-sidedmlheartmlfailure
Bml-Chronicmlbronchitis
Cml-Atelectasis
Dml-Healthymlpatientmlwithmlnomlcoexisingmldiseaseml-mlanswer--Cml-Atelectasis

Youmlaremlevaluatingmlaml41mlyearmloldmlfemalemlpatientmlinmlyourmlclinicmlwithmlsymptomsml
ofmlrightmluppermlquadrantmlpainmlwhichmlworsensmlwithmldeepmlbreathing.mlThemlpatientmle
xhibitsmlamlpositivemlMurphymlsign.mlThesemlfindingsmlaremlmostmlconsistentmlwhichmloneml
ofmlthemlfollowing?
Aml-Appendicitis
Bml-Cholecystitis
Cml-Crohn'smlflare
Dml-Pancreatitisml-mlanswer--Bml-Cholecystitis

Inmleducatingmlyourmlpatientmlaboutmlthemlnon-
pharmacologicmlmanagementmlofmlgastroesophagealmlrefluxmldisease,mlyoumlincludemlte
achingmltomlthemlpatientmlthatmltheirmlheartburnmlismlaggravatedmlbymlalmlofmlthemlfollowingml
exceptmlwhichmlone?
Aml-Activitiesmlincludingmlliftingmlormlbendingmlover
Bml-Alcoholmlintake
Cml-Foods,mlsuchmlasmlcitrus,mlonionsmlandmlcoffee
Dml-Gastricmldumping,mlormlincreasedmlemptyingmlintomlthemlsmallmlintestinesml-mlanswer--
Dml-Gastricmldumping,mlormlincreasedmlemptyingmlintomlthemlsmallmlintestines

Themlpatientmlismlexperiencingmlacutemlclosedmlanglemlglaucoma.mlWhichmlofmlthemlfollowi
ngmlexaminationmlfindingsmlbymlthemlnursemlpractitionermlismlmostmlconsistentmlwithmltheirml
diagnosis?
Aml-Macularmldegeneration

, Bml-Increasemlinmlintraocularmlpressure
Cml-AVmlnicking
Dml-Lossmlofmlaqueousmlhumormlvolumeml-mlanswer--Bml-
Increasemlinmlintraocularmlpressure

Whilemlmanagingmlthemlcaremlofmlthemlpatientmlwithmlchronicmlalcoholism,mlthemlnursemlpra
ctitionermlwouldmllikelymlanticipatemlwhichmlfindingsmlonmlthemlCBCmlwithmldifferential?
Aml-LowmlMCVmlandmlMCH
Bml-NormalmlMCVmlandmlMCH
Cml-Chronicmlalcoholismmlwillmlnotmlaffectmlthemldifferential
Dml-ElevatedmlMCVmlandmlMCHml-mlanswer--Dml-ElevatedmlMCVmlandmlMCH

ThemlnursemlpractitionermlismlcaringmlformlamlpatientmlwithmlanmlelevatedmlWBC,mlfever,mlchil
ls,mlandmlmalaise.mlWhenmldevelopingmlamldifferentialmldiagnosismlformlthismlfinding,mlwhich
mlofmlthemlfollowingmlismlnotmlamlpotentialmlcausemlofmlthemlelevatedmlWBC?

Aml-Sepsis
Bml-DiabetesmlMellitusmlTypeml2
Cml-Leukemia
Dml-Recentmloralmlcorticosteroidmltherapyml-mlanswer--Bml-DiabetesmlMellitusmlTypeml2

Yourml21mlyearmloldmlsexuallymlactivemlfemalemlpatientmlstatesmlduringmlamlroutinemlhealthml
exammlthatmltheymlhavemlsomeml"weirdmlbumps"mlonmltheirmlvulva.Shemlismlconcernedmlshe
mlhasmlamlsexuallymltransmittedmlinfection.mlYoumlnotifymlhermlthatmlcondylomamlaremlcause

dmlbymlexposuremltomlwhichmlofmlthemlfollowing?
Aml-Chlamydia
Bml-Herpesmlzoster
Cml-Humanmlpapilomavirusmltypeml6mlandml1
Dml-ParvovirusmlB19ml-mlanswer--Cml-Humanmlpapilomavirusmltypeml6mlandml1

Yourpatientmlwhomlhasmlunderwentmlamlrecentmlmajormlmedicalmlmedicalmlproceduremlismla
tmlamlrehabilitationmlcentermlandmlismlhavingmlamlhardmltimemlbeingmlmotivatedmltomldomlthera
py.mlWhenmlyoumlinterviewmlthemmlasmlthemlnursemlpractitionermlonmlstaffmlformlthemlsubacut
emlrehabmlcenter,mltheymlappeardespondent,mlandmlaremlhavingmlamlhardmltimemlbeingmlwa
kefulmlduringmltherapymlsessions.mlTheymlhavemlstablemlvitalmlsigns,mltemperature,mlurineml
output,mlandmlaremlnotmlill-
appearing.mlAsmlamlprudentmlnursemlpractitioner,mlyoumlunderstandmlthismlmaymlrepresentm
lwhichmlofmlthemlfollowing?

Aml-Cushingmlsyndrome
Bml-Situationmldepression
Cml-Addison'smldisease
Dml-Untreatedmlanxietyml-mlanswer--Bml-Situationmldepression

Theml18mlyearmloldmlfemalemlpatientmlwhomlinappropriatelymlexhibitsmlfearmlofmlabandonme
nt,mlintensemlinterpersonalmlrelationships,mlaffectivemlinstability,mlandmlrecurrentmlself-
harmmldescribesmlwhichmlofmlthemlfollowingmldiagnoses:
Aml-Borderlinemlpersonalitymldisorder
Bml-Seasonalmlaffectivemldisorder
Cml-Reactivemlattachmentmldisorder
Dml-Bipolarmldisorderml-mlanswer--Aml-Borderlinemlpersonalitymldisorder