Verified Detailed Answers Latest 2025
,INTRODUCTION:
This document provides a comprehensive collection of NR 511
Clinical Exam Assessment (CEA) exam questions with verified and
detailed correct answers for the 2025 edition. It covers a wide
range of clinical scenarios including patient assessment,
diagnostics, lab interpretation, differential diagnoses, and
pharmacological as well as non-pharmacological management
strategies. The content is structured in a question-and-answer
format, making it suitable for practice, revision, and in-depth exam
preparation.
EXAM QUESTIONS AND ANSWERS:
Your 42 year old male patient has been referred to your clinic for
establishing care and on his intake survey, you note he has
documented diagnosis of interstitial lung disease. You have decided
to perform a diaphragmatic excursion test on the patient. Which
one of the following results would you expect to see in this patient?
A -Approximately equal level of change in the descent of the
diaphragm bilaterally during maximal inspiration and expiration
with a decreased overall inspiratory capacity
B -Ascension of 8-12 inches of the diaphragm noted bilaterally on
expiration, though often much less on the right side due to the
location of the heart and great vessels
,C -Much greater descent of the diaphragm on the right side due to
the liver present (two-three times larger)
D -Absent or no change in movement of the diaphragm noted
between full inspiration and full expiration measurement ---
correct answer ---A -Approximately equal level of change in the
descent of the diaphragm bilaterally during maximal inspiration
and expiration with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary
care giver in 20+ years and is here for a history and physical
examination. While examining the head and face, you see your
patient has nonpitting periorbital edema, particularly underneath
their eyes and very dry, thinned hair, including the lateral third of
eyebrows (as pictured below: Sparse hairline, thin lateral
eyebrows, Periobital edema). Which one of the following would you
expect to cause this finding?
A -Severe hypothyroidism
B -Addison's disease
C -Grave's disease
D -Alzhemiers --- correct answer ---A -Severe hypothyroidism
Your newly established patient states in the past year, they have
progressively developed a noticeable bump on their neck and when
asked about symptoms, they report feeling very anxious, have
developed a tremor, and are commonly feeling palpitations in their
chest. On examination, you identify an enlarged thyroid gland
, suspicious for a goiter. Of the following diagnoses, which is most
likely for the patient to develop based on these findings above?A -
Thyrotoxicosis
B -lodine Excess
C -Myxedema Coma
D -Hashimotos Thyroiditis --- correct answer ---C -Myxedema Coma
Your 32 year old female patient presented for a routine health exam
states they have a diagnoses of hyperthyroidism by anotherprovider
a year ago. In addition to evaluation with TSH and T4 labwork,
which of the following represent typical signs of hyperthyroidism
expected on your exam of this patient?
A -Hypersomnia
B -Tachycardia
C -Lethargy
D -Recent unplanned weight gain --- correct answer ---B -
Tachycardia
Your patient with a diagnosis of autoimmune hepatitis is being seen
in your clinic for routine liver serology and follow-up examination.
Which of the following correctly identifies the normal liver span
when percussing the liver of a HEALTHY adult?
A -6-12 cm in the midsternal line
B -4-8 in the left midclavicular line