NR 511 CEA EXAM NEWEST ACTUAL EXAM
NR 511 CEA EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Your patient with a history of HFrEF (heart failure with reduced ejection fraction)
with an ejection fraction of 40% who is also not on optimal medical therapy has
been diagnosed with a myocardial infarction this admission and received
emergent placement of a drug-eluting stent to the left anterior descending artery.
As the medical home who will manage this patient after discharge, which
medication strategy would you expect to be a priority in the patient's care?
Ordering a transthoracic echocardiogram and order a Lifevest if EF is less than 35%
A 65-year-old woman presents for a follow-up examination. She is a smoker, and
her hypertension is now adequately controlled with medication. Her mother died
at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting therapeutic lifestyle
changes, the nurse practitioner should start the patient on:
Statin
Which of the following end-organ sequelae is not directly caused by uncontrolled
hypertension?
Peripheral neuropathy
A 33-year-old woman presents with irregular menstrual cycles, hirsutism, and
obesity. Laboratory tests reveal elevated serum testosterone and LH ratio > 2:1.
What is the most appropriate initial treatment? Answer - Oral contraceptives
Oral contraceptives
1|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
A 50-year-old woman with hypertension and diabetes comes in for a routine
check-up. What screening test should be regularly performed to monitor for early
signs of diabetic nephropathy?
Urine dipstick for protein
A starting dose for a elderly adult patient with a BMI of 20 needing levothryoxine
25 mcg
An adult female who recently returned for a recheck appointment. The only
remarkable laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck
hurts; examination reveals thyroid tenderness. Which of the following laboratory
tests should the nurse practitioner order now?
Triiodothyronine (T3) and free thyroxine (FT4)
All the following are symptoms of hypocalcemia except:
Visual field deficits
Rationale: Visual field deficits is a potential symptom of pituitary adenoma. All
other are symptoms related to hypocalcemia.
An adult patient diagnosed with type 2 diabetes mellitus presents for a recheck.
The patient follows a carbohydrate counting diet and walks 30 minutes 5 times
weekly. Current fasting blood glucose = 116 mg/dL [normal = Document shared on
https://www.docsity.com/en/cea-prep-full-practice-exam-or-468-questions-or-
with-complete-answers-graded-a/11880556/ Downloaded by: annellie-reed
() 7 less than 99 mg/dL] and A1c = 6.3% [normal = less
than 7.0%]. In accordance with the American Diabetes Association, the nurse
practitioner would recommend that the next follow-up appointment be scheduled
for:
2|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
6 months.
Your patient has a diagnosis of Hashimoto's and is on Levothyroxine 75 mcg daily.
Her recent TSH was elevated at 15 uU/mL. Your next best action is to: Answer -
Increase Levothyroxine to 100 mcg daily
Increase Levothyroxine to 100 mcg daily
A patient has a 3 cm pituitary mass noted on CT. What is your next step in
evaluating the patient?
Screen for hormone deficiencies
The patient is exhibiting a productive cough and a low-grade fever. Chest X-ray on
PA view shows a left lower chest area of consolidation adjacent to the left border
of the heart approximately 2 rib spaces above the costophrenic angle. The lateral
x-ray view shows this lesion absent of the window posterior to the cardiac
silhouette. Which is the most likely location of this area of focal consolidation?
Left upper lobe lingula
The inability to fully relax the myocardium during relaxation is a trademark of
which of the following diagnoses?
Diastolic dysfunction
An otherwise healthy African American adult male has been diagnosed with
hypertension. He has been restricting his salt intake, eating a DASH (Dietary
Approaches to Stop Hypertension) diet, and exercising more, but his blood
pressure is still elevated. Which is the BEST medication to prescribe him? Calcium
channel blocker
Calcium channel blocker
3|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm. Which
medical imaging is considered standard of care for serial surveillance? Answer - CT
angiography of the chest
CT angiography of the chest
Which of the following medications does not cause beta 1 stimulation?
phenylephrin
A 50-year-old woman with a history of hypertension presents with dyspnea on
exertion and orthopnea. On examination, she has jugular venous distention and
bilateral crackles on lung auscultation. What is the most likely diagnosis?
Congestive heart failure
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
suspected. Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
An older adult patient with new onset GERD, cough, heartburn. Initial tx
Antacid and lifestyle modification/weight loss
A 59-year-old male presents with symptoms of abdominal pain, jaundice, and
weight loss which he has not been trying to lose weight. What would be a
malignancy associated with these symptoms? Answer
Pancreatic cancer
4|Page
NR 511 CEA EXAM NEWEST ACTUAL EXAM COMPLETE 200 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Your patient with a history of HFrEF (heart failure with reduced ejection fraction)
with an ejection fraction of 40% who is also not on optimal medical therapy has
been diagnosed with a myocardial infarction this admission and received
emergent placement of a drug-eluting stent to the left anterior descending artery.
