NR 603 CEA EXAM TEST BANK 324 questions and
answers (Advanced Clinical Diagnosis) 2025
Chamberlain College of Nursing
Correct
Incorrect
Your answers
diagnosis?
encephalopathy
, Premature discontinuation of insulin drip
Rationale: Glucose is only one of the parameters that needs to be followed in
DKA, it takes longer for ketones to clear than glucose to normalize, insulin drip
should be continued until ketonemia has resolved and the anion gap has closed,
if IV insulin is discontinued prematurely the patient may have rebound acidosis,
bicarbonate replacement has been controversial in DKA.
urine pregnancy test.
Rationale: Although less common, women in their mid-40s can still become
pregnant, especially if they are perimenopausal and have not yet reached
menopause. Pregnancy should be considered as a potential cause of
amenorrhea.
Hyponatremic encephalopathy
Rationale: Hyponatremic encephalopathy manifests with neurological
symptoms such as confusion, lethargy, seizures, and in severe cases, coma.
These symptoms occur due to the brain's inability to maintain its normal
fluid balance in the presence of low sodium levels. Both hypertension and
diabetes often require multiple medications for management. Some
medications used to treat these conditions or their complications can
contribute to electrolyte disturbances, including hyponatremia.
Duloxetine (Cymbalta)
Rationale: For individuals with both osteoarthritis and depression, duloxetine
offers the advantage of addressing both conditions simultaneously, potentially
improving overall quality of life. Its dual action can also be beneficial in
managing chronic pain and associated emotional distress often experienced by
patients with osteoarthritis.
Don't know?
2 of 324
Term
,A pap smear report for a 24-year-old indicates atypical squamous
cells of undetermined significance (ASCUS). The patient's previous
Pap smears were normal. The nurse practitioner should next:
*Refer for colposcopy
*Repeat the Pap smear in 1 month
*Have the patient return for a Pap smear in 1 year
*Request HPV testing
Give this one a try later!
Amoxicillin (Amoxil) 50mg/kg/d in 3 divided doses
Rationale: Amoxicillin is often prescribed as first-line treatment for children with
localized Lyme disease, especially when the infection is detected early and is
limited to the skin (erythema migrans rash).
ACTH
Rationale: Adrenal crisis is a life-threatening emergency and needs to be ruled
out. Unrecognized/untreated adrenal insufficiency can result in death. ACTH is
the pituitary hormone responsible for cortisol production.
Request HPV testing
Rationale: Managing an abnormal Pap smear involves a combination of
further diagnostic evaluations, patient communication, and appropriate
follow-up actions. For cases of other uncertain results, HPV testing can
help determine the need for further investigation.
Send to the emergency room.
Rationale: This patient is experiencing a GI bleed and is in need of emergency
treatment due to their considerably low hemoglobin.
Don't know?
, 3 of 324
Term
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes
Give this one a try later!
Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas
conjunctival erythema and injection is suggestive of conjunctivitis. Sjogren
syndrome is characterized by dry eyes, and glaucoma typically shares the
symptoms noted above but does not have circular redness around the iris.
Ergotamine tartrate (Migergot)
Rationale: Ergotamine tartrate is a medication commonly used to treat acute
migraine attacks. It works by constricting blood vessels in the brain, which helps
alleviate migraine symptoms. However, its use in pregnancy is associated with
significant risks and is contraindicated. Ergotamine stimulates uterine
contractions, which can lead to miscarriage, preterm labor, and other
complications related to uterine activity.
High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to
be socially accepted. Of these options, high-level athletes are the only
ones who fit this mold. Adolescence of higher, social economic status are
less likely because they don't usually have a difficulty being accepted in
society, and individuals with many friends likewise are more accepted.
Individuals from large families are also less likely to lack social engagement
due to a larger support system.
answers (Advanced Clinical Diagnosis) 2025
Chamberlain College of Nursing
Correct
Incorrect
Your answers
diagnosis?
encephalopathy
, Premature discontinuation of insulin drip
Rationale: Glucose is only one of the parameters that needs to be followed in
DKA, it takes longer for ketones to clear than glucose to normalize, insulin drip
should be continued until ketonemia has resolved and the anion gap has closed,
if IV insulin is discontinued prematurely the patient may have rebound acidosis,
bicarbonate replacement has been controversial in DKA.
urine pregnancy test.
Rationale: Although less common, women in their mid-40s can still become
pregnant, especially if they are perimenopausal and have not yet reached
menopause. Pregnancy should be considered as a potential cause of
amenorrhea.
Hyponatremic encephalopathy
Rationale: Hyponatremic encephalopathy manifests with neurological
symptoms such as confusion, lethargy, seizures, and in severe cases, coma.
These symptoms occur due to the brain's inability to maintain its normal
fluid balance in the presence of low sodium levels. Both hypertension and
diabetes often require multiple medications for management. Some
medications used to treat these conditions or their complications can
contribute to electrolyte disturbances, including hyponatremia.
Duloxetine (Cymbalta)
Rationale: For individuals with both osteoarthritis and depression, duloxetine
offers the advantage of addressing both conditions simultaneously, potentially
improving overall quality of life. Its dual action can also be beneficial in
managing chronic pain and associated emotional distress often experienced by
patients with osteoarthritis.
Don't know?
2 of 324
Term
,A pap smear report for a 24-year-old indicates atypical squamous
cells of undetermined significance (ASCUS). The patient's previous
Pap smears were normal. The nurse practitioner should next:
*Refer for colposcopy
*Repeat the Pap smear in 1 month
*Have the patient return for a Pap smear in 1 year
*Request HPV testing
Give this one a try later!
Amoxicillin (Amoxil) 50mg/kg/d in 3 divided doses
Rationale: Amoxicillin is often prescribed as first-line treatment for children with
localized Lyme disease, especially when the infection is detected early and is
limited to the skin (erythema migrans rash).
ACTH
Rationale: Adrenal crisis is a life-threatening emergency and needs to be ruled
out. Unrecognized/untreated adrenal insufficiency can result in death. ACTH is
the pituitary hormone responsible for cortisol production.
Request HPV testing
Rationale: Managing an abnormal Pap smear involves a combination of
further diagnostic evaluations, patient communication, and appropriate
follow-up actions. For cases of other uncertain results, HPV testing can
help determine the need for further investigation.
Send to the emergency room.
Rationale: This patient is experiencing a GI bleed and is in need of emergency
treatment due to their considerably low hemoglobin.
Don't know?
, 3 of 324
Term
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes
Give this one a try later!
Iritis
Rationale: Redness around the iris is a classic descriptor of iritis, whereas
conjunctival erythema and injection is suggestive of conjunctivitis. Sjogren
syndrome is characterized by dry eyes, and glaucoma typically shares the
symptoms noted above but does not have circular redness around the iris.
Ergotamine tartrate (Migergot)
Rationale: Ergotamine tartrate is a medication commonly used to treat acute
migraine attacks. It works by constricting blood vessels in the brain, which helps
alleviate migraine symptoms. However, its use in pregnancy is associated with
significant risks and is contraindicated. Ergotamine stimulates uterine
contractions, which can lead to miscarriage, preterm labor, and other
complications related to uterine activity.
High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to
be socially accepted. Of these options, high-level athletes are the only
ones who fit this mold. Adolescence of higher, social economic status are
less likely because they don't usually have a difficulty being accepted in
society, and individuals with many friends likewise are more accepted.
Individuals from large families are also less likely to lack social engagement
due to a larger support system.
