Page 1 of 49
30 May 2026
NR 511 CEA FINAL EXAM 2026/2027 LATEST EXAM
TEST 150 QUESTIONS AND CORRECT ANSWERS A+ GRADE
ASSURED,.
Your 55 year old male patient with a history of diabetes, systolic heart failure, and hyperlipidemia
presents to your clinic for a new complaint of progressive onset over the past 6 months of left
lower posterior leg pain with prolonged ambulation, at which time he also becomes short of
breath, but this does resolve with rest. He also describes that at rest, he experiences numbness
down the left lower leg and is having some noticeable hair loss over the anterior tibial surfaces.
Based on these limited exam findings, which of the following would be the best leading diagnosis
and plan?
A -Pulmonary embolism, order 2D echocardiogram
B -Venous thromboembolism, order anticoagulation
C -Aging, recommend exercises
D -Peripheral arterial disease, order an ankle brachial index - correct answer-D -Peripheral arterial
disease, order an ankle brachial index
Upon reviewing an old H&P for a 45 year old male patient new to your practice, you notice they
have a documented paresthesia
associated with the left hand from an old cerebrovascular accident (CVA). Based on this
documentation, which of the following should the nurse practitioner expect to see on their
examination?
A -Patient has a hyper-reactive response to any painful stimulus in their left hand
B -Patient has edema or excessive swelling in their left hand
C -Patient has movement difficulty or immobility in their left hand
D -Patient complains of numbness and tingling sensations in their left hand - correct answer-C
Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his tongue and notice the
tongue deviates by pointing to the left.
Which one of the following is the correct diagnosis of this finding?
A -Bilateral Vagus (X) lesion
B -Cranial XII (Hypoglossal nerve) lesion on the left
C -Cranial XI (Hypoglossal nerve) lesion on the right
, Page 2 of 49
30 May 2026
D -Normal response to deviate to the dominant side - correct answer-B -Cranial XII (Hypoglossal
nerve) lesion on the left
Your patient Steve, a 56 year old male with a history of smoking, sedentary lifestyle, and diabetes
mellitus presents for follow-up from a recent hospitalization where he was documented to have
symptoms of a transient ischemic attack (TIA). Which one of the following correctly identifies the
etiology of TIA?
A -TIAs are global cerebral, spinal cord or retinal dysfunction caused by a
central nervous system infarction
B -TIAs are caused by focal brain, spinal cord or retinal ischemia, without
acute infarction
C -TIAs are a unrelated risk factor of a patient developing a stroke in the
future
D -TIAs cannot last longer than 15 minutes, otherwise it's considered a
stroke - correct answer-B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
Maya, your 52 year old patient is receiving education for her new mediation regimen for her
COPD. Which of the following agents should include rinsing the mouth for risk of development of
oral candidiasis (thrush)?
A -Long acting beta agonists
B -Short acting beta agonists
C -Leukotriene inhibitors
D -Inhaled corticosteroids - correct answer-D -Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-affirming therapy
abruptly stopped their medication regimen for the last two weeks due to insurance issues. They
present to your clinic with hypotension, pallor, and hypothermia. Assuming they are taking al of
the following medications, which of these is most likely the culprit for these symptoms after
abrupt withdrawal.
A -Progestin (Heather)
B -Prednisone (Deltasone)
C -Abarelix (Plenaxis)
D -Spironolactone (Aldactone) - correct answer-B -Prednisone (Deltasone)
, Page 3 of 49
30 May 2026
Based on current diabetes mellitus management guidelines by
the American Academy of Family Physicians (AAFP), at which Hgb A1C
level should a second oral anti-diabetic agent be considered if control
is not successful prior?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 - correct answer-B -Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and during your visit,
states she is concerned about her weight gain, especially with her history of diabetes mellitus type
2 and family history of premature coronary artery disease. Which of the following pharmacologic
agents may be a reasonable solution for her unique health concerns of weight gain as well as
diabetes mellitus control? A -Ozempic (Semaglutide)
B -Lantus (Insulin glargine)
C -Glipizide (Glucotrol)
D -Metformin (Glucophage) - correct answer-A -Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid leukemia (AML).
Which of the following agents would be most likely to assist in management of her anticipated
side effects of cancer treatment?
