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NR 511 CEA EXAM 2025 UPDATE/PRACTICE QUESTIONS
AND CORRECT VERIFIED ANSWERS CEA EXAM 2025 /
CEA FNP 2025 (complete solutions) ASSURED
SUCCESS/GRADED A+!!!
Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has underwent a pulmonary function test (PFT) with spirometry. 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 - CORRECT ANSWER-D -Forced vital capacity
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 - CORRECT ANSWER-B -Dowager hump
The nurse practitioner's evaluation of a patient with Diabetes Mellitus type 2 should include which of the following while evaluating for end organ dysfunction of the disease?
A -Renal function panel
B -Urinalysis
C -Non-dilated eye exam
D -All of these are appropriate options - CORRECT ANSWER-D -All of these are
appropriate options
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 - CORRECT ANSWER-D -Face and Lips
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
A -Actinic Keratosis
B -Basal cell carcinoma
C -Verucca
D -Seborrheic dermatitis - CORRECT ANSWER-A -Actinic Keratosis
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 - CORRECT ANSWER-A -Irregular borders
Your patient is complaining of hypersomnia, lack of motivation, weight gain, and anhedonia. Suspecting a diagnosis of clinical depression, you anticipate the patient will benefit from treating their underlying deficit of which of the following neurotransmitters?
A -GABA
B -Serotonin
C -Dobutamine
D -Glutamate - CORRECT ANSWER-B -Serotonin
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 - CORRECT ANSWER-B -Urinalysis with micro/macro albumin
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. - CORRECT ANSWER-B -Atelectasis
Your 39 year old patient who has recently been hospitalized for an appendectomy 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
B -Increase in intraocular pressure
C -AV nicking
D -Loss of aqueous humor volume - CORRECT ANSWER-B -Increase in
intraocular pressure
While managing the care of the patient with chronic alcoholism, the nurse practitioner would likely anticipate which findings on the CBC with differential?
A -Low MCV and MCH
B -Normal MCV and MCH
C -Chronic alcoholism will not affect the differential
D -Elevated MCV and MCH - CORRECT ANSWER-D -Elevated MCV and MCH
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 - CORRECT ANSWER-B -Diabetes Mellitus
Type 2
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 concerned 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 - CORRECT ANSWER-C -Human papilomavirus type 6 and 1
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 being wakeful during therapy sessions. They have stable vital signs, temperature, urine output, and are not ill-appearing. As a prudent nurse practitioner, you understand this may represent which of the following?
A -Cushing syndrome
B -Situation depression
C -Addison's disease
D -Untreated anxiety - CORRECT ANSWER-B -Situation depression
The 18 year old female patient who inappropriately exhibits fear of abandonment, intense interpersonal relationships, affective instability, and recurrent self-harm describes which of the following diagnoses:
A -Borderline personality disorder
B -Seasonal affective disorder
D -Glomerulonephritis - CORRECT ANSWER-C -Acute tubular necrosis
Your 52 year old male patient Gus has a diagnosis of heart failure with a low ejection fraction (HFrEF) (EF 30%) following a recent myocardial infarction and has been started on optimal medical therapy. Assuming he tolerates all the following medicines without side effects or contraindications, which one of the following agents should be avoided for optimal medical therapy specifically aimed at optimizing his HFrEF?
A -Amlodipine (Norvasc)
B -Entresto (Sacubitril/Valsartan)
C -Furosemide (Lasix)
D -Carvedilol (Coreg) - CORRECT ANSWER-A -Amlodipine (Norvasc)
Your 19 year old otherwise healthy male patient Vivek has been monitoring their peak flow at home after a recent visit at which time his symptoms suggest a new diagnosis of asthma. Which of the following is the most likely drug to be the first prescription?
