NR603- CEA EXAM COMPREHENSIVE
QUESTIONS & ELABORATED
ANSWERS ALL PASSED 100%
A 60-year-old woman with a history of hypertension and diabetes presents with
progressive fatigue and anemia. Her laboratory results show microcytic hypochromic
anemia. What is the most likely diagnosis? - Correct Answer ✔✔ Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - Correct Answer ✔✔ Bone
marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain.
Cardiac work up is negative but CBC reveals a hemoglobin of 6.5. What would indicate
a potential iron deficiency anemia? - Correct Answer ✔✔ MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers.
He has a history of rectal adenocarcinoma and completed concurrent chemo/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? -
Correct Answer ✔✔ Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions? - Correct Answer ✔✔ B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor
deficiency. Intrinsic factor deficiency is a result of gastric resection or IF autoantibody.
A 35-year-old man presents with recurrent episodes of severe pain in his back, chest
and extremities. He has a history of sickle cell disease. What is the most appropriate
initial management during a pain crisis? - Correct Answer ✔✔ Hospitalization for IV
fluids and opioids
Which of the following medication classes is the foundation of the care of heart failure
and has been shown to reduce mortality? - Correct Answer ✔✔ Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is
currently taking methotrexate and over the counter ibuprofen. Today she complains of
severe stomach pain and intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still complains of abdominal
, discomfort and reports dark stools. The practitioner suspects: - Correct Answer ✔✔
Gastric ulceration
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix
40mg daily with no improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus? - Correct Answer ✔✔ Intestinal
metaplasia with goblet cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative
substance. Which of the following techniques is useful to assist in removal of the agent?
- Correct Answer ✔✔ Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the
following represent a potential complication of this type of fracture? - Correct Answer
✔✔ Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - Correct
Answer ✔✔ Bilateral high-frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are
encouraged to use to aid in providing continuity and reduction of cost per the Affordable
Care Act? - Correct Answer ✔✔ The Medical Home
Which of the following blood lead levels would likely require chelation therapy? - Correct
Answer ✔✔ >100 mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and
resultant neutropenia? - Correct Answer ✔✔ Loss of circulating neutrophils in acute
blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is
5.5 mg/dL. The nurse practitioner would: - Correct Answer ✔✔ Hold the warfarin for 1
day and then recheck in two days
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care? - Correct
Answer ✔✔ Referral to rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type
of immunoglobulin? - Correct Answer ✔✔ IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with
"all these medications ". Which of the following represents the most reasonable goal in
the treatment of HIV? - Correct Answer ✔✔ Reducing viral load to an undetectable level
QUESTIONS & ELABORATED
ANSWERS ALL PASSED 100%
A 60-year-old woman with a history of hypertension and diabetes presents with
progressive fatigue and anemia. Her laboratory results show microcytic hypochromic
anemia. What is the most likely diagnosis? - Correct Answer ✔✔ Iron deficiency anemia
Treatment for symptomatic aplastic anemia includes what? - Correct Answer ✔✔ Bone
marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain.
Cardiac work up is negative but CBC reveals a hemoglobin of 6.5. What would indicate
a potential iron deficiency anemia? - Correct Answer ✔✔ MCV 67
MCHC 29
A 78-year-old male patient reports chronic infections, bruising, fatigue, SOB, and fevers.
He has a history of rectal adenocarcinoma and completed concurrent chemo/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? -
Correct Answer ✔✔ Bone marrow biopsy and flow cytometry
A patient with a known intrinsic factor autoantibody is at risk for developing which of the
following conditions? - Correct Answer ✔✔ B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and intrinsic factor
deficiency. Intrinsic factor deficiency is a result of gastric resection or IF autoantibody.
A 35-year-old man presents with recurrent episodes of severe pain in his back, chest
and extremities. He has a history of sickle cell disease. What is the most appropriate
initial management during a pain crisis? - Correct Answer ✔✔ Hospitalization for IV
fluids and opioids
Which of the following medication classes is the foundation of the care of heart failure
and has been shown to reduce mortality? - Correct Answer ✔✔ Beta blockers
An adult female with rheumatoid arthritis presents to the office for a follow up. She is
currently taking methotrexate and over the counter ibuprofen. Today she complains of
severe stomach pain and intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still complains of abdominal
, discomfort and reports dark stools. The practitioner suspects: - Correct Answer ✔✔
Gastric ulceration
A 43-year-old male with past medical history significant for GERD, smoking, and obesity
presents to your clinic for worsening GERD symptoms, he has been taking Protonix
40mg daily with no improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus? - Correct Answer ✔✔ Intestinal
metaplasia with goblet cells
Your patient presents with unilateral eye pain after a workplace exposure to a causative
substance. Which of the following techniques is useful to assist in removal of the agent?
- Correct Answer ✔✔ Flushing with Morgan lens
Your patient has a Le Fort III fracture and is admitted for close monitoring. Which of the
following represent a potential complication of this type of fracture? - Correct Answer
✔✔ Cerebrospinal fluid leak
Which of the following best characterizes presbycusis in the older adult? - Correct
Answer ✔✔ Bilateral high-frequency sensorineural hearing loss
Which of the following refers to the primary access point of medical care patients are
encouraged to use to aid in providing continuity and reduction of cost per the Affordable
Care Act? - Correct Answer ✔✔ The Medical Home
Which of the following blood lead levels would likely require chelation therapy? - Correct
Answer ✔✔ >100 mcg/dL
Which of the following is not a common mechanism of neutrophil expenditure and
resultant neutropenia? - Correct Answer ✔✔ Loss of circulating neutrophils in acute
blood loss
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current INR is
5.5 mg/dL. The nurse practitioner would: - Correct Answer ✔✔ Hold the warfarin for 1
day and then recheck in two days
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care? - Correct
Answer ✔✔ Referral to rheumatology
Long-term immunoglobulin that is carried fr generation to generation is likely which type
of immunoglobulin? - Correct Answer ✔✔ IgG
Your patient has been diagnosed with HIV and wants to know the goal of treatment with
"all these medications ". Which of the following represents the most reasonable goal in
the treatment of HIV? - Correct Answer ✔✔ Reducing viral load to an undetectable level
