NR 511 CEA Exam 2025| Actual Exam
Questions and Verified Answers for
Guaranteed Pass
Question 1
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full. He is a powerlifter and works as a trash collector. You
suspect the patient likely has which of the following diagnoses?
A) Varicocele
B) Meningocele
C) Rectocele
D) Hydrocele
ANSWER: A) Varicocele
Explanation: A varicocele is an enlargement of the veins within the scrotum, commonly
described as feeling like a "bag of worms." It is more common in young men and can be
exacerbated by heavy lifting or straining, which increases intra-abdominal pressure.
Question 2
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
A) Left 2nd intercostal space, midaxillary line
B) Left 5th intercostal space, midclavicular line
C) Right 4th intercostal space, midaxillary line
D) Right 2nd intercostal space, midclavicular line
ANSWER: B) Left 5th intercostal space, midclavicular line
Explanation: The PMI is normally located at the left 5th intercostal space, midclavicular line,
corresponding to the apex of the heart. It may shift in conditions like cardiomegaly or
dextrocardia.
Question 3
A 40-year-old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos. Which one of the following
,diagnoses would be highest on your differential diagnosis?
A) Bilateral conjunctivitis
B) Hyperthyroidism
C) Hypothyroidism
D) Myxedema
ANSWER: B) Hyperthyroidism
Explanation: Exophthalmos (protrusion of the eyes) is a classic finding in Graves' disease, an
autoimmune form of hyperthyroidism. Hypothyroidism and myxedema would not cause
exophthalmos.
Question 4
Your patient with suspected COPD underwent a pulmonary function test (PFT) with
spirometry. The patient asks what the study was evaluating. You explain that the large
inspiration of air to the furthest extent they could reasonably accomplish followed by a full
exhalation is referred to as which of the following measurements?
A) Forced Expiratory Volume over 1 second (FEV1)
B) Functional Reserve Capacity
C) Inspiratory Reserve
D) Forced Vital Capacity
ANSWER: D) Forced Vital Capacity
Explanation: Forced Vital Capacity (FVC) measures the total volume of air exhaled forcefully
after maximal inhalation. FEV1 measures how much air is exhaled in the first second, while
functional reserve capacity and inspiratory reserve are different lung volumes.
Question 5
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during examination?
A) Abdominal striae
B) Dowager hump
C) Low body temperature
D) Moon face
ANSWER: B) Dowager hump
Explanation: Addison’s disease (primary adrenal insufficiency) can lead
to hyperpigmentation (due to elevated ACTH) and osteoporosis (due to chronic cortisol
deficiency), which may present as a dowager hump (kyphosis). Moon face and striae are seen
in Cushing’s syndrome (excess cortisol).
,Question 6
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end-organ dysfunction?
A) Renal function panel
B) Urinalysis
C) Non-dilated eye exam
D) All of these are appropriate options
ANSWER: D) All of these are appropriate options
Explanation: Diabetes can lead to nephropathy (renal function panel, urinalysis for
microalbuminuria), retinopathy (eye exam), and neuropathy. A comprehensive evaluation
includes all of these.
Question 7
During your visit with a 19-year-old patient for a college health physical, your health
history includes a diagnosis of angioedema. What parts of the body were likely involved?
A) Isolated to the colon
B) Anywhere in the enteral tract
C) Chest
D) Face and Lips
ANSWER: D) Face and Lips
Explanation: Angioedema is swelling of the deep dermis and subcutaneous tissue, commonly
affecting the face, lips, and tongue (but can also involve the airway). GI involvement (enteral
tract) is less common.
Question 8
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A) Actinic Keratosis
B) Basal cell carcinoma
C) Verruca
D) Seborrheic dermatitis
ANSWER: A) Actinic Keratosis
Explanation: Actinic keratosis is a precancerous lesion caused by chronic sun exposure (UV-
B). It can progress to squamous cell carcinoma if untreated.
Question 9
, Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding?
A) Irregular borders
B) Symmetrical nature
C) Brown color
D) Diameter of 0.4 cm
ANSWER: A) Irregular borders
Explanation: The ABCDE criteria for melanoma include:
Asymmetry
Border irregularity
Color variation
Diameter >6mm
Evolving
Irregular borders are highly suspicious.
Question 10
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting clinical depression, you anticipate the patient will benefit from
treating their underlying deficit of which neurotransmitter?
A) GABA
B) Serotonin
C) Dobutamine
D) Glutamate
ANSWER: B) Serotonin
Explanation: Depression is associated with low serotonin (and sometimes
norepinephrine/dopamine). SSRIs (selective serotonin reuptake inhibitors) are first-line
treatment.
Question 11
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage. Which assessment tool should you order
first?
A) BUN/creatinine ratio
B) Urinalysis with micro/macro albumin
C) Renal biopsy
D) Urine sodium
Questions and Verified Answers for
Guaranteed Pass
Question 1
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full. He is a powerlifter and works as a trash collector. You
suspect the patient likely has which of the following diagnoses?
