CEA PRACTICE EXAMBANK WITH ALL
FOCUSED INFORMATION YOU NEED FOR
YOUR EXAM 2025-2026 A+ GRADED.
A patient states that his girlfriend was recently diagnosed with hepatitis,
and he tests positive for hepatitis C. He expresses fear of the diagnosis
because his father died after a liver transplantation. Which existing
information in the patient's history is the most significant factor in the
progression of liver failure?
*chronic alcohol intake
*Lack of fluid intake
*intermittent acetaminophen intake
*Lack of exercise
chronic alcohol intake
Rationale: Chronic alcohol intake and the damage to the liver is more
causative and predictive to liver failure than exercise (or lack therof), fluid
intake levels (which more affect hydration status, and acetaminophen intake
which is noted to be only intermittent.
A 63-year-old male presents with a suspected lower GI bleed. He reports
passing frank small amounts of blood several times today. He denies any
use of NSAID's or blood thinners. What must be taken into consideration
before performing a colonoscopy on this patient?
*Is patient hemodynamically stable and would tolerate procedure
*Is there a potential for an upper GI bleed
*All are reasonable options
*What are the risks vs benefits for this patient
All are reasonable options
Rationale: All the above, this patient has had blood loss and should first be
hemodynamically stable, and fluid/blood product resuscitated. In all cases of
GI bleed risk factors for an upper GI bleed must be taken into consideration
,first, we must always discuss with the patient all risks and benefits associated
with the procedure to provide an informed consent.
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes
High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to
be socially accepted. Of these options, high-level athletes are the only ones
who fit this mold. Adolescence of higher, social economic status are less likely
because they don't usually have a difficulty being accepted in society, and
individuals with many friends likewise are more accepted. Individuals from
large families are also less likely to lack social engagement due to a larger
support system.
A patient with alcohol-induced liver disease presents with a sudden
change in personality and loss of concentration and judgement after
ingesting a meal high in protein. The nurse practitioner should plan to
reduce the elevated level of which toxin in the blood?
*Mercury
*Ammonia
*Iron
*Carbon dioxide
Ammonia
Rationale: For liver dysfunction, ammonia levels should always be considered.
Treatment for an elevated ammonia level will likely include minimizing protein
intake, avoiding hepatotoxic agents, and the use of lactulose, along with
inpatient care.
A 90-year-old female is brought to the clinic by her neighbor. She states
that everything is fine, but the nurse practitioner notes that she has poor
hygiene and bruises on her trunk. The neighbor is concerned that the
patient often has no money to buy food, despite income from social
,security and a coal miner's pension. The nurse practitioner suspects abuse.
Which of the following is the nurse practitioner obligated to do next?
*Report the case to the proper authorities.
*Tell the neighbor to check on the woman daily and report back.
*Document the data and report the information to risk management.
*Call the patient's family and inquire about the concerns.
Report the case to the proper authorities.
Rationale: Remember, that suspected abuse is always a reportable event and
therefore should be the right answer you gravitate toward on any question
that suggest that there is any type of actual or suspected elder abuse.
A frail elderly patient presents with constipation. Which of the following
normal physiologic changes seen with aging is the most likely cause?
*Increased bile secretion
*Decreased bowel muscle tone
*Increased absorption of calcium
*Decreased pancreatic secretions
Decreased bowel muscle tone
Rationale: The frail, elderly patient will typically have their GI track decrease
bile secretion and decrease absorption of calcium. A decrease in pancreas
secretions is not related to presence of constipation, however, decreased
bowel muscle tone certainly does reduce the GI motility and increase the
transit time, thereby increasing the drying of stool in the large intestine which
leads to constipation
Your irate patient on involuntary hold due to risk of harm to themself or
others says they are going to "kill you when you leave work after they get
discharged". This statement is an example of which of the following?
*None of these options
*Verbal battery
*Verbal assault
*Emotional battery
, Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery
refers to the actual act of that harm.
The patient you just saw in urgent care is being admitted for strep viridans
endocarditis. Which of the following does the prudent nurse practitioner
considered the most possible source of the illness?
*Perioral abscess seen on maxillofacial bone CT scan this admission
*Recent viral infection diagnosed as a common cold
*Recent infestation of scabies on the webbings of feet
*New IV catheter placed today in the operating room
Perioral abscess seen on maxillofacial bone CT scan this admission
Rationale: Gumline infections are remarkably easy to introduce pathogens
into the bloodstream to attack valves, cause sepsis, etc. Strep viridans is a
very common oral pathogen. Scabies do not carry a risk of bacterial sepsis,
nor does a recent low-grade common cold virus. Any invasive lines should be
considered at risk, but the IV catheter placement is both unlikely as a source
and does not fit the timing after already being admitted.
Which of the following bacteria are more commonly associated with
pharyngitis?
*Proteus
*Enterococcus
*Group A Streptococcus
*Streptomyces
Group A Streptococcus
Rationale: Group A Streptococcus represents the most common bacteria found
in pharyngitis. Enterococcus are found in the intestines. Streptomyces species
are commonly associated with immunocompromised patients and lung abscess.
Proteus is commonly associated with urinary tract infection in men.
Which of the following is not one of the four Ds of epiglottitis?