As the medical home who will manage this patient after discharge, which
medication strategy would you expect to be a priority in the patient's care?
Ordering a transthoracic echocardiogram and order a Lifevest if EF is less than 35%
A 65-year-old woman presents for a follow-up examination. She is a smoker, and
her hypertension is now adequately controlled with medication. Her mother died
at age 40 from a heart attack. The fasting lipid profile shows cholesterol = 240
mg/dL, HDL = 30, and LDL = 200. In addition to starting therapeutic lifestyle
changes, the nurse practitioner should start the patient on:
Statin
Which of the following end-organ sequelae is not directly caused by uncontrolled
hypertension?
Peripheral neuropathy
A 33-year-old woman presents with irregular menstrual cycles, hirsutism, and
obesity. Laboratory tests reveal elevated serum testosterone and LH ratio > 2:1.
What is the most appropriate initial treatment? Answer - Oral contraceptives
Oral contraceptives
1|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
A 50-year-old woman with hypertension and diabetes comes in for a routine
check-up. What screening test should be regularly performed to monitor for early
signs of diabetic nephropathy?
Urine dipstick for protein
A starting dose for a elderly adult patient with a BMI of 20 needing levothryoxine
25 mcg
An adult female who recently returned for a recheck appointment. The only
remarkable laboratory result is for thyroid-stimulating hormone (TSH), at 0.3
microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck
hurts; examination reveals thyroid tenderness. Which of the following laboratory
tests should the nurse practitioner order now?
Triiodothyronine (T3) and free thyroxine (FT4)
All the following are symptoms of hypocalcemia except:
Visual field deficits
Rationale: Visual field deficits is a potential symptom of pituitary adenoma. All
other are symptoms related to hypocalcemia.
An adult patient diagnosed with type 2 diabetes mellitus presents for a recheck.
The patient follows a carbohydrate counting diet and walks 30 minutes 5 times
weekly. Current fasting blood glucose = 116 mg/dL [normal = Document shared on
https://www.docsity.com/en/cea-prep-full-practice-exam-or-468-questions-or-
with-complete-answers-graded-a/11880556/ Downloaded by: annellie-reed
() 7 less than 99 mg/dL] and A1c = 6.3% [normal = less
than 7.0%]. In accordance with the American Diabetes Association, the nurse
practitioner would recommend that the next follow-up appointment be scheduled
for:
2|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
6 months.
Your patient has a diagnosis of Hashimoto's and is on Levothyroxine 75 mcg daily.
Her recent TSH was elevated at 15 uU/mL. Your next best action is to: Answer -
Increase Levothyroxine to 100 mcg daily
Increase Levothyroxine to 100 mcg daily
A patient has a 3 cm pituitary mass noted on CT. What is your next step in
evaluating the patient?
Screen for hormone deficiencies
The patient is exhibiting a productive cough and a low-grade fever. Chest X-ray on
PA view shows a left lower chest area of consolidation adjacent to the left border
of the heart approximately 2 rib spaces above the costophrenic angle. The lateral
x-ray view shows this lesion absent of the window posterior to the cardiac
silhouette. Which is the most likely location of this area of focal consolidation?
Left upper lobe lingula
The inability to fully relax the myocardium during relaxation is a trademark of
which of the following diagnoses?
Diastolic dysfunction
An otherwise healthy African American adult male has been diagnosed with
hypertension. He has been restricting his salt intake, eating a DASH (Dietary
Approaches to Stop Hypertension) diet, and exercising more, but his blood
pressure is still elevated. Which is the BEST medication to prescribe him? Calcium
channel blocker
Calcium channel blocker
3|Page
, NR 511 CEA EXAM NEWEST ACTUAL EXAM
Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm. Which
medical imaging is considered standard of care for serial surveillance? Answer - CT
angiography of the chest
CT angiography of the chest
Which of the following medications does not cause beta 1 stimulation?
phenylephrin
A 50-year-old woman with a history of hypertension presents with dyspnea on
exertion and orthopnea. On examination, she has jugular venous distention and
bilateral crackles on lung auscultation. What is the most likely diagnosis?
Congestive heart failure
An adult female presents with a chief complaint of fatigue and weight gain. She
states that she doesn't feel like herself. A diagnosis of hypothyroidism is
suspected. Which of the following physical findings would support this diagnosis?
Dry skin, bradycardia, and hypoactive deep tendon reflexes
An older adult patient with new onset GERD, cough, heartburn. Initial tx
Antacid and lifestyle modification/weight loss
A 59-year-old male presents with symptoms of abdominal pain, jaundice, and
weight loss which he has not been trying to lose weight. What would be a
malignancy associated with these symptoms? Answer
Pancreatic cancer
4|Page
