NR 511 CEA EXAM | FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Your 22 year old male patient states during his review of systems thathis scrotum is very
enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele Answer: A -Varicocele
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 Answer: B -Left 5th intercostal space,
midclavicular line
A40 year old, female, African American patient presents for history and physical. 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 Answer: B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. 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 is referred to as which of the
following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, C -Inspiratory Reserve
D -Forced Vital Capacity Answer: D -Forced vital capacity
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 Answer: B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include
which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options Answer: D -All of these are appropriate options
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 Answer: D -Face and Lips
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 Answer: A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
A -Irregular borders
B -Symmetrical nature
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,Your 22 year old male patient states during his review of systems thathis scrotum is very
enlarged and feels like it is full a powerlifter and works as a trash collector. You suspect the
patient likely has which of the following diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele Answer: A -Varicocele
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 Answer: B -Left 5th intercostal space,
midclavicular line
A40 year old, female, African American patient presents for history and physical. 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 Answer: B -Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
underwent a pulmonary function test (PFT) with spirometry. 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 is referred to as which of the
following measurements during the PFT?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, C -Inspiratory Reserve
D -Forced Vital Capacity Answer: D -Forced vital capacity
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 Answer: B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include
which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options Answer: D -All of these are appropriate options
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 Answer: D -Face and Lips
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 Answer: A -Actinic Keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicous finding?
A -Irregular borders
B -Symmetrical nature
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
