Clinical Education Associates (CEA) – Preclinical Exam, PMHNP Certification Preparation
Course, Comprehensive Assessment Review and Practice Material
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of a powerlifter and works as a trash collector. Which of the
following diagnoses do you suspect the patient likely has? - ✔✔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? - ✔✔Left 5th intercostal space
midclavicular line
A 40-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 diagnosis of this physical
examination finding? - ✔✔Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone 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 a follow-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? - ✔✔Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during an examination? - ✔✔Low body temperature
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? - ✔✔Renal
function panel
Urinalysis
,Non-dilated eye exam
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. Which of the following parts of the body was likely
involved? - ✔✔Face and lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B? - ✔✔Actinic keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding? - ✔✔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? - ✔✔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? - ✔✔Urinalysis with
micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
posterolateral left lower lobe and have the patient cough. Follow-up auscultation reveals clear
breath sounds. Which one of the following would you suspect? - ✔✔Atelectasis- condition
where one or more areas of the lungs collapse or don't inflate properly, leading to reduced
oxygen levels in the blood
Your 39-year-old patient, who has recently been hospitalized for an appendectomy, is being
seen in your clinic for post-operative follow-up with primary care. On assessment, the patient
, complains of some incisional pain, and otherwise examination is standard, with the exception of
dull percussion sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in a post-operative patient? - ✔✔Atelectasis
You are evaluating a 41-year-old female patient in your clinic with symptoms of right upper
quadrant pain that worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent with which one of the following? - ✔✔Cholecystitis-
inflammation of the gallbladder
In educating your patient about the non-pharmacologic management of gastroesophageal
reflux disease, you include teaching to the patient that their heartburn is aggravated by al of the
following except which one? - ✔✔Gastric dumping, or increased emptying into the small
intestines
The patient is experiencing acute closed angle glaucoma. Which of the following examination
findings by the nurse practitioner is most consistent with their diagnosis? - ✔✔Increase in
intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse practitioner would
likely anticipate which findings on the CBC with differential? - ✔✔Elevated MCV and MCH
MCV- Measures the average size or volume of RBC
MCH- measure the average amount of HBG in a single red blood cell
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise.
When developing a differential diagnosis for this finding, which of the following is not a
potential cause of the elevated WBC? - ✔✔Diabetes Mellitus Type 2
Your 21-year-old sexually active female patient states during a routine health exam that they
have some "weird bumps" on their vulva. She is concerned that she has a sexually transmitted
infection. You notify her that condyloma is caused by exposure to which of the following? -
✔✔Human papillomavirus type 6 and 1
Course, Comprehensive Assessment Review and Practice Material
Your 22-year-old male patient states during his review of systems that his scrotum is very
enlarged and feels like it is full of a powerlifter and works as a trash collector. Which of the
following diagnoses do you suspect the patient likely has? - ✔✔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? - ✔✔Left 5th intercostal space
midclavicular line
A 40-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 diagnosis of this physical
examination finding? - ✔✔Hyperthyroidism
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone 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 a follow-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? - ✔✔Forced vital capacity
Your patient has a diagnosis of Addison's disease. Which of the following might you expect to
find during an examination? - ✔✔Low body temperature
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? - ✔✔Renal
function panel
Urinalysis
,Non-dilated eye exam
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. Which of the following parts of the body was likely
involved? - ✔✔Face and lips
Which of the following dermatologic lesions is precancerous and likely due to prolonged
exposure to UV-B? - ✔✔Actinic keratosis
Based on your evaluation of ABCDE for melanoma, which of the following represents a
suspicious finding? - ✔✔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? - ✔✔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? - ✔✔Urinalysis with
micro/macro albumin
While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
posterolateral left lower lobe and have the patient cough. Follow-up auscultation reveals clear
breath sounds. Which one of the following would you suspect? - ✔✔Atelectasis- condition
where one or more areas of the lungs collapse or don't inflate properly, leading to reduced
oxygen levels in the blood
Your 39-year-old patient, who has recently been hospitalized for an appendectomy, is being
seen in your clinic for post-operative follow-up with primary care. On assessment, the patient
, complains of some incisional pain, and otherwise examination is standard, with the exception of
dull percussion sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in a post-operative patient? - ✔✔Atelectasis
You are evaluating a 41-year-old female patient in your clinic with symptoms of right upper
quadrant pain that worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent with which one of the following? - ✔✔Cholecystitis-
inflammation of the gallbladder
In educating your patient about the non-pharmacologic management of gastroesophageal
reflux disease, you include teaching to the patient that their heartburn is aggravated by al of the
following except which one? - ✔✔Gastric dumping, or increased emptying into the small
intestines
The patient is experiencing acute closed angle glaucoma. Which of the following examination
findings by the nurse practitioner is most consistent with their diagnosis? - ✔✔Increase in
intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse practitioner would
likely anticipate which findings on the CBC with differential? - ✔✔Elevated MCV and MCH
MCV- Measures the average size or volume of RBC
MCH- measure the average amount of HBG in a single red blood cell
The nurse practitioner is caring for a patient with an elevated WBC, fever, chills, and malaise.
When developing a differential diagnosis for this finding, which of the following is not a
potential cause of the elevated WBC? - ✔✔Diabetes Mellitus Type 2
Your 21-year-old sexually active female patient states during a routine health exam that they
have some "weird bumps" on their vulva. She is concerned that she has a sexually transmitted
infection. You notify her that condyloma is caused by exposure to which of the following? -
✔✔Human papillomavirus type 6 and 1