*Dysphagia
*Dystonia
FOCUSED INFORMATION YOU NEED FOR
YOUR EXAM 2025-2026 A+ GRADED.
A patient states that his girlfriend was recently diagnosed with hepatitis,
and he tests positive for hepatitis C. He expresses fear of the diagnosis
because his father died after a liver transplantation. Which existing
information in the patient's history is the most significant factor in the
progression of liver failure?
*chronic alcohol intake
*Lack of fluid intake
*intermittent acetaminophen intake
*Lack of exercise
chronic alcohol intake
Rationale: Chronic alcohol intake and the damage to the liver is more
causative and predictive to liver failure than exercise (or lack therof), fluid
intake levels (which more affect hydration status, and acetaminophen intake
which is noted to be only intermittent.
A 63-year-old male presents with a suspected lower GI bleed. He reports
passing frank small amounts of blood several times today. He denies any
use of NSAID's or blood thinners. What must be taken into consideration
before performing a colonoscopy on this patient?
*Is patient hemodynamically stable and would tolerate procedure
*Is there a potential for an upper GI bleed
*All are reasonable options
*What are the risks vs benefits for this patient
All are reasonable options
Rationale: All the above, this patient has had blood loss and should first be
hemodynamically stable, and fluid/blood product resuscitated. In all cases of
GI bleed risk factors for an upper GI bleed must be taken into consideration
,first, we must always discuss with the patient all risks and benefits associated
with the procedure to provide an informed consent.
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes
High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to
be socially accepted. Of these options, high-level athletes are the only ones
who fit this mold. Adolescence of higher, social economic status are less likely
because they don't usually have a difficulty being accepted in society, and
individuals with many friends likewise are more accepted. Individuals from
large families are also less likely to lack social engagement due to a larger
support system.
A patient with alcohol-induced liver disease presents with a sudden
change in personality and loss of concentration and judgement after
ingesting a meal high in protein. The nurse practitioner should plan to
reduce the elevated level of which toxin in the blood?
*Mercury
*Ammonia
*Iron
*Carbon dioxide
Ammonia
Rationale: For liver dysfunction, ammonia levels should always be considered.
Treatment for an elevated ammonia level will likely include minimizing protein
intake, avoiding hepatotoxic agents, and the use of lactulose, along with
inpatient care.
A 90-year-old female is brought to the clinic by her neighbor. She states
that everything is fine, but the nurse practitioner notes that she has poor
hygiene and bruises on her trunk. The neighbor is concerned that the
patient often has no money to buy food, despite income from social
,security and a coal miner's pension. The nurse practitioner suspects abuse.
Which of the following is the nurse practitioner obligated to do next?
*Report the case to the proper authorities.
*Tell the neighbor to check on the woman daily and report back.
*Document the data and report the information to risk management.
*Call the patient's family and inquire about the concerns.
Report the case to the proper authorities.
Rationale: Remember, that suspected abuse is always a reportable event and
therefore should be the right answer you gravitate toward on any question
that suggest that there is any type of actual or suspected elder abuse.
A frail elderly patient presents with constipation. Which of the following
normal physiologic changes seen with aging is the most likely cause?
*Increased bile secretion
*Decreased bowel muscle tone
*Increased absorption of calcium
*Decreased pancreatic secretions
Decreased bowel muscle tone
Rationale: The frail, elderly patient will typically have their GI track decrease
bile secretion and decrease absorption of calcium. A decrease in pancreas
secretions is not related to presence of constipation, however, decreased
bowel muscle tone certainly does reduce the GI motility and increase the
transit time, thereby increasing the drying of stool in the large intestine which
leads to constipation
Your irate patient on involuntary hold due to risk of harm to themself or
others says they are going to "kill you when you leave work after they get
discharged". This statement is an example of which of the following?
*None of these options
*Verbal battery
*Verbal assault
*Emotional battery
, Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery
refers to the actual act of that harm.
The patient you just saw in urgent care is being admitted for strep viridans
endocarditis. Which of the following does the prudent nurse practitioner
considered the most possible source of the illness?
*Perioral abscess seen on maxillofacial bone CT scan this admission
*Recent viral infection diagnosed as a common cold
*Recent infestation of scabies on the webbings of feet
*New IV catheter placed today in the operating room
Perioral abscess seen on maxillofacial bone CT scan this admission
Rationale: Gumline infections are remarkably easy to introduce pathogens
into the bloodstream to attack valves, cause sepsis, etc. Strep viridans is a
very common oral pathogen. Scabies do not carry a risk of bacterial sepsis,
nor does a recent low-grade common cold virus. Any invasive lines should be
considered at risk, but the IV catheter placement is both unlikely as a source
and does not fit the timing after already being admitted.
Which of the following bacteria are more commonly associated with
pharyngitis?
*Proteus
*Enterococcus
*Group A Streptococcus
*Streptomyces
Group A Streptococcus
Rationale: Group A Streptococcus represents the most common bacteria found
in pharyngitis. Enterococcus are found in the intestines. Streptomyces species
are commonly associated with immunocompromised patients and lung abscess.
Proteus is commonly associated with urinary tract infection in men.
Which of the following is not one of the four Ds of epiglottitis?
*Dysphagia
*Dystonia
