NR 667 CEA FNP EXAM
NR 667 CEA FNP FINAL EXAM 2025
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
,NR 667 CEA FNP EXAM
D. Pancreatitis
C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing,
and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
,NR 667 CEA FNP EXAM
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-
up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
, NR 667 CEA FNP EXAM
A. Pancytopenia
B. Aplastic anemia X
C. Macrocytic anemia X
D. Myelodysplastic syndrome X
D
Treatment for symptomatic aplastic anemia includes all the following except:
X X X X X X X X X
A. Bone marrow transplant
X X
B. PRBC/Platelet/WBC transfusions X
C. Prophylactic antibiotics X
D. Removal of bone marrow stimulants
X X X X
D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the following trea
X X X X X X X X X X X X X X
tments would likely be ineffective?
X X X X
NR 667 CEA FNP FINAL EXAM 2025
QUESTIONS AND CORRECT ANSWERS
GRADED A+
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a
very tender left upper quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
,NR 667 CEA FNP EXAM
D. Pancreatitis
C
Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-year-old woman presents with allergic rhinitis, experiencing significant nasal congestion, sneezing,
and itchy eyes. She has tried over-the-counter antihistamines with limited relief. What is the most
appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
,NR 667 CEA FNP EXAM
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic squamous cell
carcinoma is admitted to the rehab unit you oversee for management of intractable nausea, vomiting,
and dehydration. Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the following
conditions is this patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
D
A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-
up would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated or poorly responsive:
, NR 667 CEA FNP EXAM
A. Pancytopenia
B. Aplastic anemia X
C. Macrocytic anemia X
D. Myelodysplastic syndrome X
D
Treatment for symptomatic aplastic anemia includes all the following except:
X X X X X X X X X
A. Bone marrow transplant
X X
B. PRBC/Platelet/WBC transfusions X
C. Prophylactic antibiotics X
D. Removal of bone marrow stimulants
X X X X
D
A patient diagnosed with iron deficiency anemia requires iron supplementation. Which of the following trea
X X X X X X X X X X X X X X
tments would likely be ineffective?
X X X X
