NR 511 CEA exam
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1. Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as
a trash collector. You suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele: A -Varicocele
2. The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position. Which
one of the following locations is most commonly described as the PMI in a
healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line: B -Left 5th intercostal space,
midclavicular line
3. A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthal-
mos 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: B -Hyperthyroidism
4. Your patient with a suspected diagnosis of COPD has been seen by pul-
monology and has underwent a pulmonary function test (PFT) with spirom-
etry. As the patient's primary healthcare provider, you have been asked to
explain the findings of the PFT to the patient in afollow-up visit at which time
the patient asks what the study was evaluating. To describe the PFT to the
patient in 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?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity: D -Forced vital capacity
, NR 511 CEA exam
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5. Your patient has a diagnosis of Addison's disease. Which of the following
might you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face: B -Dowager hump
6. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type
2 should include which of the following while evaluating for end organ dys-
function of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options: D -All of these are appropriate options
7. During your visit with a 19 year old patient for a college health physical,
your health history includes a diagnosis of angioedema. What of the following
parts of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips: D -Face and Lips
8. Which of the following dermatologic lesions is precancerous and likely due
to prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis: A -Actinic Keratosis
9. 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: A -Irregular borders
10. Your patient is complaining of hypersomnia, lack of motivation, weight
gain, and anhedonia. Suspecting a diagnosis of clinical depression, you an-
ticipate the patient will benefit from treating their underlying deficit of which
of the following neurotransmitters?
A -GABA
B -Serotonin
, NR 511 CEA exam
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C -Dobutamine
D -Glutamate: B -Serotonin
11. 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: B -Urinalysis with micro/macro albumin
12. While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the poster left lower lobe, have the patient cough,
with follow-up auscultation revealing clear breath sounds. Which one of the
following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.: B -Atelectasis
13. Your 39 year old patient who has recently been hospitalized for an appen-
dectomy and is being seen in your clinic for post-operative follow-up with
primary care. On assessment, the patient complains of some incisional pain
and otherwise examination is normal, with the exception of dull percussion
sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease: C -Atelectasis
14. You are evaluating a 41 year old female patient in your clinic with symp-
toms of right upper quadrant pain which worsens with deep breathing. The
patient exhibits a positive Murphy sign. These findings are most consistent
which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis: B -Cholecystitis
15. In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
, NR 511 CEA exam
Study online at https://quizlet.com/_gyafqf
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines: D -Gastric
dumping, or increased emptying into the small intestines
16. The patient is experiencing acute closed angle glaucoma. Which of the
following examination findings by the nurse practitioner is most consistent
with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume: B -Increase in intraocular pressure
17. While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differen-
tial?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH: D -Elevated MCV and MCH
18. The nurse practitioner is caring for a patient with an elevated WBC, fever,
chills, and malaise. When developing a differential diagnosis for this finding,
which of the following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy: B -Diabetes Mellitus Type 2
19. Your 21 year old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva.She is con-
cerned she has a sexually transmitted infection. You notify her that condyloma
are caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19: C -Human papilomavirus type 6 and 1
20. Yourpatient who has underwent a recent major medical medical procedure
is at a rehabilitation center and is having a hard time being motivated to do
therapy. When you interview them as the nurse practitioner on staff for the
subacute rehab center, they appeardespondent, and are having a hard time
Study online at https://quizlet.com/_gyafqf
1. Your 22 year old male patient states during his review of systems thathis
scrotum is very enlarged and feels like it is full a powerlifter and works as
a trash collector. You suspect the patient likely has which of the following
diagnoses?
A -Varicocele
B -Meningocele
C -Rectocele
D -Hydrocele: A -Varicocele
2. The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position. Which
one of the following locations is most commonly described as the PMI in a
healthy adult?
A -Left 2nd intercostal space, midaxillary line
B -Left 5th intercostal space, midclavicular line
C -Right 4th intercostal space, midaxillary line
D -Right 2nd intercostal space, midclavicular line: B -Left 5th intercostal space,
midclavicular line
3. A40 year old, female, African American patient presents for history and
physical. Upon your initial assessment, you notice she has severe exophthal-
mos 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: B -Hyperthyroidism
4. Your patient with a suspected diagnosis of COPD has been seen by pul-
monology and has underwent a pulmonary function test (PFT) with spirom-
etry. As the patient's primary healthcare provider, you have been asked to
explain the findings of the PFT to the patient in afollow-up visit at which time
the patient asks what the study was evaluating. To describe the PFT to the
patient in 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?
