Chamberlain Nr667 Cea Fnp
Comprehensive Predictor Exam-Latest
Update||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 82
Format: Multiple Choice
Instructions: Choose the best answer. Correct answers are highlighted in bold .
Rationales are provided to reinforce advanced practice nursing concepts for the
FNP.
Section 1: HEENT (Eyes, Ears, Nose, Throat)
1. A 45-year-old male presents with sudden onset of vertigo, unilateral hearing
loss, and tinnitus in the left ear. What is the most likely diagnosis?
A. Benign Paroxysmal Positional Vertigo (BPPV)
B. Meniere's Disease
C. Labyrinthitis
D. Otitis Media
Rationale: Meniere's disease is classically defined by the triad of episodic vertigo,
sensorineural hearing loss, and tinnitus. BPPV is positional only and lacks hearing
loss. Labyrinthitis usually follows a viral infection .
2. A 6-year-old presents with sore throat, fever, "strawberry tongue," and a
sandpaper-like rash on the trunk. What is the most likely diagnosis?
A. Kawasaki Disease
,B. Scarlet Fever
C. Measles (Rubeola)
D. Fifth Disease
Rationale: Scarlet fever (Group A Strep) presents with pharyngitis, fever,
strawberry tongue, and a characteristic sandpaper rash. Kawasaki disease presents
with conjunctivitis and rash but usually not exudative pharyngitis .
3. A patient presents with hoarseness that has lasted for 4 weeks. He has a 30
pack-year smoking history. What is the priority intervention?
A. Voice rest for 2 weeks
B. Trial of proton pump inhibitor (PPI)
C. Referral for laryngoscopy
D. Antibiotics for suspected laryngitis
Rationale: Hoarseness lasting >3 weeks in a smoker is a red flag for laryngeal
cancer until proven otherwise. Direct visualization (laryngoscopy) is required .
4. A 2-month-old infant is noted to have an absent red reflex during a well-
child visit. What is the most concerning diagnosis to rule out?
A. Strabismus
B. Retinoblastoma
C. Nasolacrimal duct obstruction
D. Conjunctivitis
Rationale: An absent or white (leukocoria) red reflex is an emergency that
requires immediate ophthalmology referral to rule out retinoblastoma, a life-
threatening childhood cancer .
5. A patient presents with acute onset of flashing lights and a sudden increase
in floaters in the right eye. What is the priority diagnosis to rule out?
A. Migraine with aura
B. Retinal detachment
C. Optic neuritis
D. Dry eye syndrome
Rationale: The sudden onset of flashes (photopsia) and floaters suggests posterior
vitreous detachment or retinal traction. Retinal detachment is an ophthalmologic
emergency requiring immediate referral .
, Section 2: Respiratory
6. A 68-year-old with COPD GOLD 2 presents with increased dyspnea,
purulent sputum, and fever. Chest X-ray shows no infiltrate. What is the best
next step?
A. Oral corticosteroids alone
B. Antibiotics + systemic corticosteroids
C. Hospital admission for BiPAP
D. Increase LABA/LAMA dose
Rationale: This is an Acute Exacerbation of COPD (AECOPD) with increased
purulence (Anthonisen Type 1). Guidelines indicate antibiotics (covering H. flu/M.
catarrhalis) plus systemic steroids (e.g., prednisone 40mg x 5 days) .
7. A 2-year-old presents with a "barking" cough, inspiratory stridor, and fever
that worsens at night. The child is playful and sitting comfortably. What is the
most likely diagnosis?
A. Epiglottitis
B. Bacterial tracheitis
C. Croup (Laryngotracheobronchitis)
D. Foreign body aspiration
Rationale: Croup is viral (parainfluenza) and presents with the classic seal-like
bark and stridor. Epiglottitis presents with drooling and tripoding and is now rare
post-vaccine .
8. A 55-year-old non-smoker presents with progressive dyspnea and a dry
cough. PFTs show a restrictive pattern and low DLCO. What is the most likely
diagnosis?
A. Asthma
B. Idiopathic Pulmonary Fibrosis (IPF)
C. Chronic Bronchitis
D. Sarcoidosis
Rationale: IPF presents with progressive dyspnea, dry cough, restrictive
physiology, and impaired gas exchange (low DLCO). Asthma is obstructive.
Sarcoidosis usually presents with hilar lymphadenopathy .
9. A patient with allergic rhinitis has poor control on intranasal corticosteroids
alone. What is the best add-on therapy?
