1|Page
NR 603 CEA ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT FEEDBACK|NEW
AND REVISED
1. You're a 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of worms. He is a power lifter and works as a trash collector.
You suspect that patient likely has which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele: B. varicocele
2. 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: B -Left 5th intercostal space, midclavicular
line
3. A40 year old, female, African American patient presents for history and phys-ical. 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: B -Hyperthyroidism
4. Your patient with a suspected diagnosis of COPD has been seen by pul-monology and has
underwent a pulmonary function test (PFT) with spirom-etry. 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
,2|Page
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: D -Forced vital capacity
5. 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: C -Low body temperature
6. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end organ dys-function of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options: D -All of these are appropriate options
7. 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: D -Face and Lips
8. Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis: A -Actinic Keratosis
,3|Page
9. 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: A -Irregular borders
10. Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you an-ticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate: B -Serotonin
11. As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension.
Which of the following assessment tools should the nurse practitioner order first 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: B -Urinalysis with micro/macro albumin
12. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles 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.: B -Atelectasis
,4|Page
13. Your 39 year old patient who has recently been hospitalized for an appen-dectomy and 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 noted on the thorax over lung tissue. Which of the
following diagnoses would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease: C -Atelectasis
14. 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 positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis: B -Cholecystitis
15. 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: D -Gastric
dumping, or increased emptying into the small intestines
16. The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
NR 603 CEA ACTUAL EXAM PREP 2026 ALL QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT FEEDBACK|NEW
AND REVISED
1. You're a 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of worms. He is a power lifter and works as a trash collector.
You suspect that patient likely has which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele: B. varicocele
2. 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: B -Left 5th intercostal space, midclavicular
line
3. A40 year old, female, African American patient presents for history and phys-ical. 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: B -Hyperthyroidism
4. Your patient with a suspected diagnosis of COPD has been seen by pul-monology and has
underwent a pulmonary function test (PFT) with spirom-etry. 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
,2|Page
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: D -Forced vital capacity
5. 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: C -Low body temperature
6. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should
include which of the following while evaluating for end organ dys-function of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options: D -All of these are appropriate options
7. 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: D -Face and Lips
8. Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis: A -Actinic Keratosis
,3|Page
9. 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: A -Irregular borders
10. Your patient is complaining of hypersomnia, lack of motivation, weight gain, and
anhedonia. Suspecting a diagnosis of clinical depression, you an-ticipate the patient will
benefit from treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate: B -Serotonin
11. As a prudent nurse practitioner, the diabetic, hypertensive patient you are seeing should
be evaluated for early evidence of renal damage from both diabetes and hypertension.
Which of the following assessment tools should the nurse practitioner order first 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: B -Urinalysis with micro/macro albumin
12. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles 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.: B -Atelectasis
,4|Page
13. Your 39 year old patient who has recently been hospitalized for an appen-dectomy and 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 noted on the thorax over lung tissue. Which of the
following diagnoses would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease: C -Atelectasis
14. 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 positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis: B -Cholecystitis
15. 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: D -Gastric
dumping, or increased emptying into the small intestines
16. The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