A -fluticasone/salmeterol (Advair diskus) 250/50 BID PRN for shortness of breath
B -salmeterol (Serevent) 50mcg inhaled daily
C -albuterol (Xopenex) MDI PRN for wheezing
D -montelukast (Singulair) 10mg PO daily - CORRECT ANSWER-C -albuterol
(Xopenex) MDI PRN for wheezing
Margo, a 47 year old female patient recently underwent routine surveillance labs during her annual visit. From a routine screening lab of Hgb A1C of 7.2, you have
diagnosed her with type 2 diabetes mellitus (T2DM) and anticipate discharging her with medication and referral to diabetic education. Your patient teaching should include notification of which common side effect of the most commonly prescribed first agent for T2DM?
A -diarrhea
B -delayed gastric emptying
C -mycotic infections
D -constipation - CORRECT ANSWER-A -diarrhea
Oliver, a 62 year old otherwise healthy male patient with an active lifestyle presents to your clinic today with a chief complaint of gnawing abdominal pain with a history of orthopedic overuse injuries. In developing a working differential diagnosis for this patient, which of the following questions is most useful in probing this further to rule out more serious conditions?
A -What time of the day aer you taking your acetaminophen (Tylenol)?
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
C -When was the last time you took topical corticosteroids for pain?
D -Have you noticed any particular food has made this worse? - CORRECT
ANSWER-B -Have you been taking any non-steroidal anti-inflammatory
medications lately?
Zeke, a 2 year old male patient presented to your primary care clinic with unilateral leg swelling and tenderness after an "al nighter"playing video games. You suspect he has a provokedDVT from immobility and an ultrasound has been ordered. While awaiting thisexam to be performed, you preemptively discuss anticoagulation with the patient assuming he wil most likely be needing this
D -Non-nucleotide reverse transcriptase inhibitors - CORRECT ANSWER-A -All of
these may be used to manage my disease
Which class of medications are indicated as first line management of both post- traumatic stress disorder (PTSD) and major depressive disorder?
A -Selective serotonin reuptake inhibitors
B -Non-selective dopamine reuptake inhibitors
C -Mood stabilizers
D -Monoamine oxidase inhibitors. - CORRECT ANSWER-A -Selective serotonin
reuptake inhibitors
Dave, a 41 year old software engineer presents to your clinic with complaints of back spasms after being forced to return to their office instead of working from home. He believes the chair at his desk is the culprit and his causing him severe back spasms secondary to anaggravated old sports injury. nI addition to non- pharmacologic solutions, which of the following represents an agent appropriate for the managementof his spasms?
A -Prednisone (Deltasone)
B -Methy naltrexone (Relistor)
C -Gabapentin (Neurontin)
D -Cyclobenzaprine (amirx) - CORRECT ANSWER-D -Cyclobenzaprine (amirx)
Which of the following concepts refers to where small differences in dose or blood concentration may lead to serious therapeutic failures and/or adverse drug
reactions that are life-threatening or result in persistent or significant disability or incapacity?
A -Narrow therapeutic index
B -Wide therapeutic index
C -Post-antibiotic effect
D -Zero order kinetics - CORRECT ANSWER-A -Narrow therapeutic index
Which of the following agents will have the effect of dilating the efferent arteriole of the kidney and thereby reducing elimination of creatinine during administration?
A -Valsartan (Diovan)
B -Misoprostol (Cytotec)
C -Furosemide (Lasix)
D -Ibuprofen (advil) - CORRECT ANSWER-D -Ibuprofen (advil)
Patients with end-stage renal disease (ESRD) on dialysis experiencing anemiaof chronic disease may benefit from the administration of erythropoeitin (Epocrit). Immediate evidence that this is working as desired would be evident by elevation in which level?
A -Potassium
B -Total iron binding capacity (TIBC)
C -Lactate Dehydrogenase (LDH)
D -Red cell distribution width (RDW) - CORRECT ANSWER-D -Red cell
distribution width (RDW)
B -Actinic keratosis
C -Keratoacanthoma
D -Acanthuses nigricans - CORRECT ANSWER-D -Acanthuses nigricans
The determination of topical corticosteroid potency is largely based on the unique drug as well as which of the following variables?