A -Furosemide (Lasix)
B -Allopurinol (Zyloprim)
C -N-acetylcystiene (NAC)
D -Colchicine (Colcrys) - correct answer-B -Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for evaluation of
abdominal pain. She has a history of Crohn's disease with parital small bowel resection which has
been managed well on natalizumab (Tysabri), a monoclonal antibody. Her abdomen is distended,
tender, and she describes frequent bloody stools. Based on her current presentation, what
medication decisions are most appropriate at this time?
A -Stop natalizumab (Tysabri) as it is not safe during flares
B -Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
, Page 4 of 49
30 May 2026
C -Add adalimumab (Humira) to her natalizumab (Tysabri))
D -No change is needed, continue on current dosing of natalizumab (Tysabri) - correct answer-B -
Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
Shelly, a 19-year-old female patient presents for a routine health visit. During your exam, she
mentions recent symptoms of dysuria and urinary frequency, and you suspect a urinary tract
infection. You confirm this with urinalysis which is as follows: urine positive for leukocyte
esterase, nitrites, and WBCs as well as the presence of bacteria. Most recent labs were 6 months
ago
and showed normal CBC and BMP. She also has a health history of C. diff after an antibiotic for an
unrelated illness two years ago. Based on her presentation, which would be the best strategy for
treating her urinary tract infection?
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
B -Tobramycin (Tobrex)
C -Clindamycin (Cleocin)
D -Doxycycline (Vibramycin) - correct answer-A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
On examination, Kim, your 68 year old female patient has the following facial muscle movements:
Normal upper and lower on the rightside, Unable to move both the upper and lower muscles on
the left side. You would immediately suspect which one of the following conditions?
A -A left central lesion
B -A right central lesion
C -A left peripheral lesion
D -A right peripheral lesion - correct answer-C -A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29
year old male patient appears drowsy but open eyes and looks at you when you question him,
answers appropriately, but then appears to nearly fall asleep while sitting in the exam chair.
Which of the following is the most accurate descriptor of Scott's mental status?
A -Comatose
B -Stuporus
C -Lethargic
D -Alert but disoriented - correct answer-C -Lethargic
30 May 2026
NR 511 CEA FINAL EXAM 2026/2027 LATEST EXAM
TEST 150 QUESTIONS AND CORRECT ANSWERS A+ GRADE
ASSURED,.
Your 55 year old male patient with a history of diabetes, systolic heart failure, and hyperlipidemia
presents to your clinic for a new complaint of progressive onset over the past 6 months of left
lower posterior leg pain with prolonged ambulation, at which time he also becomes short of
breath, but this does resolve with rest. He also describes that at rest, he experiences numbness
down the left lower leg and is having some noticeable hair loss over the anterior tibial surfaces.
Based on these limited exam findings, which of the following would be the best leading diagnosis
and plan?
A -Pulmonary embolism, order 2D echocardiogram
B -Venous thromboembolism, order anticoagulation
C -Aging, recommend exercises
D -Peripheral arterial disease, order an ankle brachial index - correct answer-D -Peripheral arterial
disease, order an ankle brachial index
Upon reviewing an old H&P for a 45 year old male patient new to your practice, you notice they
have a documented paresthesia
associated with the left hand from an old cerebrovascular accident (CVA). Based on this
documentation, which of the following should the nurse practitioner expect to see on their
examination?
A -Patient has a hyper-reactive response to any painful stimulus in their left hand
B -Patient has edema or excessive swelling in their left hand
C -Patient has movement difficulty or immobility in their left hand
D -Patient complains of numbness and tingling sensations in their left hand - correct answer-C
Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his tongue and notice the
tongue deviates by pointing to the left.
Which one of the following is the correct diagnosis of this finding?
A -Bilateral Vagus (X) lesion
B -Cranial XII (Hypoglossal nerve) lesion on the left
C -Cranial XI (Hypoglossal nerve) lesion on the right
, Page 2 of 49
30 May 2026
D -Normal response to deviate to the dominant side - correct answer-B -Cranial XII (Hypoglossal
nerve) lesion on the left
Your patient Steve, a 56 year old male with a history of smoking, sedentary lifestyle, and diabetes
mellitus presents for follow-up from a recent hospitalization where he was documented to have
symptoms of a transient ischemic attack (TIA). Which one of the following correctly identifies the
etiology of TIA?