A. Oral decongestants
Comprehensive Predictor Exam-Latest
Update||Questions And
Answers With Rationales/Graded
A+/2026 Update/100% Correct
/Instant Download
Total Questions: 82
Format: Multiple Choice
Instructions: Choose the best answer. Correct answers are highlighted in bold .
Rationales are provided to reinforce advanced practice nursing concepts for the
FNP.
Section 1: HEENT (Eyes, Ears, Nose, Throat)
1. A 45-year-old male presents with sudden onset of vertigo, unilateral hearing
loss, and tinnitus in the left ear. What is the most likely diagnosis?
A. Benign Paroxysmal Positional Vertigo (BPPV)
B. Meniere's Disease
C. Labyrinthitis
D. Otitis Media
Rationale: Meniere's disease is classically defined by the triad of episodic vertigo,
sensorineural hearing loss, and tinnitus. BPPV is positional only and lacks hearing
loss. Labyrinthitis usually follows a viral infection .
2. A 6-year-old presents with sore throat, fever, "strawberry tongue," and a
sandpaper-like rash on the trunk. What is the most likely diagnosis?
A. Kawasaki Disease
,B. Scarlet Fever
C. Measles (Rubeola)
D. Fifth Disease
Rationale: Scarlet fever (Group A Strep) presents with pharyngitis, fever,
strawberry tongue, and a characteristic sandpaper rash. Kawasaki disease presents
with conjunctivitis and rash but usually not exudative pharyngitis .
3. A patient presents with hoarseness that has lasted for 4 weeks. He has a 30
pack-year smoking history. What is the priority intervention?
A. Voice rest for 2 weeks
B. Trial of proton pump inhibitor (PPI)
C. Referral for laryngoscopy
D. Antibiotics for suspected laryngitis
Rationale: Hoarseness lasting >3 weeks in a smoker is a red flag for laryngeal
cancer until proven otherwise. Direct visualization (laryngoscopy) is required .
4. A 2-month-old infant is noted to have an absent red reflex during a well-
child visit. What is the most concerning diagnosis to rule out?
A. Strabismus
B. Retinoblastoma
C. Nasolacrimal duct obstruction
D. Conjunctivitis
Rationale: An absent or white (leukocoria) red reflex is an emergency that
requires immediate ophthalmology referral to rule out retinoblastoma, a life-
threatening childhood cancer .
5. A patient presents with acute onset of flashing lights and a sudden increase
in floaters in the right eye. What is the priority diagnosis to rule out?
A. Migraine with aura
B. Retinal detachment
C. Optic neuritis
D. Dry eye syndrome
Rationale: The sudden onset of flashes (photopsia) and floaters suggests posterior
vitreous detachment or retinal traction. Retinal detachment is an ophthalmologic
emergency requiring immediate referral .
, Section 2: Respiratory
6. A 68-year-old with COPD GOLD 2 presents with increased dyspnea,
purulent sputum, and fever. Chest X-ray shows no infiltrate. What is the best
next step?
A. Oral corticosteroids alone
B. Antibiotics + systemic corticosteroids
C. Hospital admission for BiPAP
D. Increase LABA/LAMA dose
Rationale: This is an Acute Exacerbation of COPD (AECOPD) with increased
purulence (Anthonisen Type 1). Guidelines indicate antibiotics (covering H. flu/M.
catarrhalis) plus systemic steroids (e.g., prednisone 40mg x 5 days) .
7. A 2-year-old presents with a "barking" cough, inspiratory stridor, and fever
that worsens at night. The child is playful and sitting comfortably. What is the
most likely diagnosis?
A. Epiglottitis
B. Bacterial tracheitis
C. Croup (Laryngotracheobronchitis)
D. Foreign body aspiration
Rationale: Croup is viral (parainfluenza) and presents with the classic seal-like
bark and stridor. Epiglottitis presents with drooling and tripoding and is now rare
post-vaccine .
8. A 55-year-old non-smoker presents with progressive dyspnea and a dry
cough. PFTs show a restrictive pattern and low DLCO. What is the most likely
diagnosis?
A. Asthma
B. Idiopathic Pulmonary Fibrosis (IPF)
C. Chronic Bronchitis
D. Sarcoidosis
Rationale: IPF presents with progressive dyspnea, dry cough, restrictive
physiology, and impaired gas exchange (low DLCO). Asthma is obstructive.
Sarcoidosis usually presents with hilar lymphadenopathy .
9. A patient with allergic rhinitis has poor control on intranasal corticosteroids
alone. What is the best add-on therapy?
A. Oral decongestants
