NR 511 CEA EXAM QUESTIONS WITH ACCURATE
ANSWERS
A 16-year-old female patient with heavy menses has been diagnosed with iron
deficiency anemia. She is also having longer and more irregular periods than is
typical as well as extremely painful cramping. You would likely need to consider
which of the following diagnoses in your workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia correct answer B -Endometriosis
A patient of Mediterranean descent who presents with microcytic anemia with
normal red cell distribution width should be evaluated using gel electrophoresis
to confirm which of the following types of anemia?
A -Aplastic
B -Thalassemia
C -Iron deficiency
D -Pernicious correct answer B -Thalassemia
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 correct answer B -Hyperthyroidism
A62 year old female patient with erythema on the face surrounding the nasolabial
folds as well as very fine dandruff in the hair and skin is most likely describing with
which of the following diseases?
A -Rosacea
B -Tinea capitis
C -Photosensitivity reaction
D -Seborrheic Dermatitis correct answer D -Seborrheic Dermatitis
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:
A -My blood is forced across the filter under high pressure and a low voltage
electrical charge
B -None of these are correct
C -My blood is cleaned by diffusing across a semipermeable membrane
D -The water is drawn to the dirty blood to dilute the waste in my body correct
answer C -My blood is cleaned by diffusing across a semipermeable membrane
After a recent hospitalization for weakness, a diagnosis of myasthenia gravis has
been made in a patient under your long term management. In the process of the
examination, a CT of the chest was performed, and an object was identified as
enlarged and wasremarked that it needs to be removed as it is thought to be
related to this diagnosis. The patient now in your clinic states they don't
remember what the object was and hoped you might know. The prudent nurse
practitioner understands that the item likely represents which of the following?
,A -Potts tumor
B -Coumeral's diverticulum
C -Arenal tumor
D -Thymic remnant correct answer D -Thymic remnant
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 correct answer B -Urinalysis with micro/macro albumin
As a prudent nurse practitioner, you know that a 28 year old male patient with
human immunodeficiency virus (HIV) would be considered well managed when
they have which of the following in addition to having undetectable or very low
viral copies?
A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50 correct answer C -CD4 count of 500
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?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 correct answer B -Hgb A1c of 8.0
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 correct answer A -Irregular borders
Beth, a 32 year old administrative assistant presents to your clinic for a sick visit
for 3 days of worsening productive cough, fever, chills, and chest pain. She states
she has been around a large group of corporate visitors to the workplace and
after their visit, many of the staff became sick at the same time. Her exam
findings are suspicious for community-acquired pneumonia (CAP). Based on her
presentation, which of the following is the most appropriate medication to
prescribe her first?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Cephalexin (Keflex)
D -Metronidazole (Falgy)l correct answer B -Amoxicillin (Amoxil)
ANSWERS
A 16-year-old female patient with heavy menses has been diagnosed with iron
deficiency anemia. She is also having longer and more irregular periods than is
typical as well as extremely painful cramping. You would likely need to consider
which of the following diagnoses in your workup:
A -Sarcoidosis
B -Endometriosis
C -Pelvic inflammatory disease
D -Thalassemia correct answer B -Endometriosis
A patient of Mediterranean descent who presents with microcytic anemia with
normal red cell distribution width should be evaluated using gel electrophoresis
to confirm which of the following types of anemia?
A -Aplastic
B -Thalassemia
C -Iron deficiency
D -Pernicious correct answer B -Thalassemia
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 correct answer B -Hyperthyroidism
A62 year old female patient with erythema on the face surrounding the nasolabial
folds as well as very fine dandruff in the hair and skin is most likely describing with
which of the following diseases?
A -Rosacea
B -Tinea capitis
C -Photosensitivity reaction
D -Seborrheic Dermatitis correct answer D -Seborrheic Dermatitis
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:
A -My blood is forced across the filter under high pressure and a low voltage
electrical charge
B -None of these are correct
C -My blood is cleaned by diffusing across a semipermeable membrane
D -The water is drawn to the dirty blood to dilute the waste in my body correct
answer C -My blood is cleaned by diffusing across a semipermeable membrane
After a recent hospitalization for weakness, a diagnosis of myasthenia gravis has
been made in a patient under your long term management. In the process of the
examination, a CT of the chest was performed, and an object was identified as
enlarged and wasremarked that it needs to be removed as it is thought to be
related to this diagnosis. The patient now in your clinic states they don't
remember what the object was and hoped you might know. The prudent nurse
practitioner understands that the item likely represents which of the following?
,A -Potts tumor
B -Coumeral's diverticulum
C -Arenal tumor
D -Thymic remnant correct answer D -Thymic remnant
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 correct answer B -Urinalysis with micro/macro albumin
As a prudent nurse practitioner, you know that a 28 year old male patient with
human immunodeficiency virus (HIV) would be considered well managed when
they have which of the following in addition to having undetectable or very low
viral copies?
A -CD4 count of 100
B -CD4 count undetectable
C -CD4 count of 500
D -CD4 count of 50 correct answer C -CD4 count of 500
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?
A -Hgb A1c of 7.0
B -Hgb A1c of 8.0
C -Hgb A1c of 7.5
D -Hgb A1c of 6.5 correct answer B -Hgb A1c of 8.0
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 correct answer A -Irregular borders
Beth, a 32 year old administrative assistant presents to your clinic for a sick visit
for 3 days of worsening productive cough, fever, chills, and chest pain. She states
she has been around a large group of corporate visitors to the workplace and
after their visit, many of the staff became sick at the same time. Her exam
findings are suspicious for community-acquired pneumonia (CAP). Based on her
presentation, which of the following is the most appropriate medication to
prescribe her first?
A -Cefuroxime (Ceftin)
B -Amoxicillin (Amoxil)
C -Cephalexin (Keflex)
D -Metronidazole (Falgy)l correct answer B -Amoxicillin (Amoxil)
