Page 1 of 80
NR 603 Clinical Evaluation and Assessment (CEA) Exam
ACTUAL EXAM COMPLETE 200 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
NR 603 Clinical Evaluation and Assessment (CEA) Exam | ACTUAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS – LATEST UPDATE THIS YEAR is a comprehensive diagnostic tool for Family
Nurse Practitioner candidates. This exam focuses on the transition from student to clinician,
emphasizing the "Final Diagnosis" and "Management Plan" stages of the SOAP note. It requires
mastery of the latest JNC 8, ADA, and GOLD guidelines.
Exam Coverage Areas (All Batches)
The full curriculum across all study batches covers the following domains:
• Cardiovascular: Hypertension management (JNC 8), Heart Failure (NYHA classes),
Murmur identification, and Lipidology.
• Endocrinology: Diabetes (ADA standards), Thyroid disorders (Hypo/Hyper), and Adrenal
insufficiency.
• Pulmonary: Asthma/COPD (GOLD guidelines), Pneumonia (CURB-65), and PFT
interpretation.
• HEENT & Neurology: Cranial nerve assessment, Stroke/TIA, Sinusitis, and Otitis Media.
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• Gastrointestinal & GU: Hepatitis serology, GERD, CKD staging, and Men’s/Women’s
Health.
• Pediatrics & Geriatrics: Developmental milestones, immunization schedules, and Beers
Criteria.
Batch 1: Questions 1–50 (Focus: Cardio, Endo, and HEENT)
1. A 65-year-old African American male has a blood pressure of 152/94. According to JNC
8, which is the preferred initial medication class?
o A) ACE Inhibitor
o B) Beta-Blocker
o C) Calcium Channel Blocker (CCB)
o D) ARB
o Answer: C. Rationale: JNC 8 recommends CCBs or Thiazide-type diuretics as
initial therapy for the general Black population.
2. During an eye exam, you note silver-wire arteries and AV nicking. This is most
indicative of:
o A) Diabetic Retinopathy
o B) Hypertensive Retinopathy
o C) Macular Degeneration
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o D) Glaucoma
o Answer: B. Rationale: AV nicking and silver/copper wiring are classic signs of
chronic hypertension.
3. A patient presents with a TSH of 0.1 mIU/L and an elevated Free T4. The most likely
diagnosis is:
o A) Hashimoto’s Thyroiditis
o B) Graves' Disease
o C) Pituitary Adenoma
o D) Subclinical Hypothyroidism
o Answer: B. Rationale: Low TSH with high T4 indicates Hyperthyroidism, with
Graves' being the most common cause.
4. Which cranial nerve is assessed by asking the patient to shrug their shoulders against
resistance?
o A) CN IX
o B) CN X
o C) CN XI
o D) CN XII
o Answer: C. Rationale: The Spinal Accessory nerve (CN XI) controls the trapezius
muscles.
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5. A 30-year-old female has an A1C of 6.3%. This result is classified as:
o A) Normal
o B) Prediabetes
o C) Type 2 Diabetes
o D) Type 1 Diabetes
o Answer: B. Rationale: Prediabetes is defined as an A1C between 5.7% and 6.4%.
6. A harsh, mid-systolic crescendo-decrescendo murmur heard at the 2nd ICS, right
sternal border, radiating to the neck is:
o A) Mitral Regurgitation
o B) Aortic Stenosis
o C) Aortic Regurgitation
o D) Mitral Stenosis
o Answer: B. Rationale: Aortic Stenosis is a systolic murmur heard best at the base
(right side) radiating to the carotids.
7. What is the first-line treatment for a patient diagnosed with simple Acute Bacterial
Rhinosinusitis?
o A) Azithromycin
o B) Amoxicillin-Clavulanate
NR 603 Clinical Evaluation and Assessment (CEA) Exam
ACTUAL EXAM COMPLETE 200 QUESTIONS AND VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR
NR 603 Clinical Evaluation and Assessment (CEA) Exam | ACTUAL EXAM ALL QUESTIONS AND
CORRECT ANSWERS – LATEST UPDATE THIS YEAR is a comprehensive diagnostic tool for Family
Nurse Practitioner candidates. This exam focuses on the transition from student to clinician,
emphasizing the "Final Diagnosis" and "Management Plan" stages of the SOAP note. It requires
mastery of the latest JNC 8, ADA, and GOLD guidelines.
Exam Coverage Areas (All Batches)
The full curriculum across all study batches covers the following domains:
• Cardiovascular: Hypertension management (JNC 8), Heart Failure (NYHA classes),
Murmur identification, and Lipidology.
• Endocrinology: Diabetes (ADA standards), Thyroid disorders (Hypo/Hyper), and Adrenal
insufficiency.
• Pulmonary: Asthma/COPD (GOLD guidelines), Pneumonia (CURB-65), and PFT
interpretation.
• HEENT & Neurology: Cranial nerve assessment, Stroke/TIA, Sinusitis, and Otitis Media.
,Page 2 of 80
• Gastrointestinal & GU: Hepatitis serology, GERD, CKD staging, and Men’s/Women’s
Health.
• Pediatrics & Geriatrics: Developmental milestones, immunization schedules, and Beers
Criteria.
Batch 1: Questions 1–50 (Focus: Cardio, Endo, and HEENT)
1. A 65-year-old African American male has a blood pressure of 152/94. According to JNC
8, which is the preferred initial medication class?
o A) ACE Inhibitor
o B) Beta-Blocker
o C) Calcium Channel Blocker (CCB)
o D) ARB
o Answer: C. Rationale: JNC 8 recommends CCBs or Thiazide-type diuretics as
initial therapy for the general Black population.
2. During an eye exam, you note silver-wire arteries and AV nicking. This is most
indicative of:
o A) Diabetic Retinopathy
o B) Hypertensive Retinopathy
o C) Macular Degeneration
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o D) Glaucoma
o Answer: B. Rationale: AV nicking and silver/copper wiring are classic signs of
chronic hypertension.
3. A patient presents with a TSH of 0.1 mIU/L and an elevated Free T4. The most likely
diagnosis is:
o A) Hashimoto’s Thyroiditis
o B) Graves' Disease
o C) Pituitary Adenoma
o D) Subclinical Hypothyroidism
o Answer: B. Rationale: Low TSH with high T4 indicates Hyperthyroidism, with
Graves' being the most common cause.
4. Which cranial nerve is assessed by asking the patient to shrug their shoulders against
resistance?
o A) CN IX
o B) CN X
o C) CN XI
o D) CN XII
o Answer: C. Rationale: The Spinal Accessory nerve (CN XI) controls the trapezius
muscles.
, Page 4 of 80
5. A 30-year-old female has an A1C of 6.3%. This result is classified as:
o A) Normal
o B) Prediabetes
o C) Type 2 Diabetes
o D) Type 1 Diabetes
o Answer: B. Rationale: Prediabetes is defined as an A1C between 5.7% and 6.4%.
6. A harsh, mid-systolic crescendo-decrescendo murmur heard at the 2nd ICS, right
sternal border, radiating to the neck is:
o A) Mitral Regurgitation
o B) Aortic Stenosis
o C) Aortic Regurgitation
o D) Mitral Stenosis
o Answer: B. Rationale: Aortic Stenosis is a systolic murmur heard best at the base
(right side) radiating to the carotids.
7. What is the first-line treatment for a patient diagnosed with simple Acute Bacterial
Rhinosinusitis?
o A) Azithromycin
o B) Amoxicillin-Clavulanate
