Page 1 of 191
NR 603 CEA EXAM LATEST VERSION WITH 300
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NR 603 CEA EXAM
300 RANDOMIZED QUESTIONS WITH ANSWERS AND RATIONALES
1. Kia is a 22-year-old trans female patient actively undergoing gender-affirming therapy who
abruptly stopped her medication regimen for the last two weeks due to insurance issues. She
now reports fatigue, hot flashes, and mood swings. What is the most appropriate next step?
A) Resume hormone therapy immediately at the previous dose
B) Order serum estradiol and testosterone levels before resuming therapy
C) Refer to endocrinology for management
D) Start an antidepressant for mood symptoms
E) Recommend over-the-counter supplements for symptom management
Answer: B Abrupt discontinuation of gender-affirming hormone therapy can cause withdrawal
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symptoms and hormonal imbalances. Checking serum estradiol and testosterone levels before
resuming therapy ensures safe dosing and appropriate adjustment.
2. A 45-year-old male with a 20-pack-year smoking history presents with a chronic cough,
hemoptysis, and weight loss. Chest X-ray shows a right hilar mass. What is the most appropriate
initial diagnostic test?
A) Sputum cytology
B) CT-guided biopsy
C) Bronchoscopy with biopsy
D) PET-CT scan
E) MRI of the chest
Answer: C Bronchoscopy with biopsy is the preferred initial diagnostic procedure for central hilar
masses, providing tissue samples for histologic diagnosis and staging.
3. A 68-year-old female with hypertension and diabetes presents with sudden onset of severe
headache, nausea, and photophobia. Neurological exam is non-focal. What is the most
appropriate initial diagnostic test?
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A) CT head without contrast
B) Lumbar puncture
C) MRI brain
D) CT angiography
E) EEG
Answer: A CT head without contrast is the initial test of choice for suspected subarachnoid
hemorrhage, with high sensitivity for acute bleeding.
4. A 52-year-old male with a history of GERD presents with progressive dysphagia to solids and
liquids, weight loss, and odynophagia. What is the most likely diagnosis?
A) Peptic stricture
B) Esophageal cancer
C) Achalasia
D) Eosinophilic esophagitis
E) Esophageal spasm
Answer: B Progressive dysphagia to both solids and liquids with weight loss and odynophagia in
an older adult is concerning for esophageal malignancy until proven otherwise.
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5. A 35-year-old female presents with fatigue, weight gain, cold intolerance, and constipation.
Laboratory shows TSH 15.2 mIU/L and free T4 0.6 ng/dL. What is the most appropriate
treatment?
A) Levothyroxine 25 mcg daily
B) Levothyroxine 50 mcg daily
C) Levothyroxine 100 mcg daily
D) Liothyronine 25 mcg daily
E) Methimazole 10 mg daily
Answer: B Starting levothyroxine at 50 mcg daily (1.6 mcg/kg) is appropriate for newly
diagnosed hypothyroidism, with dose adjustment based on TSH response.
6. A 28-year-old female presents with palpitations, heat intolerance, weight loss, and a palpable
goiter. Laboratory shows TSH <0.01 mIU/L and free T4 3.8 ng/dL. What is the most likely
diagnosis?
A) Graves' disease
B) Toxic multinodular goiter
4
SUCCESS!
NR 603 CEA EXAM LATEST VERSION WITH 300
QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
NR 603 CEA EXAM
300 RANDOMIZED QUESTIONS WITH ANSWERS AND RATIONALES
1. Kia is a 22-year-old trans female patient actively undergoing gender-affirming therapy who
abruptly stopped her medication regimen for the last two weeks due to insurance issues. She
now reports fatigue, hot flashes, and mood swings. What is the most appropriate next step?
A) Resume hormone therapy immediately at the previous dose
B) Order serum estradiol and testosterone levels before resuming therapy
C) Refer to endocrinology for management
D) Start an antidepressant for mood symptoms
E) Recommend over-the-counter supplements for symptom management
Answer: B Abrupt discontinuation of gender-affirming hormone therapy can cause withdrawal
1
SUCCESS!
,Page 2 of 191
symptoms and hormonal imbalances. Checking serum estradiol and testosterone levels before
resuming therapy ensures safe dosing and appropriate adjustment.
2. A 45-year-old male with a 20-pack-year smoking history presents with a chronic cough,
hemoptysis, and weight loss. Chest X-ray shows a right hilar mass. What is the most appropriate
initial diagnostic test?
A) Sputum cytology
B) CT-guided biopsy
C) Bronchoscopy with biopsy
D) PET-CT scan
E) MRI of the chest
Answer: C Bronchoscopy with biopsy is the preferred initial diagnostic procedure for central hilar
masses, providing tissue samples for histologic diagnosis and staging.
3. A 68-year-old female with hypertension and diabetes presents with sudden onset of severe
headache, nausea, and photophobia. Neurological exam is non-focal. What is the most
appropriate initial diagnostic test?
2
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,Page 3 of 191
A) CT head without contrast
B) Lumbar puncture
C) MRI brain
D) CT angiography
E) EEG
Answer: A CT head without contrast is the initial test of choice for suspected subarachnoid
hemorrhage, with high sensitivity for acute bleeding.
4. A 52-year-old male with a history of GERD presents with progressive dysphagia to solids and
liquids, weight loss, and odynophagia. What is the most likely diagnosis?
A) Peptic stricture
B) Esophageal cancer
C) Achalasia
D) Eosinophilic esophagitis
E) Esophageal spasm
Answer: B Progressive dysphagia to both solids and liquids with weight loss and odynophagia in
an older adult is concerning for esophageal malignancy until proven otherwise.
3
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5. A 35-year-old female presents with fatigue, weight gain, cold intolerance, and constipation.
Laboratory shows TSH 15.2 mIU/L and free T4 0.6 ng/dL. What is the most appropriate
treatment?
A) Levothyroxine 25 mcg daily
B) Levothyroxine 50 mcg daily
C) Levothyroxine 100 mcg daily
D) Liothyronine 25 mcg daily
E) Methimazole 10 mg daily
Answer: B Starting levothyroxine at 50 mcg daily (1.6 mcg/kg) is appropriate for newly
diagnosed hypothyroidism, with dose adjustment based on TSH response.
6. A 28-year-old female presents with palpitations, heat intolerance, weight loss, and a palpable
goiter. Laboratory shows TSH <0.01 mIU/L and free T4 3.8 ng/dL. What is the most likely
diagnosis?
A) Graves' disease
B) Toxic multinodular goiter
4
SUCCESS!
