NR 511 CEA EXAM QUESTIONS AND
ANSWERS
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=-=ans-✔✔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=-=ans-✔✔B=-
Left=5th=intercostal=space,=midclavicular=line
A40=year=old,=female,=African=American=patient=presents=for=history=and=physical.=Up
on=your=initial=assessment,=you=notice=she=has=severe=exophthalmos=as=pictured=belo
w.=Which=one=of=the=following=diagnoses=below=would=be=the=highest=on=your=differen
tial=diagnose=of=this=physical=examination=finding?
A=-Bilateral=conjunctivitis
B=-Hyperthyroidism
C=-hypothyroidism
D=-Myexedma=-=ans-✔✔B=-Hyperthyroidism
Your=patient=with=a=suspected=diagnosis=of=COPD=has=been=seen=by=pulmonology=an
d=has=underwent=a=pulmonary=function=test=(PFT)=with=spirometry.=As=the=patient's=pri
mary=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=th
e=PFT=to=the=patient=in=more=useful=terms,=you=state=that=the=large=inspiration=of=air=t
o=the=furthest=extent=they=could=reasonably=accomplish=followed=by=a=full=exhalation=i
s=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=-=ans-✔✔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
D=-Moon=face=-=ans-✔✔B=-Dowager=hump
The=nurse=practitioner's=evaluation=of=a=patient=with=Diabetes=Mellitus=type=2=should=i
nclude=which=of=the=following=while=evaluating=for=end=organ=dysfunction=of=the=disea
se?
A=-Renal=function=panel
B=-Urinalysis
C=-Non-dilated=eye=exam
D=-All=of=these=are=appropriate=options=-=ans-✔✔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=-=ans-✔✔D=-Face=and=Lips
Which=of=the=following=dermatologic=lesions=is=precancerous=and=likely=due=to=prolong
ed=exposure=to=UV-B?
A=-Actinic=Keratosis
B=-Basal=cell=carcinoma
C=-Verucca
D=-Seborrheic=dermatitis=-=ans-✔✔A=-Actinic=Keratosis
Based=on=your=evaluation=of=ABCDE=for=melanoma,=which=of=the=following=represents
=a=suspicous=finding?
A=-Irregular=borders
B=-Symmetrical=nature
C=-Brown=color
D=-Diameter=of=0.4=cm=-=ans-✔✔A=-Irregular=borders
Your=patient=is=complaining=of=hypersomnia,=lack=of=motivation,=weight=gain,=and=anh
edonia.=Suspecting=a=diagnosis=of=clinical=depression,=you=anticipate=the=patient=will=b
enefit=from=treating=their=underlying=deficit=of=which=of=the=following=neurotransmitters
?
,A=-GABA
B=-Serotonin
C=-Dobutamine
D=-Glutamate=-=ans-✔✔B=-Serotonin
As=a=prudent=nurse=practitioner,=the=diabetic,=hypertensive=patient=you=are=seeing=sho
uld=be=evaluated=for=early=evidence=of=renal=damage=from=both=diabetes=and=hyperte
nsion.=Which=of=the=following=assessment=tools=should=the=nurse=practitioner=order=fir
st=for=the=evaluation=of=early=renal=dysfunction=secondary=to=diabetes=or=hypertension
?
A=-BUN/creatinine=ratio
B=-Urinalysis=with=micro/macro=albumin
C=-Renal=biopsy
D=-Urine=sodium=-=ans-✔✔B=-Urinalysis=with=micro/macro=albumin
While=evaluating=a=patient=in=your=clinic=for=a=routine=health=visit,=you=auscultate=crac
kles=in=the=poster=left=lower=lobe,=have=the=patient=cough,=with=follow-
up=auscultation=revealing=clear=breath=sounds.=Which=one=of=the=following=would=you=
suspect?
