NR511 CEA EXAM TESTBANK
WITH ALL CORRECT ANSWERS
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
commonly identified by which of the following findings?
A -Butterfly rash on the face
B -Myoglobinuria
C -Elevated WBC count
D -Diffuse rash on the torso
A -Butterfly rash on the face
Your patient has expressed concern about a skin lesion which you identify as
darkened, round, and raised. This benign lesion that appears like "stuck on"
to the skin. Which of the following lesions best fits this description?
A -Seborrheic Keratosis
B -Hemangioma
,C -Basal cell carcinoma
D -Achrocordon
A -Seborrheic Keratosis
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
D -Seborrheic Dermatitis
Your 32 year old patient exhibits mood changes with a cyclical nature of
euphoria and bliss then troughs of depression and anhedonia. In addition to
working them up for metabolic causes, you refer them to psychiatry and
suggest a likely diagnosis of which of the following?
A -Schizophrenia
B -Borderline personality disorder
C -Bipolar disorder
D -Bulimia Nervosa
C -Bipolar disorder
Your 29 year old male patient was a military soldier who states he "saw some
pretty awful things" during his time in service. When you knock to enter the
,room, you notice he jumps up from the exam table and stands facing the
door and states he always has to have his face toward the entrance to the
room. This is most suggestive of which of the following diagnoses;
A -Untreated anxiety
B -Post traumatic stress disorder
C -Sundowning
D -Situation depression
B -Post traumatic stress disorder
Your 55 year old male patient with a history of diabetes, systolic heart failure,
and hyperlipidemia presents to your clinic for a new complaint of progressive
onset over the past 6 months of left lower posterior leg pain with prolonged
ambulation, at which time he also becomes short of breath, but this does
resolve with rest. He also describes that at rest, he experiences numbness
down the left lower leg and is having some noticeable hair loss over the
anterior tibial surfaces. Based on these limited exam findings, which of the
following would be the best leading diagnosis and plan?
A -Pulmonary embolism, order 2D echocardiogram
B -Venous thromboembolism, order anticoagulation
C -Aging, recommend exercises
D -Peripheral arterial disease, order an ankle brachial index
D -Peripheral arterial disease, order an ankle brachial index
Upon reviewing an old H&P for a 45 year old male patient new to your
practice, you notice they have a documented paresthesia
associated with the left hand from an old cerebrovascular accident (CVA).
Based on this documentation, which of the following should the nurse
practitioner expect to see on their examination?
, A -Patient has a hyper-reactive response to any painful stimulus in their left
hand
B -Patient has edema or excessive swelling in their left hand
C -Patient has movement difficulty or immobility in their left hand
D -Patient complains of numbness and tingling sensations in their left hand
C -Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his
tongue and notice the tongue deviates by pointing to the left.
Which one of the following is the correct diagnosis of this finding?
A -Bilateral Vagus (X) lesion
B -Cranial XII (Hypoglossal nerve) lesion on the left
C -Cranial XI (Hypoglossal nerve) lesion on the right
D -Normal response to deviate to the dominant side
B -Cranial XII (Hypoglossal nerve) lesion on the left
Your patient Steve, a 56 year old male with a history of smoking, sedentary
lifestyle, and diabetes mellitus presents for follow-up from a recent
hospitalization where he was documented to have symptoms of a transient
ischemic attack (TIA). Which one of the following correctly identifies the
etiology of TIA?
A -TIAs are global cerebral, spinal cord or retinal dysfunction caused by a
central nervous system infarction
B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
C -TIAs are a unrelated risk factor of a patient developing a stroke in the
future
WITH ALL CORRECT ANSWERS
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
commonly identified by which of the following findings?
A -Butterfly rash on the face
B -Myoglobinuria
C -Elevated WBC count
D -Diffuse rash on the torso
A -Butterfly rash on the face
Your patient has expressed concern about a skin lesion which you identify as
darkened, round, and raised. This benign lesion that appears like "stuck on"
to the skin. Which of the following lesions best fits this description?
A -Seborrheic Keratosis
B -Hemangioma
,C -Basal cell carcinoma
D -Achrocordon
A -Seborrheic Keratosis
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
D -Seborrheic Dermatitis
Your 32 year old patient exhibits mood changes with a cyclical nature of
euphoria and bliss then troughs of depression and anhedonia. In addition to
working them up for metabolic causes, you refer them to psychiatry and
suggest a likely diagnosis of which of the following?
A -Schizophrenia
B -Borderline personality disorder
C -Bipolar disorder
D -Bulimia Nervosa
C -Bipolar disorder
Your 29 year old male patient was a military soldier who states he "saw some
pretty awful things" during his time in service. When you knock to enter the
,room, you notice he jumps up from the exam table and stands facing the
door and states he always has to have his face toward the entrance to the
room. This is most suggestive of which of the following diagnoses;
A -Untreated anxiety
B -Post traumatic stress disorder
C -Sundowning
D -Situation depression
B -Post traumatic stress disorder
Your 55 year old male patient with a history of diabetes, systolic heart failure,
and hyperlipidemia presents to your clinic for a new complaint of progressive
onset over the past 6 months of left lower posterior leg pain with prolonged
ambulation, at which time he also becomes short of breath, but this does
resolve with rest. He also describes that at rest, he experiences numbness
down the left lower leg and is having some noticeable hair loss over the
anterior tibial surfaces. Based on these limited exam findings, which of the
following would be the best leading diagnosis and plan?
A -Pulmonary embolism, order 2D echocardiogram
B -Venous thromboembolism, order anticoagulation
C -Aging, recommend exercises
D -Peripheral arterial disease, order an ankle brachial index
D -Peripheral arterial disease, order an ankle brachial index
Upon reviewing an old H&P for a 45 year old male patient new to your
practice, you notice they have a documented paresthesia
associated with the left hand from an old cerebrovascular accident (CVA).
Based on this documentation, which of the following should the nurse
practitioner expect to see on their examination?
, A -Patient has a hyper-reactive response to any painful stimulus in their left
hand
B -Patient has edema or excessive swelling in their left hand
C -Patient has movement difficulty or immobility in their left hand
D -Patient complains of numbness and tingling sensations in their left hand
C -Patient has movement difficulty or immobility in their left hand
You are examining the mouth of a patient and ask the patient to put out his
tongue and notice the tongue deviates by pointing to the left.
Which one of the following is the correct diagnosis of this finding?
A -Bilateral Vagus (X) lesion
B -Cranial XII (Hypoglossal nerve) lesion on the left
C -Cranial XI (Hypoglossal nerve) lesion on the right
D -Normal response to deviate to the dominant side
B -Cranial XII (Hypoglossal nerve) lesion on the left
Your patient Steve, a 56 year old male with a history of smoking, sedentary
lifestyle, and diabetes mellitus presents for follow-up from a recent
hospitalization where he was documented to have symptoms of a transient
ischemic attack (TIA). Which one of the following correctly identifies the
etiology of TIA?
A -TIAs are global cerebral, spinal cord or retinal dysfunction caused by a
central nervous system infarction
B -TIAs are caused by focal brain, spinal cord or retinal
ischemia, without acute infarction
C -TIAs are a unrelated risk factor of a patient developing a stroke in the
future
