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NR667 CEA FINAL EXAM (NEWEST 2026
UPDATE) with Questions and Verified
Answers, Exams of Nursing
Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease 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? - --ANS---
Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish
care. She was without any medical care for a long time and being newly established to your
clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril
20 mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she has been experiencing considerably
lower extremity edema and constipation since starting these medicines after your visit. Which of
the pharmacology agents she is prescribed is most likely the common cause of the side effects? -
--ANS---Norvasc
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Sarah, a 28-year-old female patient presented to your clinic with wheezing and despite being
treated with nebulized medication is not having any relief. You believe she is experiencing status
asthmaticus. As a prudent nurse practitioner, you recall that she may benefit from IM injection of
which of the following agents? - --ANS---Terbutaline
Your 72-year-old female patient with a pertinent medical history of coronary artery bypass graft
and aortic valve replacement seven years ago with a porcine bioprosthetic valve has been
previously stable on their medical regimen. Today she complains of near syncope when standing,
which she states has been getting worse over the past six months but failed to tell anyone as she
felt it was just part of natural aging and taking medications. Your workup should include
evaluation of which of the following potential cardiac complications? - --ANS---Bioprosthetic
aortic valve stenosis
During a post hospital discharge visit you notice a 71-year-old female patient has been diagnosed
with a new murmur found by the hospitalist during their recent hospitalization for CHF
exacerbation. In evaluating the patient during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 sound? - --ANS---S3 in systole while S4 is diastole
While assessing the 19-year-old patient for a new onset cough the nurse practitioner may inspect,
auscultate, palpate and/or percuss. How does performing percussion of the thoracic assist the
provider in doing the physical examination? - --ANS---To identify if underlying tissue are air
filled, fluid filled or consolidated
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While examining a 53-year-old female patient you auscultate abnormal breath sounds over all
fields and now assess transmission of voice sounds by having the patient say "EE" while
auscultating the chest with the diaphragm of your stethoscope. Normally you should hear a
muffled "E" sound, however you heard a nasally "A" sound. What will you document is present?
- --ANS---Positive egophony
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone a pulmonary function test with spirometry. As the patient's primary health care
provider you have been asked to explain the findings of the PFT to the patient in a follow-up
visit. The patient asks what the study was evaluating. Please describe the pulmonary function test
to the patient and 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? - --ANS---Forced vital capacity
Your newly established patient states in the past year they have progressively developed a
noticeable bump on their neck and when asked about symptoms they report feeling very anxious,
have developed a tremor and are commonly feeling palpitations in their chest. On examination
you identify an enlarged thyroid gland suspicious of which of the following diagnosis most likely
for the patient to develop based on these findings above? - --ANS---Graves disease
Your 32-year-old female patient presented for a routine health exam states they have a diagnosis
of hyperthyroidism by another provider a year ago. In addition to elevation in TSH and T4 lab
NR667 CEA FINAL EXAM (NEWEST 2026
UPDATE) with Questions and Verified
Answers, Exams of Nursing
Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and
coronary artery disease 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? - --ANS---
Lopressor
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish
care. She was without any medical care for a long time and being newly established to your
clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril
20 mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she has been experiencing considerably
lower extremity edema and constipation since starting these medicines after your visit. Which of
the pharmacology agents she is prescribed is most likely the common cause of the side effects? -
--ANS---Norvasc
,2|Page
Sarah, a 28-year-old female patient presented to your clinic with wheezing and despite being
treated with nebulized medication is not having any relief. You believe she is experiencing status
asthmaticus. As a prudent nurse practitioner, you recall that she may benefit from IM injection of
which of the following agents? - --ANS---Terbutaline
Your 72-year-old female patient with a pertinent medical history of coronary artery bypass graft
and aortic valve replacement seven years ago with a porcine bioprosthetic valve has been
previously stable on their medical regimen. Today she complains of near syncope when standing,
which she states has been getting worse over the past six months but failed to tell anyone as she
felt it was just part of natural aging and taking medications. Your workup should include
evaluation of which of the following potential cardiac complications? - --ANS---Bioprosthetic
aortic valve stenosis
During a post hospital discharge visit you notice a 71-year-old female patient has been diagnosed
with a new murmur found by the hospitalist during their recent hospitalization for CHF
exacerbation. In evaluating the patient during which phase of the cardiac cycle would you
anticipate auscultation of a S3 or S4 sound? - --ANS---S3 in systole while S4 is diastole
While assessing the 19-year-old patient for a new onset cough the nurse practitioner may inspect,
auscultate, palpate and/or percuss. How does performing percussion of the thoracic assist the
provider in doing the physical examination? - --ANS---To identify if underlying tissue are air
filled, fluid filled or consolidated
, 3|Page
While examining a 53-year-old female patient you auscultate abnormal breath sounds over all
fields and now assess transmission of voice sounds by having the patient say "EE" while
auscultating the chest with the diaphragm of your stethoscope. Normally you should hear a
muffled "E" sound, however you heard a nasally "A" sound. What will you document is present?
- --ANS---Positive egophony
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has
undergone a pulmonary function test with spirometry. As the patient's primary health care
provider you have been asked to explain the findings of the PFT to the patient in a follow-up
visit. The patient asks what the study was evaluating. Please describe the pulmonary function test
to the patient and 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? - --ANS---Forced vital capacity
Your newly established patient states in the past year they have progressively developed a
noticeable bump on their neck and when asked about symptoms they report feeling very anxious,
have developed a tremor and are commonly feeling palpitations in their chest. On examination
you identify an enlarged thyroid gland suspicious of which of the following diagnosis most likely
for the patient to develop based on these findings above? - --ANS---Graves disease
Your 32-year-old female patient presented for a routine health exam states they have a diagnosis
of hyperthyroidism by another provider a year ago. In addition to elevation in TSH and T4 lab
