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NR 547 Week 1 Exam; CEA Pre-Clinical Diagnostic Exam, Exams of Nursing

Chamberlain College of NursingNursing

NR 547 Week 1 Exam; CEA Pre-Clinical Diagnostic Exam

Typology: Exams

2024/2025

Available from 02/21/2025

Milestonee
Milestonee 🇺🇸

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CEA EXAM
1.
Suspicion while percussing the liver: Percussion that
changes from dull to tympany as you percuss from the
left anterior axillary line to the left sternal border
2.
26 y/o pt, assessing ROM of the shoulder: rotator cuff
injury
3.
Unequal shoulder height and lateral curvature of the
spine: Scoliosis
4.
What is that awful taste: Gustatory
5.
43 y/o male patient with macrocytic anemia: Vit B12
6.
24 y/o erythema on face : doxycycline
7.
28 y/o male pt Hyperthyroidism testing: TSH and free T4
8.
22 year old pt systematic lupus SLE: Butterfly rash on face
9.
Elderly man h/o Ehlers Danlos of retinal detachment
gas pneumopexy: posterior only
10.
Highest level of research quality: Systematic review
11.
Hyperthyroid crisis: Tachycardia
12.
Second oral anti-diabetic agent: HGB A1c 8.0
13.
Drug never be used as monotherapy for
asthma management: Long acting beta
antagonist
14.
18 y/o complaining of hematuria post strep
infection: Glomerulonephritis
15.
Enlarged object remarked that to needs be
removed: Thymic remnant
16.
PT with PAD benefit from what agent:
Cilostazol ( pletal )
17.
Gag reflex impaired in cancer pt: glossopharyngeal
18.
SSRI SNRI MAOI must be individualized due to
the risk of : serotonin Syndrome
19.
22 y/o pt scrotum full: Varicocele
20.
Decreased reflexes confusion sleepiness
bladder paralysis flushing and headache:
magnesium toxicity
21.
Early renal dysfunction secondary to DM
pf3
pf4
pf5
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CEA EXAM

  1. Suspicion while percussing the liver: Percussion that changes from dull to tympany as you percuss from the left anterior axillary line to the left sternal border
  2. 26 y/o pt, assessing ROM of the shoulder: rotator cuff injury
  3. Unequal shoulder height and lateral curvature of the spine: Scoliosis
  4. What is that awful taste: Gustatory
  5. 43 y/o male patient with macrocytic anemia: Vit B
  6. 24 y/o erythema on face : doxycycline
  7. 28 y/o male pt Hyperthyroidism testing: TSH and free T
  8. 22 year old pt systematic lupus SLE: Butterfly rash on face
  9. Elderly man h/o Ehlers Danlos of retinal detachment gas pneumopexy: posterior only
  10. Highest level of research quality: Systematic review
  11. Hyperthyroid crisis: Tachycardia
  12. Second oral anti-diabetic agent: HGB A1c 8.
  13. Drug never be used as monotherapy for asthma management: Long acting beta antagonist
  14. 18 y/o complaining of hematuria post strep infection: Glomerulonephritis
  15. Enlarged object remarked that to needs be removed: Thymic remnant
  16. PT with PAD benefit from what agent: Cilostazol ( pletal )
  17. Gag reflex impaired in cancer pt: glossopharyngeal
  18. SSRI SNRI MAOI must be individualized due to the risk of : serotonin Syndrome
  19. 22 y/o pt scrotum full: Varicocele
  20. Decreased reflexes confusion sleepiness bladder paralysis flushing and headache: magnesium toxicity
  21. Early renal dysfunction secondary to DM

or HTN: Urinalysis with macro/micro albumin

  1. 19 y/o pt abd pain and heartburn not supportive of peritonitis: absence of pain with withdrawal of palpation
  2. 72 year old patient CKD,DM, hypothyroidism TSH 9 labs findings: Cold intolerance
  3. 71 y/o pt auscultate S3, S4 murmur: Diastole

