CEA Preclinical EXAM LATEST 2026-2027 150
QUESTIONS AND 100% Verified ANSWERS
Upon reviewing an old H&P for a 45-year-old male patient new to your practice, you notice they have a
documented paresthesia associated with the left hand from an old cerebrovascular accident (CVA). Based on this
documentation, which of the following should the nurse practitioner expect to see on their examination? -
answer>>Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his tongue, and notice the tongue
deviates to the left.Which one of the following is the correct diagnosis of this finding? - answer>>Cranial XII
(Hypoglossal nerve) lesion on the left
Your patient, Steve, a 56-year-old male with a history of smoking, sedentary lifestyle, and diabetes mellitus,
presents for follow-up from a recent hospitalization where he was documented to have symptoms of a transient
ischemic attack (TIA). Which one of the following correctly identifies the etiology of TIA? - answer>>TIAs are
caused by focal brain, spinal cord or retinal ischemia, without acute infarction
On examination, Kim, your 68-year-old female patient, has the following facial muscle movements: Normal upper
and lower on the right side; Unable to move both the upper and lower muscles on the left side. Which one of the
following conditions would you immediately suspect? - answer>>A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29year old male patient appears drowsy but open
eyes and looks at you when you question him, answers appropriately, but then appears to nearly fall asleep while
sitting in the exam chair. Which of the following is the most accurate descriptor of Scott's mental status? -
answer>>Lethargic
While performing an office visit for your patient, you notice an elevated blood pressure of 160/92. Recent visits in
the electronic health record reflect similarly elevated readings, yet nothing has been done to treat this at this time.
The patient then states the last time he was started on blood pressure medication, his "kidney function became
poor so the physician discontinued the medicine." You decide to evaluate further for renal artery stenosis. Al of
the following are conditions suspicious for renal artery disease except which one? - answer>>Hypertension
controlled on 2 medications
Your 31 year old female patient states they are experiencing lateral lower back pain and urinalysis reveals bacteria
in the urine, culture reveals gram negative rods after 24 hours of growth. Which of the following is the least likely
agent to cause her urinary tract infection? - answer>>Enterococcus
,Adequate understanding for the newly diagnosed ESRD patient during a teaching session of how dialysis works has
been successful when the patient verbalizes that the use of hemodialysis to remove pollution from the body is
based primarily on which of the following concepts: - answer>>My blood is cleaned by diffusing across a
semipermeable membrane
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? - answer>>Pelvic inflammatory disease, treat for Gonorrhea and
Chlamydia
The most common causes of uterine cancer include which of the following history items? - answer>>Obesity and
smoking
While evaluating Tori, a 24 year old female patient who presented to your clinic for an annual well-visit, you
discuss her health history of migraines and endometriosis. She reports heavy menses since menarche, sometimes
14 days in duration which has been well controlled with a combined oral contraceptive (OCP). Her migraines
although frequent seem to be well controlled with the use of daily propranolol (Inderal) and abortive therapy of
sumatriptan (Imitrex). While evaluating the patient, which of the following questions should the nurse practitioner
consider a priority? - answer>>Do you have any visual, sight, or taste symptoms before your migraine symptoms
present?