A=-Congestive=heart=failure
B=-Atelectasis
C=-Laryngospasm
D=-Bronchiactasis.=-=ans-✔✔B=-Atelectasis
Your=39=year=old=patient=who=has=recently=been=hospitalized=for=an=appendectomy=a
nd=is=being=seen=in=your=clinic=for=post-operative=follow-
up=with=primary=care.=On=assessment,=the=patient=complains=of=some=incisional=pain=
and=otherwise=examination=is=normal,=with=the=exception=of=dull=percussion=sounds=n
oted=on=the=thorax=over=lung=tissue.=Which=of=the=following=diagnoses=would=be=expl
ained=by=this=finding=in=post-operative=patient?
A=-Left-sided=heart=failure
B=-Chronic=bronchitis
C=-Atelectasis
D=-Healthy=patient=with=no=coexising=disease=-=ans-✔✔C=-Atelectasis
You=are=evaluating=a=41=year=old=female=patient=in=your=clinic=with=symptoms=of=right
=upper=quadrant=pain=which=worsens=with=deep=breathing.=The=patient=exhibits=a=posi
tive=Murphy=sign.=These=findings=are=most=consistent=which=one=of=the=following?
A=-Appendicitis
B=-Cholecystitis
C=-Crohn's=flare
D=-Pancreatitis=-=ans-✔✔B=-Cholecystitis
In=educating=your=patient=about=the=non-
pharmacologic=management=of=gastroesophageal=reflux=disease,=you=include=teaching
, =to=the=patient=that=their=heartburn=is=aggravated=by=al=of=the=following=except=which=
one?
A=-Activities=including=lifting=or=bending=over
B=-Alcohol=intake
C=-Foods,=such=as=citrus,=onions=and=coffee
D=-Gastric=dumping,=or=increased=emptying=into=the=small=intestines=-=ans-✔✔D=-
Gastric=dumping,=or=increased=emptying=into=the=small=intestines
The=patient=is=experiencing=acute=closed=angle=glaucoma.=Which=of=the=following=exa
mination=findings=by=the=nurse=practitioner=is=most=consistent=with=their=diagnosis?
A=-Macular=degeneration
B=-Increase=in=intraocular=pressure
C=-AV=nicking
D=-Loss=of=aqueous=humor=volume=-=ans-✔✔B=-Increase=in=intraocular=pressure
While=managing=the=care=of=the=patient=with=chronic=alcoholism,=the=nurse=practitione
r=would=likely=anticipate=which=findings=on=the=CBC=with=differential?
A=-Low=MCV=and=MCH
B=-Normal=MCV=and=MCH
C=-Chronic=alcoholism=will=not=affect=the=differential
D=-Elevated=MCV=and=MCH=-=ans-✔✔D=-Elevated=MCV=and=MCH
The=nurse=practitioner=is=caring=for=a=patient=with=an=elevated=WBC,=fever,=chills,=and
=malaise.=When=developing=a=differential=diagnosis=for=this=finding,=which=of=the=follow
ing=is=not=a=potential=cause=of=the=elevated=WBC?
A=-Sepsis
B=-Diabetes=Mellitus=Type=2
C=-Leukemia
D=-Recent=oral=corticosteroid=therapy=-=ans-✔✔B=-Diabetes=Mellitus=Type=2
Your=21=year=old=sexually=active=female=patient=states=during=a=routine=health=exam=t
hat=they=have=some="weird=bumps"=on=their=vulva.She=is=concerned=she=has=a=sexua
lly=transmitted=infection.=You=notify=her=that=condyloma=are=caused=by=exposure=to=w
hich=of=the=following?
A=-Chlamydia
B=-Herpes=zoster
C=-Human=papilomavirus=type=6=and=1
D=-Parvovirus=B19=-=ans-✔✔C=-Human=papilomavirus=type=6=and=1
Yourpatient=who=has=underwent=a=recent=major=medical=medical=procedure=is=at=a=re
habilitation=center=and=is=having=a=hard=time=being=motivated=to=do=therapy.=When=yo
u=interview=them=as=the=nurse=practitioner=on=staff=for=the=subacute=rehab=center,=the
y=appeardespondent,=and=are=having=a=hard=time=being=wakeful=during=therapy=sessi
ons.=They=have=stable=vital=signs,=temperature,=urine=output,=and=are=not=ill-
appearing.=As=a=prudent=nurse=practitioner,=you=understand=this=may=represent=which
=of=the=following?
