NR 511 CEA Exam Questions and Verified
Answers
Question 1
During a post-hospital discharge visit, you notice your 71 year old female patient has
been diagnosed with a "new murmur" found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the patient, during which phase of
the cardiac cycle would you anticipate auscultation of a S3 or S4 heart sound?
A -Diastole
B -S3 in systole while S4 in diastole
C -Systole
D -S4 in diastole while S3 in systole
Correct Answer
A -Diastole
Question 2
Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in a
house built in 1965, has an unrestricted diet, and her family heredity is Italian. She
denies any history of chronic health conditions. Initial CBC with differential shows a
microcytic hypochromic anemia which has not yet been diagnosed or treated and the
red cell distribution width (RDW) is elevated at 15%. Based on the most common
cause of microcytic hypochromic anemia, which of the following labs will you order
first?
A -B12 and Folate
B -Gel Electrophoresis
C -Serum Lead
D -TIBC and Ferritin
Correct Answer
D -TIBC and Ferritin
Page 1 of 200
,Question 3
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
Correct Answer
D -All of these are appropriate options
Question 4
Marvin, your 47 year old African American patient with a diagnosis of severe COPD
and coronary artery disease (CAD) has been complaining of shortness of breath and
wheezing after initiation of a new medicine for his coronary artery disease
management. Given his health history, which of the following agents is considered the
safest beta blocker for his CAD management?
A -Carvedilol (Coreg)
B -Propranalol (Inderal)
C -Labetalol (Trandate)
D -Metoprolol (Lopressor)
Correct Answer
D -Metoprolol (Lopressor)
Question 5
The determination of topical corticosteroid potency is largely based on the unique
drug as well as which of the following variables?
A -Vehicle of delivery (cream, lotion, elixir, etc)
B -None of these are correct
C -Duration of use (once, continuous, etc)
D -Site of use (back, face, arms, etc)
Correct Answer
A -Vehicle of delivery (cream, lotion, elixir, etc)
Page 2 of 200
,Question 6
You are working in an urgent care setting as a NP when a patient presents with
shortness of breath after a fall from a ladder earlier this morning. You obtain a chest
xray and radiologist on call notifies you that it appears to be a tension pneumothorax.
Which one of the following findings would you expect to see on the xray if this was
the correct diagnosis?
A -The trachea shifted toward the unaffected side
B -The trachea shifting toward the pneumothorax on inspiration and away from the
pneumothorax on expiration
C -The trachea shifted toward the side of the pneumothorax
D -Midline with no movement due to changes in intrapleural pressure
Correct Answer
A -The trachea shifted toward the unaffected side
Question 7
The 18 year old female patient who inappropriately exhibits fear of abandonment,
intense interpersonal relationships, affective instability, and recurrent self-harm
describes which of the following diagnoses:
A -Borderline personality disorder
B -Seasonal affective disorder
C -Reactive attachment disorder
D -Bipolar disorder
Correct Answer
A -Borderline personality disorder
Question 8
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
Correct Answer
B -Dowager hump
Page 3 of 200
, Question 9
The sexually active 19 year old female patient with a shuffling gate and inguinal pain
is most likely to be diagnosed with the following assessment and plan of care?
A -Molar pregnancy, order transvaginal ultrasound
B -Pelvic inflammatory disease, treat for Chlamydia only in females
C -Ectopic pregnancy, check human chorionic gonadotropin (HCG) level
D -Pelvic inflammatory disease, treat for Gonorrhea and Chlamydia
Correct Answer
D -Pelvic inflammatory disease, treat for Gonorrhea and Chlamydia
Question 10
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
Correct Answer
B -Increase in intraocular pressure
Question 11
Your 19 year old otherwise healthy male patient Vivek has been monitoring their peak
flow at home after a recent visit at which time his symptoms suggest a new diagnosis
of asthma. Which of the following is the most likely drug to be the first prescription?
A -fluticasone/salmeterol (Advair diskus) 250/50 BID PRN for shortness of breath
B -salmeterol (Serevent) 50mcg inhaled daily
C -albuterol (Xopenex) MDI PRN for wheezing
D -montelukast (Singulair) 10mg PO daily
Correct Answer
C -albuterol (Xopenex) MDI PRN for wheezing
Page 4 of 200
Answers
Question 1
During a post-hospital discharge visit, you notice your 71 year old female patient has
been diagnosed with a "new murmur" found by the hospitalist during their recent
hospitalization for CHF exacerbation. In evaluating the patient, during which phase of
the cardiac cycle would you anticipate auscultation of a S3 or S4 heart sound?
