NR667 CEA Final Exam Questions and
Correct Answers Updated.
Page 1 of 302
,Question 1
Chongan is a 72-year-old experiencing vomiting and diarrhea for the last 3 days. His
serum potassium is 2.9 mEq/dL. The nurse looks up and sees this rhythm on the
monitor.Which dysrhythmia is the client experiencing?
A. Atrial Fibrillation
B. Atrial Flutter
C. Supraventricular Tachycardia
D. Sinus Rhythm with PVCs
E. Ventricular Tachycardia
F. Ventricular Fibrillation
G. Asystole
H. Complete Heart Block
I. Second Degree AV Block Type I
J. Second Degree AV Block Type II
Correct Answer
E. Ventricular tachycardia
Ventricular tachycardia (VT) is defined as 3 or more PVCs. When VT is significant and
impacts the cardiac output, it can be life-threatening. Some patients can maintain a
pulse and blood pressure for a limited time while other patients are pulseless. The
priority is to rapidly assess the client to see how they are tolerating the rhythm.
Treatment for "stable" VT includes IV antiarrhythmic medications such as amiodarone
with electrolyte replacement. Cardioversion may be required. If the patient becomes
pulseless from the VT, cardiopulmonary resuscitation with defibrillation is required.
Question 2
Claire must be repositioned to a jackknife position during a surgical procedure. The
nurse monitors Claire's distal pulses before, during, and after repositioning. What is
the risk the nurse is attempting to avoid with this intervention?
A. venous pooling of blood diminished lung capacity
B. shearing
C. deep vein thrombosis in lower extremities
D. brachial plexus
F. upper extremity injury
G. laryngospasm
H. hypotension
I. hypothermia
J. hypoxia
Correct Answer
Page 2 of 302
,C. deep vein thrombosis in lower extremities
CORRECT. The jackknife position increases the client's risk for DVT in the lower
extremities; therefore, the nurse monitors distal pulses before, during, and after
repositioning to check for this complication.
Question 3
The U.S. Preventive Services Task Force (USPSTF) recommends against PSA-based
screening for prostate cancer. They grade the evidence related to PSA screening as
A. A
B. B
C. C
D. D
Correct Answer
D. D
Question 4
Mandy, age 18, has infectious mononucleosis. What might you expect her blood work
to reflect?
A. Thrombocytopenia and elevated transaminase
B. Elevated WBCs
C. Decreased WBCs
D. Decreased serum globulins
Correct Answer
A. Thrombocytopenia and elevated transaminase
Question 5
Which of the following is a correct recommendation of when to begin prostate
screening?
A. Men with no symptoms of prostate cancer and who are in good health should start
screening at age 60.
B. Asian American men should start screening at age 45.
C. Men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
D. Caucasian men should start screening at age 55.
Page 3 of 302
, Correct Answer
C. Men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
Question 6
Which of the following drug should be considered as first line therapy for a client with
hypertension and heart failure?
A. Enalapril
B. Diltiazem
C. Metoprolol
D. Atenolol
Correct Answer
A. Enalapril
Question 7
Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that
he has had intermittent heartburn for several months and takes antacids with
temporary relief. He has been waking during the night with a burning sensation in his
chest. Which additional information would lead you to believe that gastroesophageal
reflux disease (GERD) is the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in his mouth.
D. He likes to wear loose clothing.
Correct Answer
C. He wakes at night coughing with a bad taste in his mouth.
Question 8
Julie's brother has chronic lymphatic leukemia. She overheard that he was in stage IV
and asks what this means. According to the RAI classification system, stage IV is a
stage
A. At which the lymphocytes are greater than 10,000mm3
B. With an absolute lymphocytosis, in which the client may live 7-10 years or more
Page 4 of 302
Correct Answers Updated.
Page 1 of 302
,Question 1
Chongan is a 72-year-old experiencing vomiting and diarrhea for the last 3 days. His
serum potassium is 2.9 mEq/dL. The nurse looks up and sees this rhythm on the
monitor.Which dysrhythmia is the client experiencing?
A. Atrial Fibrillation
B. Atrial Flutter
C. Supraventricular Tachycardia
D. Sinus Rhythm with PVCs
E. Ventricular Tachycardia
F. Ventricular Fibrillation
G. Asystole
H. Complete Heart Block
I. Second Degree AV Block Type I
J. Second Degree AV Block Type II
Correct Answer
E. Ventricular tachycardia
Ventricular tachycardia (VT) is defined as 3 or more PVCs. When VT is significant and
impacts the cardiac output, it can be life-threatening. Some patients can maintain a
pulse and blood pressure for a limited time while other patients are pulseless. The
priority is to rapidly assess the client to see how they are tolerating the rhythm.
Treatment for "stable" VT includes IV antiarrhythmic medications such as amiodarone
with electrolyte replacement. Cardioversion may be required. If the patient becomes
pulseless from the VT, cardiopulmonary resuscitation with defibrillation is required.
Question 2
Claire must be repositioned to a jackknife position during a surgical procedure. The
nurse monitors Claire's distal pulses before, during, and after repositioning. What is
the risk the nurse is attempting to avoid with this intervention?
A. venous pooling of blood diminished lung capacity
B. shearing
C. deep vein thrombosis in lower extremities
D. brachial plexus
F. upper extremity injury
G. laryngospasm
H. hypotension
I. hypothermia
J. hypoxia
Correct Answer
Page 2 of 302
,C. deep vein thrombosis in lower extremities
CORRECT. The jackknife position increases the client's risk for DVT in the lower
extremities; therefore, the nurse monitors distal pulses before, during, and after
repositioning to check for this complication.
Question 3
The U.S. Preventive Services Task Force (USPSTF) recommends against PSA-based
screening for prostate cancer. They grade the evidence related to PSA screening as
A. A
B. B
C. C
D. D
Correct Answer
D. D
Question 4
Mandy, age 18, has infectious mononucleosis. What might you expect her blood work
to reflect?
A. Thrombocytopenia and elevated transaminase
B. Elevated WBCs
C. Decreased WBCs
D. Decreased serum globulins
Correct Answer
A. Thrombocytopenia and elevated transaminase
Question 5
Which of the following is a correct recommendation of when to begin prostate
screening?
A. Men with no symptoms of prostate cancer and who are in good health should start
screening at age 60.
B. Asian American men should start screening at age 45.
C. Men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
D. Caucasian men should start screening at age 55.
Page 3 of 302
, Correct Answer
C. Men who have had a brother diagnosed with prostate cancer before the age of 65
should start screening at 45.
Question 6
Which of the following drug should be considered as first line therapy for a client with
hypertension and heart failure?
A. Enalapril
B. Diltiazem
C. Metoprolol
D. Atenolol
Correct Answer
A. Enalapril
Question 7
Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that
he has had intermittent heartburn for several months and takes antacids with
temporary relief. He has been waking during the night with a burning sensation in his
chest. Which additional information would lead you to believe that gastroesophageal
reflux disease (GERD) is the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in his mouth.
D. He likes to wear loose clothing.
Correct Answer
C. He wakes at night coughing with a bad taste in his mouth.
Question 8
Julie's brother has chronic lymphatic leukemia. She overheard that he was in stage IV
and asks what this means. According to the RAI classification system, stage IV is a
stage
A. At which the lymphocytes are greater than 10,000mm3
B. With an absolute lymphocytosis, in which the client may live 7-10 years or more
Page 4 of 302