ANSWERS
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=-=ans-✔✔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=-=ans-✔✔B=-
Left=5th=intercostal=space,=midclavicular=line
A40=year=old,=female,=African=American=patient=presents=for=history=and=physical.=Up
on=your=initial=assessment,=you=notice=she=has=severe=exophthalmos=as=pictured=belo
w.=Which=one=of=the=following=diagnoses=below=would=be=the=highest=on=your=differen
tial=diagnose=of=this=physical=examination=finding?
A=-Bilateral=conjunctivitis
B=-Hyperthyroidism
C=-hypothyroidism
D=-Myexedma=-=ans-✔✔B=-Hyperthyroidism
Your=patient=with=a=suspected=diagnosis=of=COPD=has=been=seen=by=pulmonology=an
d=has=underwent=a=pulmonary=function=test=(PFT)=with=spirometry.=As=the=patient's=pri
mary=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=th
e=PFT=to=the=patient=in=more=useful=terms,=you=state=that=the=large=inspiration=of=air=t
o=the=furthest=extent=they=could=reasonably=accomplish=followed=by=a=full=exhalation=i
s=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=-=ans-✔✔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
D=-Moon=face=-=ans-✔✔B=-Dowager=hump
The=nurse=practitioner's=evaluation=of=a=patient=with=Diabetes=Mellitus=type=2=should=i
nclude=which=of=the=following=while=evaluating=for=end=organ=dysfunction=of=the=disea
se?
A=-Renal=function=panel
B=-Urinalysis
C=-Non-dilated=eye=exam
D=-All=of=these=are=appropriate=options=-=ans-✔✔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=-=ans-✔✔D=-Face=and=Lips
Which=of=the=following=dermatologic=lesions=is=precancerous=and=likely=due=to=prolong
ed=exposure=to=UV-B?
A=-Actinic=Keratosis
B=-Basal=cell=carcinoma
C=-Verucca
D=-Seborrheic=dermatitis=-=ans-✔✔A=-Actinic=Keratosis
Based=on=your=evaluation=of=ABCDE=for=melanoma,=which=of=the=following=represents
=a=suspicous=finding?
A=-Irregular=borders
B=-Symmetrical=nature
C=-Brown=color
D=-Diameter=of=0.4=cm=-=ans-✔✔A=-Irregular=borders
Your=patient=is=complaining=of=hypersomnia,=lack=of=motivation,=weight=gain,=and=anh
edonia.=Suspecting=a=diagnosis=of=clinical=depression,=you=anticipate=the=patient=will=b
enefit=from=treating=their=underlying=deficit=of=which=of=the=following=neurotransmitters
?
,A=-GABA
B=-Serotonin
C=-Dobutamine
D=-Glutamate=-=ans-✔✔B=-Serotonin
As=a=prudent=nurse=practitioner,=the=diabetic,=hypertensive=patient=you=are=seeing=sho
uld=be=evaluated=for=early=evidence=of=renal=damage=from=both=diabetes=and=hyperte
nsion.=Which=of=the=following=assessment=tools=should=the=nurse=practitioner=order=fir
st=for=the=evaluation=of=early=renal=dysfunction=secondary=to=diabetes=or=hypertension
?
A=-BUN/creatinine=ratio
B=-Urinalysis=with=micro/macro=albumin
C=-Renal=biopsy
D=-Urine=sodium=-=ans-✔✔B=-Urinalysis=with=micro/macro=albumin
While=evaluating=a=patient=in=your=clinic=for=a=routine=health=visit,=you=auscultate=crac
kles=in=the=poster=left=lower=lobe,=have=the=patient=cough,=with=follow-
up=auscultation=revealing=clear=breath=sounds.=Which=one=of=the=following=would=you=
suspect?
