NR 511 CEA exam
Questions And Answers
Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as a
trash collector. You suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele A –Varicocele
,with one nostril closed at a time D -Have the patient close their eyes and
accurately identify two different scents with one nostril closed at a time
While performing sensory cortex testing on your patient, you gave them close
their eyes and place a familiar object such as a paper clip, key or pencil in their
hand, having them manipulate it skillfully and identify it within 5 seconds. This
is known as which of the following tests?
A -Monognometrics
B -Graphesthesia
C -Two Point discrimination
D -Stereognosis D -Stereognosis
During your physical examination of a 49 year old brain cancer patient, you
notice their gag reflex is impaired during the exam. This suggests damage to
which one of the following cranial nerves?
A -Abducens
B -Hypoglossal
C -Glossopharyngeal
D -Trigeminal C -Glossopharyngeal
Your 18 year old patient has recently been diagnosed with streptococcal
infection and has been successfully treated with an appropriate
antimicrobial agent. They have no other noteworthy health history, chronic
illness, or medications on record. They are complaining to day of hematuria.
RBC casts on urinalysis with microscopy have been identified during this visit.
Based on this finding, you can make the diagnosis of which of the following?
A -Pyelonephritis
B -Bladder cancer
,C -Glomerulonephritis
D -Gram negative bacteremia C -Glomerulonephritis
In addition to patient symptoms of painful urination and frequency, which of the
following findings confirms a diagnosis of pyelonephritis?
A -Gram positive bacteria in bloodstream
B -RBC casts on urinalysis with microscopy
C -Enterococcus in urine
D -WBC casts on urinalysis with microscopy D -WBC casts on urinalysis
with microscopy
In assessing your patient with suspected pyelonephritis, the following test may
be sensitive to elicit a confirmatory response.
A -Renal punch test
B -Morton's test
C -Murphy's test
D -Romberg test A -Renal punch test
Your 19 year old female patient presents with groin pain, states they were
recently involved with a sexual partner who was sexually promiscuous. You
notice they are walking with a shuffling gait and their STI testing was positive
for Gonorrhea and Chlamydia. Which of the following evaluations should be
considered fi this were left untreated for a prolonged period of time?
A -Echocardiogram
B -Colposcopy
C -Pap smear
D -Hysterosalpingogram D -Hysterosalpingogram
Your patient has presented with dysfunctional uterine bleeding (DUB). Based
on the most common cause of DUB, which of the following lab tests should be
ordered by the nurse practitioner first?
A -Vitamin K
B -Serum urine ketones
, C -Serum beta human chorionic gonadotropin (HCG)
D -СВС C -Serum beta human chorionic gonadotropin (HCG)
Your 25 year old female patient presents with a recent history of malodorous
discharge from their vagina. Their review of systems includes recent history of
douching and multiple sexual partners without protection. Which of the
following is not a test used to identify bacterial vaginosis?
A -Gonorrhea and Chlamydia DNA probe
B -pH
C -Whiff test.
D -Clue cells A -Gonorrhea and Chlamydia DNA probe
The patient with congestive heart failure with an ejection fraction of 35% has
become symptomatic with shortness of breath when performing activities of
daily living but does not have any symptoms at rest. This is suggestive of New
York Heart Association heart
failure classification?
A -Class I
B -Class III
C -Class IV
D -Class I B -Class III
Your patient has presented with a new onset rapid heart rate that
is irregularly irregular, heart rate 100, BP 120/74, R 16 non labored, and SP02 is
99%. They state this has been going on for a week or so intermittently, but for
the last 4 days straight it hasn't stopped. Your first priority intervention for this
patient is to do which of the following:
A -Treat with vagal maneuvers for suspected supraventricular tachycardia
(SVT)
B -Maintain rate control and anticoagulate prior to rhythm conversion
C -Notify EMS to initiate transport for emergency evaluation
Questions And Answers
Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as a
trash collector. You suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele A –Varicocele
,with one nostril closed at a time D -Have the patient close their eyes and
accurately identify two different scents with one nostril closed at a time
While performing sensory cortex testing on your patient, you gave them close
their eyes and place a familiar object such as a paper clip, key or pencil in their
hand, having them manipulate it skillfully and identify it within 5 seconds. This
is known as which of the following tests?
A -Monognometrics
B -Graphesthesia
C -Two Point discrimination
D -Stereognosis D -Stereognosis
During your physical examination of a 49 year old brain cancer patient, you
notice their gag reflex is impaired during the exam. This suggests damage to
which one of the following cranial nerves?
A -Abducens
B -Hypoglossal
C -Glossopharyngeal
D -Trigeminal C -Glossopharyngeal
Your 18 year old patient has recently been diagnosed with streptococcal
infection and has been successfully treated with an appropriate
antimicrobial agent. They have no other noteworthy health history, chronic
illness, or medications on record. They are complaining to day of hematuria.
RBC casts on urinalysis with microscopy have been identified during this visit.
Based on this finding, you can make the diagnosis of which of the following?
A -Pyelonephritis
B -Bladder cancer
,C -Glomerulonephritis
D -Gram negative bacteremia C -Glomerulonephritis
In addition to patient symptoms of painful urination and frequency, which of the
following findings confirms a diagnosis of pyelonephritis?
A -Gram positive bacteria in bloodstream
B -RBC casts on urinalysis with microscopy
C -Enterococcus in urine
D -WBC casts on urinalysis with microscopy D -WBC casts on urinalysis
with microscopy
In assessing your patient with suspected pyelonephritis, the following test may
be sensitive to elicit a confirmatory response.
A -Renal punch test
B -Morton's test
C -Murphy's test
D -Romberg test A -Renal punch test
Your 19 year old female patient presents with groin pain, states they were
recently involved with a sexual partner who was sexually promiscuous. You
notice they are walking with a shuffling gait and their STI testing was positive
for Gonorrhea and Chlamydia. Which of the following evaluations should be
considered fi this were left untreated for a prolonged period of time?
A -Echocardiogram
B -Colposcopy
C -Pap smear
D -Hysterosalpingogram D -Hysterosalpingogram
Your patient has presented with dysfunctional uterine bleeding (DUB). Based
on the most common cause of DUB, which of the following lab tests should be
ordered by the nurse practitioner first?
A -Vitamin K
B -Serum urine ketones
, C -Serum beta human chorionic gonadotropin (HCG)
D -СВС C -Serum beta human chorionic gonadotropin (HCG)
Your 25 year old female patient presents with a recent history of malodorous
discharge from their vagina. Their review of systems includes recent history of
douching and multiple sexual partners without protection. Which of the
following is not a test used to identify bacterial vaginosis?
A -Gonorrhea and Chlamydia DNA probe
B -pH
C -Whiff test.
D -Clue cells A -Gonorrhea and Chlamydia DNA probe
The patient with congestive heart failure with an ejection fraction of 35% has
become symptomatic with shortness of breath when performing activities of
daily living but does not have any symptoms at rest. This is suggestive of New
York Heart Association heart
failure classification?
A -Class I
B -Class III
C -Class IV
D -Class I B -Class III
Your patient has presented with a new onset rapid heart rate that
is irregularly irregular, heart rate 100, BP 120/74, R 16 non labored, and SP02 is
99%. They state this has been going on for a week or so intermittently, but for
the last 4 days straight it hasn't stopped. Your first priority intervention for this
patient is to do which of the following:
A -Treat with vagal maneuvers for suspected supraventricular tachycardia
(SVT)
B -Maintain rate control and anticoagulate prior to rhythm conversion
C -Notify EMS to initiate transport for emergency evaluation