enterococcus

  1. 19 year old sexually active female shufÒing gait: Pelvic inflammatory disease treat for gonorrhea and chlamydia
  2. Agent that contracts the afferent arteriole of administration: Ibuprofen ( advil)
  1. Addison’s disease expected findings: lower body temperature
  2. 20 year old exchange student positive gonorrhea and chlamydia treatment: Ceftriaxone IM plus Zithromax PO
  3. 43 year old female patient 80,000 platelet count diagnosis: thrombocytopenia
  4. 22 year old trans female hypotension, pallor and hypothermia abrupt withdrawn of medication: Prednisone ( deltasone)
  5. 62 year old female pt with erythema on the face surrounding nasolabial folds dandruff : Seborrheic Dermatitis
  6. 72 year old female patient EKG shows findings of ST segment depression in V3 leads and V4 and chest pain NOT priority: Check for thyroid dysfunction
  7. Non pharmacologic management of GERD aggravated by all of the following EXCEPT: Gastric dumping, or increased emptying into the small intestines
  8. PT h/o hepatitis A immunoglobulin: IgG
  9. 55 year old pt on lisinopril B/P 140/90 pt should be aware of life threatening if untreated: Potassium
  10. Dilating the different arteriole of the kidney by reducing elimination of creatinine during admin: Ibuprofen
  11. 55 y/o male patient with h/o of dm HF and HLD- leg pain with ambulation, SOB, hair loss on anterior tibial surfaces, plan: peripheral arterial disease, order a brachial index
  12. Late adolescent female with heavy menses pale conjunctiva/ microcytic anemia what labs to order: TIBC and Ferritin
  13. 24 y/o female with migraines and endometriosis what question is priority: Do you have visual sign or taste symptoms before you migraine symptoms present?
  1. 68 year old female pt unable to move both upper and lower muscles in on the left side of face: a left peripheral lesion
  2. 28 year old pt wheezing status asthmatics IM agent: Terbutaline (bricanyl)
  3. Patient pointing out tongue deviates to the left: Cranial nerve XII hypoglossal nerve) lesion on the left
  4. 39 year old patient appendectomy post op dull percussion sound over thorax: Atelectasis
  5. Phase 2 migraine: patients in phase 2 migraine need serotonin agonism
  6. Protocol for assessing cranial nerve 1: have the patient close their eyes and accurately identify 2 different scents with one nostril closed at a time
  7. Sensory assessment on face what cranial nerve: Cranial nerve V
  8. 52 year old male pt difÏculty hearing weber test increase vibrations in right ear: Left sided sensorineural hearing loss
  9. Covered pt right eye while you covered your left eye: normal confrontation
  10. Fist line medications for PTSD and MDD: SSRI’s selective serotonin reuptake inhibitors
  11. 29 year old male patient drowsy sleeping in exam chair mental status: lethargic
  12. Most common cause of uterine ca : obesity and smoking
  13. 25 year old female pt malodorous discharge from vagina NOT a test for bacterial vaginosis: Gonorrhea and Chlamydia DNA probe
  14. 47 year old with COPD and CAD safest beta blocker for COPD management: Metoprolol( Lopressor)
  15. Auscultate pt crackles in the posterior left lobe suspect: Atelectasis
  16. 56 y/o pt h/o of smoking sedentary lifestyle DM

post TIA what’s the etiology: TIA’s are caused by focal brail spinal cord or retinal ischemia without infarction

  1. Most common no life threatening s/e of HmgCo-A reductase inhibitor therapy: Myalgia

thorax: to identify if underlying tissue are air filled fluid filled or consolidated

  1. 72 y/o with h/o CABG and AVR c/o of syncope when standing potential complication: Bioprosthetic valve stenosis
  2. 56 y/o pt with HTN migraines HLD and seasonal depression c/o of LE edema and constipation common cause of s/e? Amlodipine
  1. Pt with acute closed glaucoma diagnosis: Increase in intraocular pressure
  2. 32y/o patient 3 days sick dx community acquired pneumonia medication to prescribe first: Amoxil Amoxicillin
  3. 19y/o pt with angioedema: Face and lips
  4. PMI: Left 5 th intercostal space midclavicular line
  5. Pt with persistent acne vulgaris and Accutane: Adherence to I-PLEDGE( do not take while pregnant)
  6. Lip smacking while on Haldol what is the best strategy: Switch to quetiapine ( Seroquel)
  7. Pt with ESRD on dialysis experiencing anemia desired elevation in which level: RDW red cell distribution
  8. Pt with elevated WBC fever chills what is the potential cause of the elevated WBC: DM type 2
  9. Chronic alcoholism what findings to anticipate on the CBC with diff: elevated MCV and MCH
  10. 19 y/o c/o jaw pain ear pain symptoms of TMJ EXCEPT: Relief from pain with joint displacement
  11. Common causes of DVT: All of these are common causes of DVT
  12. Newly prescribed Elavil for migraine what to include in teaching: dry mouth and constipation
  13. 33 y/o with adb pain: inspect, auscultate, palpate, percuss
  14. 62 y/o pt with tinnitus what is potential cause of extrinsic tinnitus: Aspirin 325mg
  15. B/P 160/92 all of the findings suspect renal artery disease except: HTN controlled on 2 medications
  16. The use of penicillin G should be considered for which: Gram positive cocci
  17. What med class treats underlying long term disease state with auto immune disorders:
  1. ABCDE for melanoma suspicious finding: Irregular borders
  2. 47 y/o pt labs HgbA1C 7.2 type 2 dm dx common s/e of Type 2 DM medication: diarrhea
  3. Small differences in dose or blood concentration may lead to serious therapeutic failures: Narrow therapeutic index
  4. Determination of Corticosteroid tx is based on : vehicle of delivery( cream lotion, elixir, etc.)
  5. Pt with new onset rapid HF HR 100 B/P 120/ first priority intervention: Maintain rate control and anticoagulated prior to rhythm conversion
  6. 29 y/o that saw pretty awful things: Post traumatic stress disorder
  7. 22 y/o pt complains of sinus pressure and congestion what to palpate: frontal
  8. 51 y/o pt weak pallor an microcytic anemia treatment is augmented by the used of: Vit C
  9. 49 y/o pt with pale skin and freckles a patchy area of telangiectasia on the lesions what is the treatment: Prednisone ( deltasone orally
  10. Where would the S1 heart sounds correlate with the electrocardiographic waves: Peak of the R wave
  11. Clinical depression what to treat: Serotonin
  12. 38 y/o pt darkened velvety skin in groin and axilla what dx: acanthuses nigricans
  13. Type 1 hypersensitive reaction tx except: All of these may be used to treat type 1
  14. Swelling of the face and difÏculty breathing what’s the dx: IgE mediated type 1 hypersensitivity reaction
  15. Most comment dx for those who self-harm: Depression
  16. Xray fall from ladder SOB: tension pneumothorax trachea shifted to unaffected side
  17. 2 year old male patient with unilateral leg swelling and tenderness after an all nighter; if they find a blood clot

I will need to use enoxaparin in addition to coumadin until my INR is over 2.

  1. 21 pounds heavier than baseline weight: anasarca