NR667 CEA Final exam verified with correct answers 2026/2027
version
1. 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 today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the diagnosis of which of
the following?- answer>>>glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early renal dysfunction secondary to diabetes or
hypertension?- answer>>>urinalysis with micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular,
heart rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state
this has been going on for a week or so intermittently, but for the past four days straight
it hasn't stopped. Your first priority intervention for this patient is to do which of the
following?- answer>>>maintain rate control and anticoagulation prior to rhythm
conversion
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV
would be considered well managed when they have which of the following in addition to
having undetectable or very low viral copies?- answer>>>CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you identify as a
darkened, round, and raised lesion. This benign lesion that appears like "stuck on" to
the skin. Which of the following lesions best fits this description?- answer>>>Seborrheic
keratosis
6. You are treating a patient who has stopped taking their diuretic regimen against
medical advice while they were on vacation since it made them urinate too frequently for
their plans. Now they are 21 pounds heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation, this is referred
to as which of the following conditions?- answer>>>Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the posterior left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?- answer>>>Atelectasis
8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from
kidney failure, diabetes mellitus, and hypothyroidism, presents today with concerns her
, thyroid medication is not working well enough. Her most recent labs reflect her TSH is
5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL).
Which one of the following clinical signs and/or symptoms would you expect a patient
with these findings to present with?- answer>>>cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is
the correct diagnosis of this finding?- answer>>>cranial nerve XII (hypoglossal nerve)
lesion on the left
10. 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 least likely agent to cause her urinary tract
infection?- answer>>>Enterococcus
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?- answer>>>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?- answer>>>Norvasc
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?- answer>>>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?- answer>>>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
version
1. 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 today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the diagnosis of which of
the following?- answer>>>glomerulonephritis
2. As a prudent nurse practitioner, the diabetic, hypertensive patients 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 evaluation of early renal dysfunction secondary to diabetes or
hypertension?- answer>>>urinalysis with micro and micro albumin
3. Your patient presents with a new onset rapid heart rate that is irregularly irregular,
heart rate 100, BP 120/74, respiration 16 non-labored and an SpO2 is 99%. They state
this has been going on for a week or so intermittently, but for the past four days straight
it hasn't stopped. Your first priority intervention for this patient is to do which of the
following?- answer>>>maintain rate control and anticoagulation prior to rhythm
conversion
4. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV
would be considered well managed when they have which of the following in addition to
having undetectable or very low viral copies?- answer>>>CD4 count of 500
5. Your patient has expressed concern about a skin lesion which you identify as a
darkened, round, and raised lesion. This benign lesion that appears like "stuck on" to
the skin. Which of the following lesions best fits this description?- answer>>>Seborrheic
keratosis
6. You are treating a patient who has stopped taking their diuretic regimen against
medical advice while they were on vacation since it made them urinate too frequently for
their plans. Now they are 21 pounds heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe generalized lower extremity and truncal
edema extending to the sacrum and abdomen. On your documentation, this is referred
to as which of the following conditions?- answer>>>Anasarca
7. While evaluating a patient in your clinic for a routine health visit, you auscultate
crackles in the posterior left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one of the following would you
suspect?- answer>>>Atelectasis
8. Gladys is a 72-year-old patient with a history of anemia of chronic disease from
kidney failure, diabetes mellitus, and hypothyroidism, presents today with concerns her
, thyroid medication is not working well enough. Her most recent labs reflect her TSH is
5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range 0.8-2.8 ng/dL).
Which one of the following clinical signs and/or symptoms would you expect a patient
with these findings to present with?- answer>>>cold intolerance
9. You are examining the mouth of a patient and ask the patient to stick out their tongue
and notice that the tongue deviates by pointing to the left. Which one of the following is
the correct diagnosis of this finding?- answer>>>cranial nerve XII (hypoglossal nerve)
lesion on the left
10. 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 least likely agent to cause her urinary tract
infection?- answer>>>Enterococcus
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?- answer>>>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?- answer>>>Norvasc
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?- answer>>>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?- answer>>>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