A -Vehicle of delivery (cream, lotion, elixir, etc)
B -None of these are correct
C -Duration of use (once, continuous, etc)
D -Site of use (back, face, arms, etc) - CORRECT ANSWER-A -Vehicle of delivery
(cream, lotion, elixir, etc)
The most commonly described non-life threatening side effect of HmgCo-A reductase inhibitor therapy is which of the following?
A -Tachycardia
B -Myalgia
C -Rhabdomyolysis
D -Airway swelling - CORRECT ANSWER-B -Myalgia
During a post-hospital discharge visit, you notice your 71 year old female patient has been diagnosed with a "new murmur" found by the hospitalist during their recent hospitalization for CHF exacerbation. In evaluating the patient, during which phase of the cardiac cycle would you anticipate auscultation of a S3 or S heart sound?
A -Diastole
B -S3 in systole while S4 in diastole
C -Systole
D -S4 in diastole while S3 in systole - CORRECT ANSWER-A -Diastole
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 sounds correlate with the electrocardiographic waves?
A -At the end of the T wave
B -At the start of the T wave
C -Peak of the R wave
D -At the start of the P wave - CORRECT ANSWER-C -Peak of the R wave
Michael, a 72 year old male patient who previously presented with stable cardiac- type chest pain has underwent a stress test. He presents today to review the stress test results, which show EKG findings of ST segment depression during the exam in leads V3 and V4 as well as some concurrent chest discomfort. Based on these findings, which of the following are NOT priority medical decisions?
A -Prescribe metoprolol (Lopressor) 12.5mg PO BID
B -Prescribe aspirin 81mg PO daily
C -Refer to cardiology for angiography
D -Check for thyroid dysfunction - CORRECT ANSWER-D -Check for thyroid
dysfunction
patient. Which one of the following results would you expect to see in this patient?
A -Approximately equal level of change in the descent of the diaphragm bilaterally during maximal inspiration and expiration with a decreased overall inspiratory capacity
B -Ascension of 8-12 inches of the diaphragm noted bilaterally on expiration, though often much less on the right side due to the location of the heart and great vessels
C -Much greater descent of the diaphragm on the right side due to the liver present (two-three times larger)
D -Absent or no change in movement of the diaphragm noted between full
inspiration and full expiration measurement - CORRECT ANSWER-A -
Approximately equal level of change in the descent of the diaphragm bilaterally during maximal inspiration and expiration with a decreased overall inspiratory capacity
Your 50 year old Caucasian male patient has not seen a primary care giver in 20+ years and is here for a history and physical examination. While examining the head and face, you see your patient has nonpitting periorbital edema, particularly underneath their eyes and very dry, thinned hair, including the lateral third of eyebrows (as pictured below: Sparse hairline, thin lateral eyebrows, Periobital edema). Which one of the following would you expect to cause this finding?
A -Severe hypothyroidism
B -Addison's disease
C -Grave's disease
D -Alzhemiers - CORRECT ANSWER-A -Severe hypothyroidism
Your newly established patient states in the past year, they have progressively developed a noticeable bump on their neck and when asked about symptoms, they report feeling very anxious, have developed a tremor, and are commonly feeling palpitations in their chest. On examination, you identify an enlarged thyroid gland suspicious for a goiter. Of the following diagnoses, which is most likely for the patient to develop based on these findings above?A -Thyrotoxicosis
B -lodine Excess
C -Myxedema Coma
D -Hashimotos Thyroiditis - CORRECT ANSWER-C -Myxedema Coma
Your 32 year old female patient presented for a routine health exam states they have a diagnoses of hyperthyroidism by anotherprovider a year ago. In addition to evaluation with TSH and T4 labwork, which of the following represent typical signs of hyperthyroidism expected on your exam of this patient?
A -Hypersomnia
B -Tachycardia
C -Lethargy
D -Recent unplanned weight gain - CORRECT ANSWER-B -Tachycardia
Your patient with a diagnosis of autoimmune hepatitis is being seen in your clinic for routine liver serology and follow-up examination. Which of the following correctly identifies the normal liver span when percussing the liver of a HEALTHY adult?
A -6-12 cm in the midsternal line
B -4-8 in the left midclavicular line
