Page 1 of 144
NR 603 CEA PRACTICE EXAM WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANS WERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: A nurse practitioner places a 76-year-old patient on nifedipine (Procardia) 10 mg t.i.d.
for angina. The patient is unable to remember to take the medication at the scheduled times.
The practitioner should:
increase the dosage to 20 mg b.i.d.
discontinue the issue with the patient's daughter.
change the dose to extended release 30 mg daily.
reinforce the importance of taking the medication. - ANSWER✔✔change the dose to extended
release 30 mg daily
Question: An 80-year-old man with a history of atrial fibrillation presents with sudden-onset
unilateral leg pain and pallor. What is the most likely diagnosis?
Acute arterial occlusion
Deep vein thrombosis
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Peripheral artery disease
Cellulitis - ANSWER✔✔Acute arterial occlusion
Question: The most important diagnostic factor in evaluating angina pectoris is the patient's:
Physical examination
Echocardiogram
Cardiac MRI
History - ANSWER✔✔History
Rationale: When it comes to cardiac patients, it's important to remember that history is the
most important diagnostic factor in evaluating angina pectoris. A patient's history can easily
make the diagnosis by simply providing a history of their precipitating factors and symptoms,
such as exertional dyspnea, Reproducible, cardiac stressors such as exercise, strenuous activity,
and the associated symptoms. Cardiac MRI may evaluate the patient's heart with find detail, but
it does not show active ischemia well, rather evidence of old MI and ventricular wall thinning.
Physical examination likewise is not very particular to cardiac patients and their cardiac disease
state, and although there may be some associated signs, they are not specific. Echocardiogram
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is also useful tool to evaluate ejection fraction and valve/wall function, but this is not showcase
ischemia well.
Question: Your patient is complaining of paroxysmal atrial fibrillation. Which medical
procedure is commonly used to treat this condition?
Cryoablation of the transition zone of the left pulmonary vein inflow to the left atrium
Placement of biventricular pacing
Radio frequency ablation of the left ventricular apex
Overdrive pacing via an epicardial lead - ANSWER✔✔Cryoablation of the transition zone of the
left pulmonary vein inflow to the left atrium
Rationale: The transition zone of pulmonary vein to left atrium represents the most common
source of atrial fibrillation and is commonly treated with scarification, radio frequency ablation,
or cryotherapy to impede the electrical stimulation of a-fib to the rest of the atrium.
Q:Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm. Which medical
imaging is considered standard of care for serial surveillance?
CT PE rule-out protocol
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Transesophageal Echocardiogram
Plain film chest X-ray (CXR)
CT angiography of the chest - ANSWER✔✔CT angiography of the chest
Rationale: CT angiography is considered the standard of care for measuring vascular luminal
dimensions with contrast. CT PE protocol is not timed properly for the aorta (it's timed for the
pulmonary artery). Although a plain film is able to catch large aneurysms at times, they are not
able to provide multi-axis reconstruction needed to accurately measure the size.
Transesophageal echo is not needed to accurately measure the aorta and requires the patient
to undergo sedation which is unnecessary.
Question: Which of the following end-organ sequelae is not directly caused by uncontrolled
hypertension?
Hemorrhagic stroke
Proteinuria
Peripheral neuropathy
AV nicking - ANSWER✔✔Peripheral neuropathy
4
SUCCESS!
NR 603 CEA PRACTICE EXAM WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANS WERS
LATEST UPDATE JUST RELEASED THIS YEAR
Question: A nurse practitioner places a 76-year-old patient on nifedipine (Procardia) 10 mg t.i.d.
for angina. The patient is unable to remember to take the medication at the scheduled times.
The practitioner should:
increase the dosage to 20 mg b.i.d.
discontinue the issue with the patient's daughter.
change the dose to extended release 30 mg daily.
reinforce the importance of taking the medication. - ANSWER✔✔change the dose to extended
release 30 mg daily
Question: An 80-year-old man with a history of atrial fibrillation presents with sudden-onset
unilateral leg pain and pallor. What is the most likely diagnosis?
Acute arterial occlusion
Deep vein thrombosis
1
SUCCESS!
,Page 2 of 144
Peripheral artery disease
Cellulitis - ANSWER✔✔Acute arterial occlusion
Question: The most important diagnostic factor in evaluating angina pectoris is the patient's:
Physical examination
Echocardiogram
Cardiac MRI
History - ANSWER✔✔History
Rationale: When it comes to cardiac patients, it's important to remember that history is the
most important diagnostic factor in evaluating angina pectoris. A patient's history can easily
make the diagnosis by simply providing a history of their precipitating factors and symptoms,
such as exertional dyspnea, Reproducible, cardiac stressors such as exercise, strenuous activity,
and the associated symptoms. Cardiac MRI may evaluate the patient's heart with find detail, but
it does not show active ischemia well, rather evidence of old MI and ventricular wall thinning.
Physical examination likewise is not very particular to cardiac patients and their cardiac disease
state, and although there may be some associated signs, they are not specific. Echocardiogram
2
SUCCESS!
,Page 3 of 144
is also useful tool to evaluate ejection fraction and valve/wall function, but this is not showcase
ischemia well.
Question: Your patient is complaining of paroxysmal atrial fibrillation. Which medical
procedure is commonly used to treat this condition?
Cryoablation of the transition zone of the left pulmonary vein inflow to the left atrium
Placement of biventricular pacing
Radio frequency ablation of the left ventricular apex
Overdrive pacing via an epicardial lead - ANSWER✔✔Cryoablation of the transition zone of the
left pulmonary vein inflow to the left atrium
Rationale: The transition zone of pulmonary vein to left atrium represents the most common
source of atrial fibrillation and is commonly treated with scarification, radio frequency ablation,
or cryotherapy to impede the electrical stimulation of a-fib to the rest of the atrium.
Q:Your patient has been diagnosed with a 4.5cm ascending aortic aneurysm. Which medical
imaging is considered standard of care for serial surveillance?
CT PE rule-out protocol
3
SUCCESS!
, Page 4 of 144
Transesophageal Echocardiogram
Plain film chest X-ray (CXR)
CT angiography of the chest - ANSWER✔✔CT angiography of the chest
Rationale: CT angiography is considered the standard of care for measuring vascular luminal
dimensions with contrast. CT PE protocol is not timed properly for the aorta (it's timed for the
pulmonary artery). Although a plain film is able to catch large aneurysms at times, they are not
able to provide multi-axis reconstruction needed to accurately measure the size.
Transesophageal echo is not needed to accurately measure the aorta and requires the patient
to undergo sedation which is unnecessary.
Question: Which of the following end-organ sequelae is not directly caused by uncontrolled
hypertension?
Hemorrhagic stroke
Proteinuria
Peripheral neuropathy
AV nicking - ANSWER✔✔Peripheral neuropathy
4
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