A) Varicocele
B) Meningocele
C) Rectocele
D) Hydrocele
ANSWER: A) Varicocele
Explanation: A varicocele is an enlargement of the veins within the scrotum, commonly
described as feeling like a "bag of worms." It is more common in young men and can be
exacerbated by heavy lifting or straining, which increases intra-abdominal pressure.
Question 2
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when
positioned in the supine or left lateral decubitus position. Which one of the following
locations is most commonly described as the PMI in a healthy adult?
A) Left 2nd intercostal space, midaxillary line
B) Left 5th intercostal space, midclavicular line
C) Right 4th intercostal space, midaxillary line
D) Right 2nd intercostal space, midclavicular line
ANSWER: B) Left 5th intercostal space, midclavicular line
Explanation: The PMI is normally located at the left 5th intercostal space, midclavicular line,
corresponding to the apex of the heart. It may shift in conditions like cardiomegaly or
dextrocardia.
Question 3
A 40-year-old, female, African American patient presents for history and physical. Upon
your initial assessment, you notice she has severe exophthalmos. Which one of the following
,diagnoses would be highest on your differential diagnosis?
A) Bilateral conjunctivitis
B) Hyperthyroidism
C) Hypothyroidism
D) Myxedema
ANSWER: B) Hyperthyroidism
Explanation: Exophthalmos (protrusion of the eyes) is a classic finding in Graves' disease, an
autoimmune form of hyperthyroidism. Hypothyroidism and myxedema would not cause
exophthalmos.
Question 4
Your patient with suspected COPD underwent a pulmonary function test (PFT) with
spirometry. The patient asks what the study was evaluating. You explain that the large
inspiration of air to the furthest extent they could reasonably accomplish followed by a full
exhalation is referred to as which of the following measurements?
A) Forced Expiratory Volume over 1 second (FEV1)
B) Functional Reserve Capacity
C) Inspiratory Reserve
D) Forced Vital Capacity
ANSWER: D) Forced Vital Capacity
Explanation: Forced Vital Capacity (FVC) measures the total volume of air exhaled forcefully
after maximal inhalation. FEV1 measures how much air is exhaled in the first second, while
functional reserve capacity and inspiratory reserve are different lung volumes.
Question 5
Your patient has a diagnosis of Addison's disease. Which of the following might you expect
to find during examination?
A) Abdominal striae
B) Dowager hump
C) Low body temperature
D) Moon face
ANSWER: B) Dowager hump
Explanation: Addison’s disease (primary adrenal insufficiency) can lead
to hyperpigmentation (due to elevated ACTH) and osteoporosis (due to chronic cortisol
deficiency), which may present as a dowager hump (kyphosis). Moon face and striae are seen
in Cushing’s syndrome (excess cortisol).
,Question 6
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end-organ dysfunction?
A) Renal function panel
B) Urinalysis
C) Non-dilated eye exam
D) All of these are appropriate options
ANSWER: D) All of these are appropriate options
Explanation: Diabetes can lead to nephropathy (renal function panel, urinalysis for
microalbuminuria), retinopathy (eye exam), and neuropathy. A comprehensive evaluation
includes all of these.
Question 7
During your visit with a 19-year-old patient for a college health physical, your health
history includes a diagnosis of angioedema. What parts of the body were likely involved?
A) Isolated to the colon
B) Anywhere in the enteral tract
C) Chest
D) Face and Lips
ANSWER: D) Face and Lips
Explanation: Angioedema is swelling of the deep dermis and subcutaneous tissue, commonly
affecting the face, lips, and tongue (but can also involve the airway). GI involvement (enteral
tract) is less common.
Question 8
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A) Actinic Keratosis
B) Basal cell carcinoma
C) Verruca
D) Seborrheic dermatitis
ANSWER: A) Actinic Keratosis
Explanation: Actinic keratosis is a precancerous lesion caused by chronic sun exposure (UV-
B). It can progress to squamous cell carcinoma if untreated.
Question 9
, Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding?
A) Irregular borders
B) Symmetrical nature
C) Brown color
D) Diameter of 0.4 cm
ANSWER: A) Irregular borders
Explanation: The ABCDE criteria for melanoma include:
Asymmetry
Border irregularity
Color variation
Diameter >6mm
Evolving
Irregular borders are highly suspicious.
Question 10
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting clinical depression, you anticipate the patient will benefit from
treating their underlying deficit of which neurotransmitter?
A) GABA
B) Serotonin
C) Dobutamine
D) Glutamate
ANSWER: B) Serotonin
Explanation: Depression is associated with low serotonin (and sometimes
norepinephrine/dopamine). SSRIs (selective serotonin reuptake inhibitors) are first-line
treatment.
Question 11
As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should be
evaluated for early evidence of renal damage. Which assessment tool should you order
first?
A) BUN/creatinine ratio
B) Urinalysis with micro/macro albumin
C) Renal biopsy
D) Urine sodium
