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NR511 CEA Pre-clinical Diagnistic Exam

1. Multiple Choice — 1 point

Darkened or velvety skin in the neck, groin, and/or axilla commonly shares which of the following physical exam associated findings? (Hint: collectively they suggest metabolic syndrome)

○ Actinic keratosis.

○ Sickle cell disease.

○ Keratoacanthoma.

○ Acrochordon. ✅

2. Multiple Choice — 1 point

You are assessing a 19-year-old patient who complains that her arm hurts. When assessing, you ask her to flex her arm at the elbow against resistance, but the patient reports tremendous pain when attempting to do this over the mid-shaft humerus. Which one of the following would you suspect?

○ Biceps brachii injury. ✅

○ Ulnar nerve injury.

○ Rotator cuff injury.

○ Radius fracture.

3. Multiple Choice — 1 point

A patient with acute symptoms of Crohn’s disease would most likely be started on which of the following medications to manage the acute flare?

○ Ibuprofen (Advil).

○ Prednisone (Deltasone). ✅

○ Adalimumab (Humira).

○ Methotrexate (Trexall).

4. Multiple Choice — 1 point

The patient who inappropriately exhibits fear of abandonment, intense interpersonal relationships, affective instability, and recurrent self-harm describes which of the following:

○ Seasonal affective disorder.

○ Bipolar disorder.

○ Borderline personality disorder. ✅

○ Reactive attachment disorder.

5. Multiple Choice — 1 point

Patients who have ascending weakness and undergo diagnostic testing for myasthenia gravis should be evaluated for which of the following?

○ Thymic remnant. ✅

○ Potts tumor.

○ Coumerals diverticulum.

○ Adrenal tumor.

6. Multiple Choice — 1 point

How does performing percussion of the thorax assist the provider during the physical examination?

○ To identify if underlying tissue are air-filled, fluid-filled or consolidated. ✅

○ To assist with the confirmation of cardiac origin of angina.

○ To assess for deep-seated lesion and tumors.

○ To assess for any pain or discomfort prior to palpitation of the chest wall.

7. Multiple Choice — 1 point

The workup for a patient with macrocytic anemia should be include which of the following?

○ Vitamin D deficiency

○ Iron and TIBC

○ Folate deficiency ✅

○ Vitamin B6 deficiency

8. Multiple Choice — 1 point

The patient with a history of migraines with aura should be taught to avoid which of the following agents?

○ Estrogen-containing contraceptives. ✅

○ Progesterone-containing contraceptives.

○ Lupron.

○ Triptans.

9. Multiple Choice — 1 point

An “S” or “C” side-to-side curvature of the spine would be associated with which one of the following spinal abnormalities?

○ Rhuematoid Arthritis (RA).

○ Kyphosis.

○ Lordosis.

○ Scoliosis. ✅

10. Multiple Choice — 1 point

Transitioning from one anti-depressive agent to another (such as between SSRIs, SNRIs, or MAOIs) must be individualized based on the unique drugs’ metabolism because using both agents at once may put the patient at risk of which of the following?

○ Serotonin syndrome. ✅

○ Acute dystonia.

○ Neuroleptic malignant syndrome.

○ Discontinuation syndrome.

11. Multiple Choice — 1 point

Which of the following findings confirms a diagnosis of pyelonephritis?

○ Enterococcus in urine.

○ RBC casts on urinalysis with microscopy.

○ WBC casts on urinalysis with microscopy. ✅

○ Gram positive bacteria in bloodstream.

12. Multiple Choice — 1 point

A patient with which of the following chronically administered medications stopped abruptly would not be at risk for Addisonian crisis?

○ Fludrocortisone (Florinef).

○ Spironolactone (Aldactone). ✅

○ Hydrocortisone (Hydrocortisone).

○ Prednisone (Deltasone).

13. Multiple Choice — 1 point

Medications are most likely to cross the blood brain barrier if they are which of the following options?

○ Large in molecule size

○ Lipophobic

○ Hydrophilic

○ Lipophilic ✅

14. Multiple Choice — 1 point

Which of the following agents when given orally should include rinsing the mouth for risk of development of oral candidiasis (thrush)?

○ Inhaled corticosteroids. ✅

○ Long acting beta agonists.

○ Short acting beta agonists.

○ Leukotriene inhibitors.

15. Multiple Choice — 1 point

Aqueous humor, the transparent mass of clear liquid is normally found in which chamber(s) of the eye?

○ Posterior only.

○ Both but greater in the anterior chamber. ✅

○ None of the above; it’s only seen as an abnormal finding with malignancy.

16. Multiple Choice — 1 point

A 14-year-old female patient with uncomplicated urinary tract infection and a history of ulcerative colitis would most likely be treated with which of the following oral antibiotics?

○ Clindamycin (Cleocin).

○ Nitrofurantoin (Macrobid). ✅

○ Tobramycin (Tobrex).

○ Doxycycline (Vibramycin).

17. Multiple Choice — 1 point

Which of the following agents is considered a cardioselective beta blocker?

○ Propranolol (Inderal).

○ Metoprolol (Lopressor). ✅

○ Carvedilol (Coreg).

○ Labetalol (Trandate).

18. Multiple Choice — 1 point

Which drug must never be used as monotherapy during asthma management?

○ Leukotriene inhibitors.

○ Inhaled corticosteroids.

○ Short acting beta agonists.

○ Long acting beta agonists. ✅

19. Multiple Choice — 1 point

What is the most common side effect of non-dihydropyridine calcium channel blockers?

○ Bradycardia and insomnia.

○ Constipation and edema. ✅

○ None of these are correct.

○ Diarrhea and diuresis.

20. Multiple Choice — 1 point

Which of the following levels should the nurse practitioner observe for potentially harmful elevation with the prescription of Valsartan (Diovan)?

○ Potassium. ✅

○ Calcium.

○ Pro-BNP.

○ BNP.

21. Multiple Choice — 1 point

Patients with suspected pyelonephritis may be sensitive during which of the following examinations?

○ Romberg test.

○ Murphy’s test.

○ Renal punch test. ✅

○ Morton’s test.

22. Multiple Choice — 1 point

Patients who have a suspected pelvic inflammatory disease (PID) diagnosis should be treated with which of the following agents?

○ Doxycycline (Vibramycin) alone.

○ Amoxicillin (Amoxil) plus Metronidazole (Flagyl).

○ Cephalexin (Keflex) only.

○ Ceftriaxone (Rocephin) IM plus Azithromycin (Zithromax) PO. ✅

23. 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?

○ Apocrine. ✅

○ Sebaceous.

○ Eccrine.

○ Epidermis.

24. Multiple Choice — 1 point

Your patient has presented with dysfunctional uterine bleeding (DUB). Which of the following evaluations is most useful to perform first to find the leading cause of DUB?

○ Vitamin K.

○ BMP.

○ CBC.

○ Pregnancy test. ✅

25. Multiple Choice — 1 point

Which one of the following would raise your suspicion of the presence of splenomegaly?

○ Presence of a positive Western Blot test.

○ Percussion that changes from tympany to dull as you percuss from the right midaxillary line to the right anterior axillary line.

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