NR 511 CEA ACTUAL - EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
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
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 -Myexedma - 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 44
,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 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 44
,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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 44
, 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
D -Bronchiactasis. - ANS B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy and 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 normal, 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 post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease - ANS C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper
quadrant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis - ANS B -Cholecystitis
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?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 44
QUESTIONS AND ANSWERS 2026
VERIFIED.
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
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 -Myexedma - 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 44
,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 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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 44
,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
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 44
, 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
D -Bronchiactasis. - ANS B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy and 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 normal, 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 post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease - ANS C -Atelectasis
You are evaluating a 41 year old female patient in your clinic with symptoms of right upper
quadrant pain which worsens with deep breathing. The patient exhibits a positive Murphy sign.
These findings are most consistent which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis - ANS B -Cholecystitis
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?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
@COPYRIGHT ALL RIGHTS RESERVED PAGE 4 OF 44
