Description
NR547 Week 2 CEA Pre-Clinical Diagnostic Exam

- Multiple Choice – 1 point
When using a sphygmomanometer, which one of the following would result in an inaccurate, falsely decreased blood pressure?
- Utilizing a blood pressure cuff that is too large for the patient’s arm. ✅
- Having the patient lying in trendelenberg position
- Utilizing a cuff that is too small for a patient’s arm.
- Having the patient’s arm positioned below their heart
Correct Answer: 1. Utilizing a blood pressure cuff that is too large for the patient’s arm. ✅
- Multiple Choice – 1 point
Where would you anticipate hearing a S1 or S2 heart sound in the cardiac cycle?
- Diastole
- S1 in systole while S2 in diastole ✅
- S1 in diastole while S2 in systole
- Neither in Systole
Correct Answer: 2. S1 in systole while S2 in diastole ✅
- Multiple Choice – 1 point
Where would the S2 heart sounds correlate with the electrocardiographic waves?
- At the start of the P wave.
- Peak of the R wave.
- At the end of the T wave. ✅
- At the start of the QRS wave.
Correct Answer: 3. At the end of the T wave. ✅
- Multiple Choice – 1 point
The point of maximum impulse (PMI) is MOST often palpable in healthy adults when positioned in the supine or left lateral decubitus position. Which one of the following valves is most likely to be heard in this location?
- Aortic valve
- Tricuspid valve
- Mitral valve ✅
- Pulmonic valve
Correct Answer: 3. Mitral valve ✅
- Multiple Choice – 1 point
You auscultated abnormal breath sounds, and now assess transmission of voice sounds by having the patient say “ee” while auscultating the chest with the diaphragm of your stethoscope. Normally you should auscultate a muffled “e” sound, however, you hear a nasally “a” sound. Which one of the following is present?
- Stereognosis.
- Whispering pectoriloquy.
- Bronchophony.
- Egophony. ✅
Correct Answer: 4. Egophony. ✅
- Multiple Choice – 1 point
How does performing percussion of the thorax assist the provider during the physical examination?
- To assess for any pain or discomfort prior to palpitation of the chest wall.
- To identify if underlying tissue are air-filled, fluid-filled or consolidated. ✅
- To assess for deep-seated lesion and tumors.
- To assist with the confirmation of cardiac origin of angina.
Correct Answer: 2. To identify if underlying tissue are air-filled, fluid-filled or consolidated. ✅
- Multiple Choice – 1 point
You are about to perform a diaphragmatic excursion test on your healthy patient. Which one of the following results would you expect to see in a healthy patient with no abnormalities?
- Approximately equal level of change in the descent of the diaphragm bilaterally during maximal inspiration and expiration. ✅
- Much greater descent of the diaphragm on the right side due to the liver present (two-three times larger).
- 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.
- Absent or no change in movement of the diaphragm noted between full inspiration and full expiration measurement.
Correct Answer: 1. Approximately equal level of change in the descent of the diaphragm bilaterally during maximal inspiration and expiration. ✅
- Multiple Choice – 1 point
A large inspiration of air to the further extent the patient can reasonably accomplish followed by a full exhalation is referred to as forced vital capacity. This is part of which common pulmonary examination?
- Ventilatory perfusion scan
- Peak flow testing
- Reserve capacity testing
- Pulmonary function testing ✅
Correct Answer: 4. Pulmonary function testing ✅
- Multiple Choice – 1 point
A large goiter on the neck is most likely related to which of the following diagnoses?
- Hypothyroidism
- Myxedema Coma.
- Hyperthyroidism. ✅
- Hashimotos Thyroiditis.
Correct Answer: 3. Hyperthyroidism. ✅
- Multiple Choice – 1 point
Your patient states they have a diagnosis of hyperthyroidism. On assessment, which of the following represent typical findings of hyperthyroidism?
- Tremor ✅
- Hypersomnia.
- Recent unplanned weight gain.
- Bradycardia.
Correct Answer: 1. Tremor ✅
- Multiple Choice – 1 point
While assessing a patient with Cushing’s disease, you might expect to find which of the following?
- Kyphosis.
- Low blood pressure.
- Low body temperature.
- Moon face. ✅
Correct Answer: 4. Moon face. ✅
- Multiple Choice – 1 point
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?
- 24 hour urine collection for metanephrines.
- Non-dilated eye exam. ✅
- Audiogram.
- Pulmonary function testing.
Correct Answer: 2. Non-dilated eye exam. ✅
- Multiple Choice – 1 point
Which of the following are functions of the liver?
- Clotting factor formation ✅
- Thrombocyte formation
- Platelet formation
- Erythrocyte formation
Correct Answer: 1. Clotting factor formation ✅
- Multiple Choice – 1 point
Which of the following correctly identifies the order of the abdomen assessment during physical examination?
- Percussion, auscultation, palpation, inspection.
- Auscultation, palpation, percussion, inspection.
- Inspection, auscultation, palpation, percussion.
- Inspection, auscultation, percussion, palpation. ✅
Correct Answer: 4. Inspection, auscultation, percussion, palpation. ✅
- Multiple Choice – 1 point
Pain in the left lower quadrant abdomen is most likely suggestive of which of the following diagnoses?
- Pancreatitis
- Diverticulitis ✅
- Appendicitis
- Cholecystitis
Correct Answer: 2. Diverticulitis ✅
- Multiple Choice – 1 point
Which of the following statements is FALSE about assessment of the patient with small bowel obstruction (SBO)?
- Early SBO presents with hyperactive bowel sounds.
- Late SBO presents with hypoactive bowel sounds.
- Early SBO presents with hypoactive bowel sounds. ✅
- None of the above are false statements.