Kevin, a 19 year old male presents to your clinic with a racing feeling in his chest. An EKG is performed and you
have diagnosed him with supraventricular tachycardia (SVT) at a rate of 220 and call for EMS. Understanding the
physiology of SVT, you anticipate Kevin will most likely respond favorably to which of the following intravenous
agents? - answer>>Adenosine
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? - answer>>Metoprolol (Lopressor)
Melissa, your 56 year old caucasian female patient presents with a health history of hypertension, migraines,
hyperlipidemia, seasonal depression, and BMI 32 for a visit to establish care. She was without any medical care for
a long time and being newly established to your clinic si prescribed the following: aspirin (Bayer) 81mg PO daily,
atorvastatin 40mg PO daily, ezetimibe (Zetia) 10mg PO daily, lisinopril (Zestril) 20mg PO daily, amlodipine
(Norvasc) 10mg PO daily, and bupropion (Wellbutrin) 300mg PO daily as well as diet and exercise. After the visit,
she calls your office nurse and states she has been experiencing considerable lower extremity edema and
, constipationsince starting these meds after your visit. Which of the pharmacologic agents she is prescribed is most
likely the common cause of these side effects? - answer>>Amlodipine (Norvasc)
Your patient has presented with progressive asthma which has prompted you to increase therapy from short
acting beta agonist only to other agents. Which drug must never be used as monotherapy for asthma
management? - answer>>Long acting beta agonists
Sara, a 28 year old female patient presented to your clinic with wheezing and despite being treated with nebulized
albuterol, she is not having any relief. You believe she is experiencing status asthmatics. As a prudent nurse
practitioner, you recall she may benefit from IM injection if which of the following agent? - answer>>Terbutaline
(Bricanyl)
Maya, your 52 year old patient is receiving education for her new mediation regimen for her COPD. Which of the
following agents should include rinsing the mouth for risk of development of oral candidiasis (thrush)? -
answer>>Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-affirming therapy abruptly stopped
their medication regimen for the last two weeks due to insurance issues. They present to your clinic with
hypotension, pallor, and hypothermia. Assuming they are taking al of the following medications, which of these is
most likely the culprit for these symptoms after abrupt withdrawal. - answer>>Prednisone (Deltasone)
Based on current diabetes mellitus management guidelines by the American Academy of Family Physicians (AAFP),
at which Hgb A1C level should a second oral anti-diabetic agent be considered if control is not successful prior? -
answer>>Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and during your visit, states she is
concerned about her weight gain, especially with her history of diabetes mellitus type 2 and family history of
premature coronary artery disease. Which of the following pharmacologic agents may be a reasonable solution for
her unique health concerns of weight gain as well as diabetes mellitus control? - answer>>Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid leukemia (AML). Which of the
following agents would be most likely to assist in management of her anticipated side effects of cancer treatment?
- answer>>Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for evaluation of abdominal pain. She
has a history of Crohn's disease with partial small bowel resection which has been managed well on natalizumab
QUESTIONS AND 100% Verified ANSWERS
Upon reviewing an old H&P for a 45-year-old male patient new to your practice, you notice they have a
documented paresthesia associated with the left hand from an old cerebrovascular accident (CVA). Based on this
documentation, which of the following should the nurse practitioner expect to see on their examination? -
answer>>Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his tongue, and notice the tongue
deviates to the left.Which one of the following is the correct diagnosis of this finding? - answer>>Cranial XII
(Hypoglossal nerve) lesion on the left
Your patient, Steve, a 56-year-old male with a history of smoking, sedentary lifestyle, and diabetes mellitus,
presents for follow-up from a recent hospitalization where he was documented to have symptoms of a transient
ischemic attack (TIA). Which one of the following correctly identifies the etiology of TIA? - answer>>TIAs are
caused by focal brain, spinal cord or retinal ischemia, without acute infarction
On examination, Kim, your 68-year-old female patient, has the following facial muscle movements: Normal upper
and lower on the right side; Unable to move both the upper and lower muscles on the left side. Which one of the
following conditions would you immediately suspect? - answer>>A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29year old male patient appears drowsy but open
eyes and looks at you when you question him, answers appropriately, but then appears to nearly fall asleep while
sitting in the exam chair. Which of the following is the most accurate descriptor of Scott's mental status? -
answer>>Lethargic
While performing an office visit for your patient, you notice an elevated blood pressure of 160/92. Recent visits in
the electronic health record reflect similarly elevated readings, yet nothing has been done to treat this at this time.
