NR 511 CEA – CLINICAL EVALUATION & ASSESSMENT REAL EXAM
REVIEW – ALL 150 QUESTIONS AND CORRECT ANSWERS/ NR 511
CEA EXAM REVIEW 2026/ DIFFERENTIAL DIAGNOSIS AND PRIMARY
CARE PRACTICUM
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 -Myxedema - ANS.... -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
C -Inspiratory Reserve
D -Forced Vital Capacity - ANS.... -D -Forced vital capacity
,Your 22 year old male patient states during his review of systems thathis
scrotum is much 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 -Meningeal
C -Rectocele
D -Hydrocele - ANS.... -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 - ANS.... -B -Left 5th
intercostal space, midclavicular line
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 - ANS.... -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 - ANS.... -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 - ANS.... -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 - ANS.... -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
, C -Brown color
D -Diameter of 0.4 cm - ANS.... -A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain,
and anhedonia. Suspecting a diagnosis of clinical depression, you
anticipate the patient will benefit from treating their underlying deficit of
which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - ANS.... -B -Serotonin
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 - ANS.... -B -Urinalysis with micro/macro albumin
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
REVIEW – ALL 150 QUESTIONS AND CORRECT ANSWERS/ NR 511
CEA EXAM REVIEW 2026/ DIFFERENTIAL DIAGNOSIS AND PRIMARY
CARE PRACTICUM
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 -Myxedema - ANS.... -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
C -Inspiratory Reserve
D -Forced Vital Capacity - ANS.... -D -Forced vital capacity
,Your 22 year old male patient states during his review of systems thathis
scrotum is much 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 -Meningeal
C -Rectocele
D -Hydrocele - ANS.... -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 - ANS.... -B -Left 5th
intercostal space, midclavicular line
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 - ANS.... -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 - ANS.... -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 - ANS.... -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 - ANS.... -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
, C -Brown color
D -Diameter of 0.4 cm - ANS.... -A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain,
and anhedonia. Suspecting a diagnosis of clinical depression, you
anticipate the patient will benefit from treating their underlying deficit of
which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - ANS.... -B -Serotonin
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 - ANS.... -B -Urinalysis with micro/macro albumin
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