A -Diastole
B -S3 in systole while S4 in diastole
C -Systole
D -S4 in diastole while S3 in systole
Correct Answer
A -Diastole
Question 2
Your late adolescent female patient presents with a history of heavy menses and pale
conjunctiva. Your review of systems is fairly unremarkable other than she lives in a
house built in 1965, has an unrestricted diet, and her family heredity is Italian. She
denies any history of chronic health conditions. Initial CBC with differential shows a
microcytic hypochromic anemia which has not yet been diagnosed or treated and the
red cell distribution width (RDW) is elevated at 15%. Based on the most common
cause of microcytic hypochromic anemia, which of the following labs will you order
first?
A -B12 and Folate
B -Gel Electrophoresis
C -Serum Lead
D -TIBC and Ferritin
Correct Answer
D -TIBC and Ferritin
Page 1 of 200
,Question 3
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
Correct Answer
D -All of these are appropriate options
Question 4
Marvin, your 47 year old African American patient with a diagnosis of severe COPD
and coronary artery disease (CAD) has been complaining of shortness of breath and
wheezing after initiation of a new medicine for his coronary artery disease
management. Given his health history, which of the following agents is considered the
safest beta blocker for his CAD management?
A -Carvedilol (Coreg)
B -Propranalol (Inderal)
C -Labetalol (Trandate)
D -Metoprolol (Lopressor)
Correct Answer
D -Metoprolol (Lopressor)
Question 5
The determination of topical corticosteroid potency is largely based on the unique
drug as well as which of the following variables?
A -Vehicle of delivery (cream, lotion, elixir, etc)
B -None of these are correct
C -Duration of use (once, continuous, etc)
D -Site of use (back, face, arms, etc)
Correct Answer
A -Vehicle of delivery (cream, lotion, elixir, etc)
Page 2 of 200
,Question 6
You are working in an urgent care setting as a NP when a patient presents with
shortness of breath after a fall from a ladder earlier this morning. You obtain a chest
xray and radiologist on call notifies you that it appears to be a tension pneumothorax.
Which one of the following findings would you expect to see on the xray if this was
the correct diagnosis?
A -The trachea shifted toward the unaffected side
B -The trachea shifting toward the pneumothorax on inspiration and away from the
pneumothorax on expiration
C -The trachea shifted toward the side of the pneumothorax
D -Midline with no movement due to changes in intrapleural pressure
Correct Answer
A -The trachea shifted toward the unaffected side
Question 7
The 18 year old female patient who inappropriately exhibits fear of abandonment,
intense interpersonal relationships, affective instability, and recurrent self-harm
describes which of the following diagnoses:
A -Borderline personality disorder
B -Seasonal affective disorder
C -Reactive attachment disorder
D -Bipolar disorder
Correct Answer
A -Borderline personality disorder
Question 8
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
Correct Answer
B -Dowager hump
Page 3 of 200
, Question 9
The sexually active 19 year old female patient with a shuffling gate and inguinal pain
is most likely to be diagnosed with the following assessment and plan of care?
A -Molar pregnancy, order transvaginal ultrasound
B -Pelvic inflammatory disease, treat for Chlamydia only in females
C -Ectopic pregnancy, check human chorionic gonadotropin (HCG) level
D -Pelvic inflammatory disease, treat for Gonorrhea and Chlamydia
Correct Answer
D -Pelvic inflammatory disease, treat for Gonorrhea and Chlamydia
Question 10
The patient is experiencing acute closed angle glaucoma. Which of the following
examination findings by the nurse practitioner is most consistent with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume
Correct Answer
B -Increase in intraocular pressure
Question 11
Your 19 year old otherwise healthy male patient Vivek has been monitoring their peak
flow at home after a recent visit at which time his symptoms suggest a new diagnosis
of asthma. Which of the following is the most likely drug to be the first prescription?
A -fluticasone/salmeterol (Advair diskus) 250/50 BID PRN for shortness of breath
B -salmeterol (Serevent) 50mcg inhaled daily
C -albuterol (Xopenex) MDI PRN for wheezing
D -montelukast (Singulair) 10mg PO daily
Correct Answer
C -albuterol (Xopenex) MDI PRN for wheezing
Page 4 of 200