A -Forced Expiratory Volume over 1 second (FEV1)
B -Functional Reserve Capacity
C -Inspiratory Reserve
D -Forced Vital Capacity: D -Forced vital capacity
, NR 511 CEA exam
Study online at https://quizlet.com/_gyafqf
5. Your patient has a diagnosis of Addison's disease. Which of the following
might you expect to find during examination?
A -Abdominal striae
B -Dowager hump
C -Low body temperature
D -Moon face: B -Dowager hump
6. The nurse practitioner's evaluation of a patient with Diabetes Mellitus type
2 should include which of the following while evaluating for end organ dys-
function of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options: D -All of these are appropriate options
7. During your visit with a 19 year old patient for a college health physical,
your health history includes a diagnosis of angioedema. What of the following
parts of the body are were likely involved?
A -Isolated to the colon
B -Anywhere in the enteral tract
C -Chest
D -Face and Lips: D -Face and Lips
8. Which of the following dermatologic lesions is precancerous and likely due
to prolonged exposure to UV-B?
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis: A -Actinic Keratosis
9. 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: A -Irregular borders
10. Your patient is complaining of hypersomnia, lack of motivation, weight
gain, and anhedonia. Suspecting a diagnosis of clinical depression, you an-
ticipate the patient will benefit from treating their underlying deficit of which
of the following neurotransmitters?
A -GABA
B -Serotonin
, NR 511 CEA exam
Study online at https://quizlet.com/_gyafqf
C -Dobutamine
D -Glutamate: B -Serotonin
11. 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: B -Urinalysis with micro/macro albumin
12. While evaluating a patient in your clinic for a routine health visit, you
auscultate crackles in the poster left lower lobe, have the patient cough,
with follow-up auscultation revealing clear breath sounds. Which one of the
following would you suspect?
A -Congestive heart failure
B -Atelectasis
C -Laryngospasm
D -Bronchiactasis.: B -Atelectasis
13. Your 39 year old patient who has recently been hospitalized for an appen-
dectomy and is being seen in your clinic for post-operative follow-up with
primary care. On assessment, the patient complains of some incisional pain
and otherwise examination is normal, with the exception of dull percussion
sounds noted on the thorax over lung tissue. Which of the following diagnoses
would be explained by this finding in post-operative patient?
A -Left-sided heart failure
B -Chronic bronchitis
C -Atelectasis
D -Healthy patient with no coexising disease: C -Atelectasis
14. You are evaluating a 41 year old female patient in your clinic with symp-
toms of right upper quadrant pain which worsens with deep breathing. The
patient exhibits a positive Murphy sign. These findings are most consistent
which one of the following?
A -Appendicitis
B -Cholecystitis
C -Crohn's flare
D -Pancreatitis: B -Cholecystitis
15. In educating your patient about the non-pharmacologic management of
gastroesophageal reflux disease, you include teaching to the patient that their
, NR 511 CEA exam
Study online at https://quizlet.com/_gyafqf
heartburn is aggravated by al of the following except which one?
A -Activities including lifting or bending over
B -Alcohol intake
C -Foods, such as citrus, onions and coffee
D -Gastric dumping, or increased emptying into the small intestines: D -Gastric
dumping, or increased emptying into the small intestines
16. The patient is experiencing acute closed angle glaucoma. Which of the
following examination findings by the nurse practitioner is most consistent
with their diagnosis?
A -Macular degeneration
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume: B -Increase in intraocular pressure
17. While managing the care of the patient with chronic alcoholism, the nurse
practitioner would likely anticipate which findings on the CBC with differen-
tial?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH: D -Elevated MCV and MCH
18. The nurse practitioner is caring for a patient with an elevated WBC, fever,
chills, and malaise. When developing a differential diagnosis for this finding,
which of the following is not a potential cause of the elevated WBC?
A -Sepsis
B -Diabetes Mellitus Type 2
C -Leukemia
D -Recent oral corticosteroid therapy: B -Diabetes Mellitus Type 2
19. Your 21 year old sexually active female patient states during a routine
health exam that they have some "weird bumps" on their vulva.She is con-
cerned she has a sexually transmitted infection. You notify her that condyloma
are caused by exposure to which of the following?
A -Chlamydia
B -Herpes zoster
C -Human papilomavirus type 6 and 1
D -Parvovirus B19: C -Human papilomavirus type 6 and 1
20. Yourpatient who has underwent a recent major medical medical procedure
is at a rehabilitation center and is having a hard time being motivated to do
therapy. When you interview them as the nurse practitioner on staff for the
subacute rehab center, they appeardespondent, and are having a hard time