Correct Answer: 3. Early SBO presents with hypoactive bowel sounds. ✅
- Multiple Choice – 1 point
Your patient is seeing you for complaints of sinus pressure and congestion. Which one of the following sinuses cannot be transilluminated during your examination?
- Frontal.
- Maxillary.
- Frontal and Maxillary.
- Sphenoid. ✅
Correct Answer: 4. Sphenoid. ✅
- Multiple Choice – 1 point
Your patient who had a visit one day ago at urgent care during which the previous provider documented “identified anterior cervical lymphadenopathy” on exam. Your patient having the same presentation today will likely present with which of the following associated symptoms?
- Tenderness over the back of their skull on their occiput.
- Stationary or not moveable lymph nodes on palpation.
- Tender, palpable lymph nodes over their anterior neck. ✅
- Hard lymph nodes on palpation.
Correct Answer: 3. Tender, palpable lymph nodes over their anterior neck. ✅
- Multiple Choice – 1 point
Aqueous humor, the transparent mass of clear liquid is normally found in which chamber(s) of the eye?
- Anterior only.
- Posterior only.
- None of the above; it’s only seen as an abnormal finding with malignancy.
- Both but greater in the anterior chamber. ✅
Correct Answer: 4. Both but greater in the anterior chamber. ✅
- Multiple Choice – 1 point
Having the patient cover their right eye and you covering your left eye, then bringing a set number of fingers or wiggling fingers into each quadrant of the patient’s visual field having them identify when they see your fingers/movement is known as which?
- Confrontation. ✅
- Visual acuity.
- Convergence.
- Refractory reflex.
Correct Answer: 1. Confrontation. ✅
- Multiple Choice – 1 point
Your patient presents with a history of menorrhagia, and you believe that may have untreated iron deficiency anemia based on their pale conjunctiva and weakness. Which of the following are evaluations which may support this diagnosis?
- Low RDW, Elevated MCV.
- Elevated RDW, Elevated MCH.
- Low Ferritin, Elevated TIBC. ✅
- Low TIBC, Elevated Iron.
Correct Answer: 3. Low Ferritin, Elevated TIBC. ✅
- Multiple Choice – 1 point
A patient of Mediterranean descent who presents with microcytic anemia with normal red cell distribution width should be evaluated for which of the following types of anemia?
- Iron deficiency
- Lead poisoning
- B12 deficiency
- Thalassemia ✅
Correct Answer: 4. Thalassemia ✅
- Multiple Choice – 1 point
The workup for a patient with macrocytic anemia should include which of the following?
- Folate deficiency ✅
- Vitamin D deficiency
- Iron and TIBC
- Vitamin B6 deficiency
Correct Answer: 1. Folate deficiency ✅
- Multiple Choice – 1 point
While assessing a patient with end stage renal disease (ESRD) who just started on hemodialysis who has never received erythropoietin, you would anticipate which of the following levels?
- Low MCV.
- Normal RDW. ✅
- Low RDW, Elevated MCV.
- Elevated MCH.
Correct Answer: 2. Normal RDW ✅
- Multiple Choice – 1 point
A patient has been diagnosed with angioedema. What of the following parts of the body are most likely involved?
- Face and Lips. ✅
- Abdomen.
- Genetalia.
- Chest.
Correct Answer: 1. Face and Lips ✅
- Multiple Choice – 1 point
Which of the following immunoglobulin are known to be the “historian” of the body who provide long-term memory of previous exposure?
- IgM.
- IgA.
- IgD.
- IgG. ✅
Correct Answer: 4. IgG ✅
- Multiple Choice – 1 point
Which immunoglobulin is most associated with mucous membranes and auto-immune disease states such as nephritis?
- IgG.
- IgM.
- IgD.
- IgA. ✅
Correct Answer: 4. IgA ✅
- Multiple Choice – 1 point
A patient with a suspected diagnosis of systemic lupus erythematosus (SLE) should be evaluated for which of the following?
- Gel electrophoresis.
- Antinuclear antibody. ✅
- Rheumatoid factor lab.
- Spectrophotometric assay.
Correct Answer: 2. Antinuclear antibody ✅
- Multiple Choice – 1 point
Which one of the following glands commonly require incision and drainage due to being plugged and causing firm erythematous confluence under the skin prior to draining?
- Eccrine.
- Epidermis.
- Apocrine. ✅
- Sebaceous.
Correct Answer: 3. Apocrine ✅
- Multiple Choice – 1 point
When screening for melanoma, which one of the following findings would be considered a suspicious feature of a mole characteristic of a possible melanoma?
- Diameter of 1 cm. ✅
- Symmetry of the lesion, mirror-like image when divided in half.
- Regular border.
- Brown color.
Correct Answer: 1. Diameter of 1 cm ✅
- Multiple Choice – 1 point
Which of the following is a Herpes Simplex Virus (HPV) exposure-related lesion?
- Verucca. ✅
- Actinic Keratosis.
- Seborrheic dermatitis.
- Basal cell carcinoma.
Correct Answer: 1. Verucca ✅
- Multiple Choice – 1 point
Which of the following represents a concerning finding for melanoma?
- Asymmetrical nature. ✅
- Brown color.
- Diameter of 0.4 cm.
- Regular borders.
Correct Answer: 1. Asymmetrical nature ✅
- Multiple Choice – 1 point
A deficit of which of the following neurotransmitters is related to clinical depression?
- Glutamate.
- Serotonin. ✅
- GABA.
- Dobutamine.
Correct Answer: 2. Serotonin ✅
- Multiple Choice – 1 point
The diagnosis of anxiety in your 22-year-old male patient may be differentiated from hyperthyroidism with the use of which of the following exams?
- Electrocardiogram.
- TSH and free T4. ✅
- Free cortisol.
- Tensilon test.
Correct Answer: 2. TSH and free T4 ✅


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