A -TIAs are global cerebral, spinal cord or retinal dysfunction caused by a
central nervous system infarction
B -TIAs are caused by focal brain, spinal cord or retinal ischemia, without
acute infarction
C -TIAs are a unrelated risk factor of a patient developing a stroke in the
future
D -TIAs cannot last longer than 15 minutes, otherwise it's considered a
stroke - correct answer-B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
Maya, your 52 year old patient is receiving education for her new mediation regimen for her
COPD. Which of the following agents should include rinsing the mouth for risk of development of
oral candidiasis (thrush)?
A -Long acting beta agonists
B -Short acting beta agonists
C -Leukotriene inhibitors
D -Inhaled corticosteroids - correct answer-D -Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-affirming therapy
abruptly stopped their medication regimen for the last two weeks due to insurance issues. They
present to your clinic with hypotension, pallor, and hypothermia. Assuming they are taking al of
the following medications, which of these is most likely the culprit for these symptoms after
abrupt withdrawal.
A -Progestin (Heather)
B -Prednisone (Deltasone)
C -Abarelix (Plenaxis)
D -Spironolactone (Aldactone) - correct answer-B -Prednisone (Deltasone)
, Page 3 of 49
30 May 2026
Based on current diabetes mellitus management guidelines by
the American Academy of Family Physicians (AAFP), at which Hgb A1C
level should a second oral anti-diabetic agent be considered if control
is not successful prior?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 - correct answer-B -Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and during your visit,
states she is concerned about her weight gain, especially with her history of diabetes mellitus type
2 and family history of premature coronary artery disease. Which of the following pharmacologic
agents may be a reasonable solution for her unique health concerns of weight gain as well as
diabetes mellitus control? A -Ozempic (Semaglutide)
B -Lantus (Insulin glargine)
C -Glipizide (Glucotrol)
D -Metformin (Glucophage) - correct answer-A -Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid leukemia (AML).
Which of the following agents would be most likely to assist in management of her anticipated
side effects of cancer treatment?
A -Furosemide (Lasix)
B -Allopurinol (Zyloprim)
C -N-acetylcystiene (NAC)
D -Colchicine (Colcrys) - correct answer-B -Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for evaluation of
abdominal pain. She has a history of Crohn's disease with parital small bowel resection which has
been managed well on natalizumab (Tysabri), a monoclonal antibody. Her abdomen is distended,
tender, and she describes frequent bloody stools. Based on her current presentation, what
medication decisions are most appropriate at this time?
A -Stop natalizumab (Tysabri) as it is not safe during flares
B -Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
, Page 4 of 49
30 May 2026
C -Add adalimumab (Humira) to her natalizumab (Tysabri))
D -No change is needed, continue on current dosing of natalizumab (Tysabri) - correct answer-B -
Initiate prednisone (Deltasone) and maintain dosing of natalizumab (Tysabri)
Shelly, a 19-year-old female patient presents for a routine health visit. During your exam, she
mentions recent symptoms of dysuria and urinary frequency, and you suspect a urinary tract
infection. You confirm this with urinalysis which is as follows: urine positive for leukocyte
esterase, nitrites, and WBCs as well as the presence of bacteria. Most recent labs were 6 months
ago
and showed normal CBC and BMP. She also has a health history of C. diff after an antibiotic for an
unrelated illness two years ago. Based on her presentation, which would be the best strategy for
treating her urinary tract infection?
A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
B -Tobramycin (Tobrex)
C -Clindamycin (Cleocin)
D -Doxycycline (Vibramycin) - correct answer-A -Sulfamethoxazole/Trimethoprim (Bactrim DS)
On examination, Kim, your 68 year old female patient has the following facial muscle movements:
Normal upper and lower on the rightside, Unable to move both the upper and lower muscles on
the left side. You would immediately suspect which one of the following conditions?
A -A left central lesion
B -A right central lesion
C -A left peripheral lesion
D -A right peripheral lesion - correct answer-C -A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29
year old male patient appears drowsy but open eyes and looks at you when you question him,
answers appropriately, but then appears to nearly fall asleep while sitting in the exam chair.
Which of the following is the most accurate descriptor of Scott's mental status?
A -Comatose
B -Stuporus
C -Lethargic
D -Alert but disoriented - correct answer-C -Lethargic
