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Exam (elaborations)

NR 511 CEA Exam (35 Qs) – Clinical Encounter Assessment | Diagnostic Reasoning, SOAP, Differential Dx | HCC 2025

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This document contains 35 well-answered Clinical Encounter Assessment (CEA) questions for the NR 511: Advanced Physical Assessment and Diagnostic Reasoning course at HCC, aligned with the 2025/2026 academic year. It is specifically tailored to help nurse practitioner students prepare for clinical reasoning assessments, OSCEs, or mid-program evaluations focusing on real-world case analysis and application of evidence-based practice. Topics are structured around patient-centered approaches including SOAP note formatting, subjective and objective data interpretation, formulation of differential diagnoses, clinical decision-making, and diagnostic prioritization. Each question walks through a case scenario and asks for application of advanced reasoning to select the most appropriate answer—reinforcing key skills necessary in primary care and family practice settings. Content includes: Identifying red flags and ruling out emergent causes Differentiating between viral and bacterial origins of symptoms Using evidence to guide imaging, referrals, and treatment Common presentations of respiratory, gastrointestinal, dermatologic, musculoskeletal, and genitourinary complaints Proper use of assessment tools and documentation strategies in clinical encounters This resource is ideal for: NP students preparing for CEA or SOAP-based evaluations Graduate nursing students in family practice or internal medicine rotations Students preparing for clinical decision-making components of board exams (AANP, ANCC) Advanced practice clinicians wanting to refine diagnostic logic and patient assessment documentation Keywords: NR 511 CEA, clinical encounter assessment, SOAP notes, differential diagnosis, diagnostic reasoning, nurse practitioner exam, primary care NP, patient case scenarios, HPI documentation, advanced nursing assessment, clinical decision making, family practice, HCC NR511

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Uploaded on
November 27, 2025
Number of pages
82
Written in
2025/2026
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NR 511 CEA 2025/2026 Exam Questions
and Verified Answers | Already Graded
A+



Your 22 year old male patient states during his review of systems thathis

scrotum is very enlarged and feels like it is full 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

,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

A40 year old, female, African American patient presents for history and

physical. Upon your initial assessment, you notice she has severe

exophthalmos as pictured below. Which one of the following diagnoses

below would be the highest on your differential diagnose of this physical

examination finding?

A -Bilateral conjunctivitis

B -Hyperthyroidism

C -hypothyroidism


D -Myexedma - 🧠 ANSWER ✔✔B -Hyperthyroidism

,Your patient with a suspected diagnosis of COPD has been seen by

pulmonology and has underwent a pulmonary function test (PFT) with

spirometry. As the patient's primary healthcare provider, you have been

asked to explain the findings of the PFT to the patient in afollow-up visit at

which time the patient asks what the study was evaluating. To describe the

PFT to the patient in more useful terms, you state 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 during

the PFT?

A -Forced Expiratory Volume over 1 second (FEV1)

B -Functional Reserve Capacity

C -Inspiratory Reserve


D -Forced Vital Capacity - 🧠 ANSWER ✔✔D -Forced vital capacity


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


COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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, D -Moon face - 🧠 ANSWER ✔✔B -Dowager hump


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 of the disease?

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

During your visit with a 19 year old patient for a college health physical,

your health history includes a diagnosis of angioedema. What of the

following parts of the body are 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

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