The patient then states the last time he was started on blood pressure medication, his "kidney function became
poor so the physician discontinued the medicine." You decide to evaluate further for renal artery stenosis. Al of
the following are conditions suspicious for renal artery disease except which one? - answer>>Hypertension
controlled on 2 medications
Your 31 year old female patient states they are experiencing lateral lower back pain and urinalysis reveals bacteria
in the urine, culture reveals gram negative rods after 24 hours of growth. Which of the following is the least likely
agent to cause her urinary tract infection? - answer>>Enterococcus
,Adequate understanding for the newly diagnosed ESRD patient during a teaching session of how dialysis works has
been successful when the patient verbalizes that the use of hemodialysis to remove pollution from the body is
based primarily on which of the following concepts: - answer>>My blood is cleaned by diffusing across a
semipermeable membrane
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? - answer>>Pelvic inflammatory disease, treat for Gonorrhea and
Chlamydia
The most common causes of uterine cancer include which of the following history items? - answer>>Obesity and
smoking
While evaluating Tori, a 24 year old female patient who presented to your clinic for an annual well-visit, you
discuss her health history of migraines and endometriosis. She reports heavy menses since menarche, sometimes
14 days in duration which has been well controlled with a combined oral contraceptive (OCP). Her migraines
although frequent seem to be well controlled with the use of daily propranolol (Inderal) and abortive therapy of
sumatriptan (Imitrex). While evaluating the patient, which of the following questions should the nurse practitioner
consider a priority? - answer>>Do you have any visual, sight, or taste symptoms before your migraine symptoms
present?
Kevin, a 19 year old male presents to your clinic with a racing feeling in his chest. An EKG is performed and you
have diagnosed him with supraventricular tachycardia (SVT) at a rate of 220 and call for EMS. Understanding the
physiology of SVT, you anticipate Kevin will most likely respond favorably to which of the following intravenous
agents? - answer>>Adenosine
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? - answer>>Metoprolol (Lopressor)
Melissa, your 56 year old caucasian female patient presents with a health history of hypertension, migraines,
hyperlipidemia, seasonal depression, and BMI 32 for a visit to establish care. She was without any medical care for
a long time and being newly established to your clinic si prescribed the following: aspirin (Bayer) 81mg PO daily,
atorvastatin 40mg PO daily, ezetimibe (Zetia) 10mg PO daily, lisinopril (Zestril) 20mg PO daily, amlodipine
(Norvasc) 10mg PO daily, and bupropion (Wellbutrin) 300mg PO daily as well as diet and exercise. After the visit,
she calls your office nurse and states she has been experiencing considerable lower extremity edema and
, constipationsince starting these meds after your visit. Which of the pharmacologic agents she is prescribed is most
likely the common cause of these side effects? - answer>>Amlodipine (Norvasc)
Your patient has presented with progressive asthma which has prompted you to increase therapy from short
acting beta agonist only to other agents. Which drug must never be used as monotherapy for asthma
management? - answer>>Long acting beta agonists
Sara, a 28 year old female patient presented to your clinic with wheezing and despite being treated with nebulized
albuterol, she is not having any relief. You believe she is experiencing status asthmatics. As a prudent nurse
practitioner, you recall she may benefit from IM injection if which of the following agent? - answer>>Terbutaline
(Bricanyl)
Maya, your 52 year old patient is receiving education for her new mediation regimen for her COPD. Which of the
following agents should include rinsing the mouth for risk of development of oral candidiasis (thrush)? -
answer>>Inhaled corticosteroids
Kaia, a 22 year old trans female patient who is actively undergoing gender-affirming therapy abruptly stopped
their medication regimen for the last two weeks due to insurance issues. They present to your clinic with
hypotension, pallor, and hypothermia. Assuming they are taking al of the following medications, which of these is
most likely the culprit for these symptoms after abrupt withdrawal. - answer>>Prednisone (Deltasone)
Based on current diabetes mellitus management guidelines by the American Academy of Family Physicians (AAFP),
at which Hgb A1C level should a second oral anti-diabetic agent be considered if control is not successful prior? -
answer>>Hgb A1c of 8.0
Your 51 year old female patient Sheila presents for routine health exam and during your visit, states she is
concerned about her weight gain, especially with her history of diabetes mellitus type 2 and family history of
premature coronary artery disease. Which of the following pharmacologic agents may be a reasonable solution for
her unique health concerns of weight gain as well as diabetes mellitus control? - answer>>Ozempic (Semaglutide)
Your 55 year old female patient Eve has been diagnosed with acute myeloid leukemia (AML). Which of the
following agents would be most likely to assist in management of her anticipated side effects of cancer treatment?
- answer>>Allopurinol (Zyloprim)
Rosie, a 19 year old college student presents to the student health services for evaluation of abdominal pain. She
has a history of Crohn's disease with partial small bowel resection which has been managed well on natalizumab