A=-Congestive=heart=failure
B=-Atelectasis
C=-Laryngospasm
D=-Bronchiactasis.=-=ans-✔✔B=-Atelectasis
Your=39=year=old=patient=who=has=recently=been=hospitalized=for=an=appendectomy=a
nd=is=being=seen=in=your=clinic=for=post-operative=follow-
up=with=primary=care.=On=assessment,=the=patient=complains=of=some=incisional=pain=
and=otherwise=examination=is=normal,=with=the=exception=of=dull=percussion=sounds=n
oted=on=the=thorax=over=lung=tissue.=Which=of=the=following=diagnoses=would=be=expl
ained=by=this=finding=in=post-operative=patient?
A=-Left-sided=heart=failure
B=-Chronic=bronchitis
C=-Atelectasis
D=-Healthy=patient=with=no=coexising=disease=-=ans-✔✔C=-Atelectasis
You=are=evaluating=a=41=year=old=female=patient=in=your=clinic=with=symptoms=of=right
=upper=quadrant=pain=which=worsens=with=deep=breathing.=The=patient=exhibits=a=posi
tive=Murphy=sign.=These=findings=are=most=consistent=which=one=of=the=following?
A=-Appendicitis
B=-Cholecystitis
C=-Crohn's=flare
D=-Pancreatitis=-=ans-✔✔B=-Cholecystitis
In=educating=your=patient=about=the=non-
pharmacologic=management=of=gastroesophageal=reflux=disease,=you=include=teaching
, =to=the=patient=that=their=heartburn=is=aggravated=by=al=of=the=following=except=which=
one?
A=-Activities=including=lifting=or=bending=over
B=-Alcohol=intake
C=-Foods,=such=as=citrus,=onions=and=coffee
D=-Gastric=dumping,=or=increased=emptying=into=the=small=intestines=-=ans-✔✔D=-
Gastric=dumping,=or=increased=emptying=into=the=small=intestines
The=patient=is=experiencing=acute=closed=angle=glaucoma.=Which=of=the=following=exa
mination=findings=by=the=nurse=practitioner=is=most=consistent=with=their=diagnosis?
A=-Macular=degeneration
B=-Increase=in=intraocular=pressure
C=-AV=nicking
D=-Loss=of=aqueous=humor=volume=-=ans-✔✔B=-Increase=in=intraocular=pressure
While=managing=the=care=of=the=patient=with=chronic=alcoholism,=the=nurse=practitione
r=would=likely=anticipate=which=findings=on=the=CBC=with=differential?
A=-Low=MCV=and=MCH
B=-Normal=MCV=and=MCH
C=-Chronic=alcoholism=will=not=affect=the=differential
D=-Elevated=MCV=and=MCH=-=ans-✔✔D=-Elevated=MCV=and=MCH
The=nurse=practitioner=is=caring=for=a=patient=with=an=elevated=WBC,=fever,=chills,=and
=malaise.=When=developing=a=differential=diagnosis=for=this=finding,=which=of=the=follow
ing=is=not=a=potential=cause=of=the=elevated=WBC?
A=-Sepsis
B=-Diabetes=Mellitus=Type=2
C=-Leukemia
D=-Recent=oral=corticosteroid=therapy=-=ans-✔✔B=-Diabetes=Mellitus=Type=2
Your=21=year=old=sexually=active=female=patient=states=during=a=routine=health=exam=t
hat=they=have=some="weird=bumps"=on=their=vulva.She=is=concerned=she=has=a=sexua
lly=transmitted=infection.=You=notify=her=that=condyloma=are=caused=by=exposure=to=w
hich=of=the=following?
A=-Chlamydia
B=-Herpes=zoster
C=-Human=papilomavirus=type=6=and=1
D=-Parvovirus=B19=-=ans-✔✔C=-Human=papilomavirus=type=6=and=1
Yourpatient=who=has=underwent=a=recent=major=medical=medical=procedure=is=at=a=re
habilitation=center=and=is=having=a=hard=time=being=motivated=to=do=therapy.=When=yo
u=interview=them=as=the=nurse=practitioner=on=staff=for=the=subacute=rehab=center,=the
y=appeardespondent,=and=are=having=a=hard=time=being=wakeful=during=therapy=sessi
ons.=They=have=stable=vital=signs,=temperature,=urine=output,=and=are=not=ill-
appearing.=As=a=prudent=nurse=practitioner,=you=understand=this=may=represent=which
=of=the=following?
