30 May 2026
NR 511 CEA MIDTERM EXAM 2026/2027 LATEST
EXAM TEST 150 QUESTIONS AND CORRECT ANSWERS A+
GRADE ASSURED,,.
On examination, Kim, your 68 year old female patient has the following facial muscle movements:
Normal upper and lower on the rightside, Unable to move both the upper and lower muscles on
the left side. You would immediately suspect which one of the following conditions?
A -A left central lesion
B -A right central lesion
C -A left peripheral lesion
D -A right peripheral lesion - correct answer-C -A left peripheral lesion
While evaluating your patient for a sick visit, you notice Scott, a 29
year 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?
A -Comatose
B -Stuporus
C -Lethargic
D -Alert but disoriented - correct answer-C -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?
A -Hypertension controlled on 2 medications
B -Onset of hypertension at an early age (Onset at age 30 or earlier)
C -Severe, sudden hypertension or poorly controlled hypertension in a patient 55 years or older
D -An unexplained small kidney or size discrepancy between the two kidneys. - correct answer-A
Hypertension controlled on 2 medications
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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?
A -Escherichia Coli
B -Proteus Mirabilis
C -Enterococcus
D -Klebsiella Oxytoca - correct answer-C -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:
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
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?
A -Molar pregnancy, order transvaginal ultrasound
B -Pelvic inflammatory disease, treat for Chlamydia only in females
C -Ectopic pregnancy, check human chorionic gonadotropin (HCG) level
D -Pelvic inflammatory disease, treat for Gonorrhea and Chlamydia - correct answer-D -Pelvic
inflammatory disease, treat for Gonorrhea and Chlamydia
The most common causes of uterine cancer include which of the following history items?
A -Use of oral contraception and steroids
B -Heavy menses and alcohol use
C -Obesity and smoking
D -Multiple sexual partners and HPV type 4diagnosis - correct answer-C -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
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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?
A -Have you ever been evaluated for Thalassemia?
B -Do you have any visual, sight, or taste symptoms before your migraine symptoms present?
C -Does anyone in your family smoke?
D -Do you have any history of premature cardiac disease? - correct answer-B -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 hav 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?
A -Atropine
B -Epinephrine
C -Adenosine
D -Albuterol - correct answer-C -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?
A -Carvedilol (Coreg)
B -Propranalol (Inderal)
C -Labetalol (Trandate)
D -Metoprolol (Lopressor) - correct answer-D -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 constipation
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since starting these meds after your visit. Which of the pharmacologic agents she is prescribed is
most likely the common cause of these side effects?
A -Ezetimibe (Zetia)
B -bupropion (Wellbutrin)
C -Amlodipine (Norvasc)
D -Lisinopril (Zestril) - correct answer-C -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?
A -Mast cell stabilizers
B -Long acting beta agonists
C -Inhaled corticosteroids
D -Leukotriene inhibitors - correct answer-B -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
asthmaticus. As a prudent nurse practitioner, you recall she may benefit from IM injection if which
of the following agent? A -Albuterol (Xopenex)
B -Glucagon (Glucagen)
C -Terbutaline (Bricanyl)
D -Atropine (AtroPen) - correct answer-C -Terbutaline (Bricanyl)
You are evaluating a 63 year old male patient with symptoms of chest pressure, arm numbness
and tingling, as well as shortness of breath with excursion. Their health history includes diabetes
mellitus, hypertension, hyperlipidemia, and rheumatoid arthritis. This
relieves with rest and is not becoming more frequent in the episodes. Based on these findings, you
diagnose and plan for the patient includes which of the following?
A -Stable angina, and initiate a long-acting oral nitrate
B -Acute myocardial infarction, and transfer to the hospital via EMS
C -Heart failure, and initiate carvedilol and a loop diuretic
D -Unstable angina, and treat with sublingual nitroglycerin and order a cardiac stress test - correct
answer-D -Unstable angina, and treat with sublingual nitroglycerin and order a cardiac stress test