NR603- CEA Exam Elaborate Study
Guide (Detailed Questions with
Verified Answers) Brand New
Version <Expert Graded A+>
1. You're a 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of worms. He is a power
lifter and works as a trash collector. You suspect that patient likely has
which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele - ANSWER B. varicocele
2. 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 - ANSWER A -Actinic Keratosis
3. 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 - ANSWER A -Irregular borders
4. 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 - ANSWER B -Serotonin
5. 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 - ANSWER B -Urinalysis with micro/macro albumin
6. 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. - ANSWER B -Atelectasis
,7. 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 - ANSWER C -Atelectasis
8. 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 - ANSWER B -Cholecystitis
9. 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
, D -Gastric dumping, or increased emptying into the small intestines -
ANSWER D -Gastric dumping, or increased emptying into the small intestines
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 - ANSWER B -Increase in intraocular
pressure
11.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 - ANSWER B -Left 5th
intercostal space, midclavicular line
12.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 diagnose of this physical
examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
Guide (Detailed Questions with
Verified Answers) Brand New
Version <Expert Graded A+>
1. You're a 22-year-old male patient states during his review of systems that his
scrotum is very enlarged and feels like it is full of worms. He is a power
lifter and works as a trash collector. You suspect that patient likely has
which of the following diagnosis?
A. meningocele
B. varicocele
C. hydrocele
D. rectocele - ANSWER B. varicocele
2. 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 - ANSWER A -Actinic Keratosis
3. 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 - ANSWER A -Irregular borders
4. 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 - ANSWER B -Serotonin
5. 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 - ANSWER B -Urinalysis with micro/macro albumin
6. 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. - ANSWER B -Atelectasis
,7. 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 - ANSWER C -Atelectasis
8. 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 - ANSWER B -Cholecystitis
9. 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
, D -Gastric dumping, or increased emptying into the small intestines -
ANSWER D -Gastric dumping, or increased emptying into the small intestines
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 - ANSWER B -Increase in intraocular
pressure
11.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 - ANSWER B -Left 5th
intercostal space, midclavicular line
12.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 diagnose of this physical
examination finding?
A -Bilateral conjunctivitis
B -Hyperthyroidism
