NR 603 CEA COMPLETE PRACTICE EXAM WITH
QUESTIONS AND ANSWERS
Your 49-year-old male patient presents with weight loss,
night sweats, and he anhedonia and a chest X-ray showing
profoundly in large hilar adenopathy. Based on these
findings a diagnosis of lymphoma would be in your working
differential. Which one of the following assessment
findings when palpating lymph nodes would be
inconsistent with this diagnosis?
C.nontender minimally palpable anterior cervical chain
node palpation
You have the pleasure of working at the health clinic at a
summer resort as a nurse practitioner. Benny a 19-year-old
male with a first degree burn over their entire torso after
being out in the sun too long without any protection about
taking a medication with photosensitivity reactions period
to accurately document his burned surface area you use
the rule of palms. In evaluation of a patient's surface area
using the rule of palms which portion of the patient's body
surface area is covered by the patients palms
A. 1%
,1. Patients with acute autoimmune disorder flares are
routinely treated with medication to reduce the
inflammation but does not typically manage the underlying
disease state. Which class of medication is typically used
to manage the underlying long term disease state with most
autoimmune disorders?
B. monoclonal antibodies
Shelley is a 19-year-old female patient who presents for a
routine health visit. During your exam she mentioned
recent symptoms of dysuria and urinary frequency and you
suspect a urinary tract infection. You confirm this with
urinalysis which is a which is as follows urine positive for
leukocyte esterase, nitrates, and WBC's as well as the
presence of bacteria. Most recent labs were six months ago
and showed normal CBC and BMP. She also has a health
history of sea death after an antibiotic for an unrelated
illness two years ago. Based on her presentation which
would be the best strategy for treating her urinary tract
infection?
A. sulfamethoxazole/trimethoprim(Bactrim)
Zeke is a 22-year-old male patient presented to your
primary care clinic with unilateral leg swelling and
,tenderness after all nighter playing video games. You
suspect he has a provoked DVT from immobility and an
ultrasound has been ordered. While awaiting this exam to
be performed you preemptively discuss coagulation with
the patient assuming he will most likely be needing this
therapy period which of the following represents adequate
understanding from the patient?
D if they find blood clot I will need to use Lovenox in
addition to warfarin until my INR is 3.0
Kia is a 22-year-old trans female patient who is actively
undergoing a gender affirming therapy abruptly stopped
their medication regimen for the last two weeks due to
insurance issues. They present to your clinic with
hypotension, pallor and hypothermia. Assuming they are
taking all of the following medications, which of these is
most likely the culprit for these symptoms after abrupt
withdrawal?
D. Prednisone (Deltasone)
1. Your 55-year-old female patient, Eve, has been diagnosed
with acute myeloid leukemia. Which of the following agents
would be most likely to assist in management of her
anticipated side effects of cancer treatment?
A. allopurinol
, Classic phase 2 migraines is managed by the use of which
general principle? (This question was asking about Phase 1
migraines)
A. patients in phase two migraine needs serotonin agonist
Which class of medications are indicated as first line
management of both post traumatic stress disorder and
major depressive disorder?
Selective serotonin reuptake inhibitors (SSRIs)
Which of the following concepts refers to where small
differences in dose or blood concentration may lead to
failures and or adverse drug reactions that are life
threatening or result in persistent or significant disability?
narrow therapeutic index
Your nurse practitioner student asks you to help him clarify
the different types of diuretics. For example, you tell him
that the use of Ted stockings for patients with lower
extremity edema is an example of which type of diuresis?
A. pressure diuresis
The nurse practitioner assessing the patient with a rapid
cardiac rhythm may assess for a pulse deficit by
auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sound correlate with the
electrocardiogram wave question
QUESTIONS AND ANSWERS
Your 49-year-old male patient presents with weight loss,
night sweats, and he anhedonia and a chest X-ray showing
profoundly in large hilar adenopathy. Based on these
findings a diagnosis of lymphoma would be in your working
differential. Which one of the following assessment
findings when palpating lymph nodes would be
inconsistent with this diagnosis?
C.nontender minimally palpable anterior cervical chain
node palpation
You have the pleasure of working at the health clinic at a
summer resort as a nurse practitioner. Benny a 19-year-old
male with a first degree burn over their entire torso after
being out in the sun too long without any protection about
taking a medication with photosensitivity reactions period
to accurately document his burned surface area you use
the rule of palms. In evaluation of a patient's surface area
using the rule of palms which portion of the patient's body
surface area is covered by the patients palms
A. 1%
,1. Patients with acute autoimmune disorder flares are
routinely treated with medication to reduce the
inflammation but does not typically manage the underlying
disease state. Which class of medication is typically used
to manage the underlying long term disease state with most
autoimmune disorders?
B. monoclonal antibodies
Shelley is a 19-year-old female patient who presents for a
routine health visit. During your exam she mentioned
recent symptoms of dysuria and urinary frequency and you
suspect a urinary tract infection. You confirm this with
urinalysis which is a which is as follows urine positive for
leukocyte esterase, nitrates, and WBC's as well as the
presence of bacteria. Most recent labs were six months ago
and showed normal CBC and BMP. She also has a health
history of sea death after an antibiotic for an unrelated
illness two years ago. Based on her presentation which
would be the best strategy for treating her urinary tract
infection?
A. sulfamethoxazole/trimethoprim(Bactrim)
Zeke is a 22-year-old male patient presented to your
primary care clinic with unilateral leg swelling and
,tenderness after all nighter playing video games. You
suspect he has a provoked DVT from immobility and an
ultrasound has been ordered. While awaiting this exam to
be performed you preemptively discuss coagulation with
the patient assuming he will most likely be needing this
therapy period which of the following represents adequate
understanding from the patient?
D if they find blood clot I will need to use Lovenox in
addition to warfarin until my INR is 3.0
Kia is a 22-year-old trans female patient who is actively
undergoing a gender affirming therapy abruptly stopped
their medication regimen for the last two weeks due to
insurance issues. They present to your clinic with
hypotension, pallor and hypothermia. Assuming they are
taking all of the following medications, which of these is
most likely the culprit for these symptoms after abrupt
withdrawal?
D. Prednisone (Deltasone)
1. Your 55-year-old female patient, Eve, has been diagnosed
with acute myeloid leukemia. Which of the following agents
would be most likely to assist in management of her
anticipated side effects of cancer treatment?
A. allopurinol
, Classic phase 2 migraines is managed by the use of which
general principle? (This question was asking about Phase 1
migraines)
A. patients in phase two migraine needs serotonin agonist
Which class of medications are indicated as first line
management of both post traumatic stress disorder and
major depressive disorder?
Selective serotonin reuptake inhibitors (SSRIs)
Which of the following concepts refers to where small
differences in dose or blood concentration may lead to
failures and or adverse drug reactions that are life
threatening or result in persistent or significant disability?
narrow therapeutic index
Your nurse practitioner student asks you to help him clarify
the different types of diuretics. For example, you tell him
that the use of Ted stockings for patients with lower
extremity edema is an example of which type of diuresis?
A. pressure diuresis
The nurse practitioner assessing the patient with a rapid
cardiac rhythm may assess for a pulse deficit by
auscultating the patient's heart while watching the EKG
rhythm. Where would the S1 heart sound correlate with the
electrocardiogram wave question
