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CEA EXAM 2025 TEST BANK WITH 500
EXAM PREP QUESTIONS AND CORRECT
ANSWERS/ CEA FNP TEST 2025 TEST BANK
(100% CORRECT VERIFIED ANSWERS)
A 70-year-old patient presents to the clinic with dyspnea, palpitations, and fatigue.The patient reports a 2-week history of blackened stools, which the patient attributes to drinking berry juice. Assessment reveals vital signs of BP = 110/60, P = 100, R = 24; Hgb = 4.5 g/dL; Hct = 16%. What is the most appropriate immediate intervention?Send to the emergency room.
Rationale: This patient is experiencing a GI bleed and is in need of emergency
treatment due to their considerably low hemoglobin.An older adult has a follow-up fasting lipid panel 6 months after making therapeutic lifestyle changes. LDL=205mg/dL (Normal=<100mg/dL), HDL=44mg/dL, and triglycerides=180mg/dL (Normal-<150mg/dL). The patient is placed on statin therapy. Two months later, the patient presents for follow-up and complains of body aches. In addition to creatine phosphokinase (CPK), which of the following tests should the nurse practitioner order?Liver transaminase (AST and ALT) levels Rationale: Due to the potential liver function test elevation found with statin use, LFTs of AST/ALT should be checked routinely after initiation of therapy A 56-year-old male on your service has been diagnosed with colon cancer which is localized. What is the primary management that you should expect to prepare your patient for?Surgery
Rationale: Surgery is the only curative modality for localized colon cancers.
Patients with progressive/metastatic disease may require chemotherapy/radiation.A 28-year-old woman presents with abdominal pain, diarrhea, and weight loss. She also reports occasional bloody stools. Colonoscopy reveals continuous 1 / 4
pg. 2 inflammation from the rectum extending proximally. What is the most likely diagnosis?Ulcerative colitis
Rationale: The presence of inflammatory bowel disease which is present in the
patient with bloody stool suggests ulcerative colitis. This patient should be acutely managed with steroids and chronically with auto-immune therapy such as biologics and/or DMARDs.A 63-year-old male presents with a suspected lower GI bleed. He reports passing frank small amounts of blood several times today. He denies use of NSAID's or blood thinners. What questions would be important to ask to further differentiate your diagnosis?All these questions would help determine if this bleed was associated with a potential diverticular bleed (typically painless), painful bowel movement associated with IBD (UC/Crohn's), and changes in bowel habit/colonoscopy risk for malignancy.Which is best performed to assess the risk for fall in an 88-year old adult?Get up and go test Rationale: This question is asking you if you understand the different screening to available for Mobility and fall risk. The global screening assessment, PHQ-2 questionnaire, and clock drawing test have no clinical significance to mobility. The "get up and go" test is the only option that is a mobility test of these four.A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with aging is the most likely cause?Decreased bowel muscle tone Rationale: The frail, elderly patient will typically have their GI track decrease bile secretion and decrease absorption of calcium. A decrease in pancreas secretions is not related to presence of constipation, however, decreased bowel muscle tone certainly does reduce the GI motility and increase the transit time, thereby increasing the drying of stool in the large intestine which leads to constipation An elderly patient diagnosed with end-stage lung cancer has been refusing meals, opting instead for ice cream only. The family is concerned about the patient not
getting enough nutrition. The NP: 2 / 4
pg. 3 explains loss of appetite is common at the end of life Rationale: Death is an uncomfortable topic, and must be handled tactfully. Factual re-orientation to the terminal state of a patient's condition may be appropriate when unrealistic expectations for their longevity have been voiced. The reasonable choice in this case is to describe the normalcy of what the patient is experiencing with their loss of appetite and their terminal state. Testing the patient for depression has really no clinical bearing on this particular time nor does prescribing methylphenidate. Ordering a UA and CBC would suggest a concern of a urinary tract infection, and that is not a likely scenario to describe the patient's existing condition. Support the patient as his advocate by helping the man enjoy the ice cream he requested.An elderly patient is being admitted to the skilled nursing facility and is being screened for the risk of falling. Which of the following information would trigger a complete falls assessment?A history of two or more falls in the prior year Rationale: Of these options, the only two that have any clinical bearing on falls are a patient who has a demonstrated incident of two or more falls in a year and a patient who has a altered cognition, such as the patient who is living alone and has mild dementia. Of the two options, the clear winner is the patient who has already demonstrated to fall in the last year and they should certainly be a valuated more thoroughly with a complete fall assessment.
The management of COPD in the elderly is best guided by:
symptomatology.
Rationale: Symptomatology is what guides COPD management since the severity
and frequency of symptoms will warrant changes and additions to medications as exacerbations present.Although very useful tool for chronic management and baseline status, spirometry does not typically dictate therapy, rather diagnose the disease state itself. Our blood gases may be used for clinically correlate severity during an exacerbation, and radiologic imaging may showcase severity of stable chronic finding such as somatic, lung tissue or bullae.Which of the following is an example of implied consent?The patient collapses while having a myocardial infarction in the hospital cafeteria.Bystanders witnessed the patient clutch his chest, say "my chest", then collapse. 3 / 4
pg. 4 They start CPR and initiate the emergency care system to transport the patient for care in the emergency department.Rationale: Surgical consent is by definition "informed" when the risks and benefits are discussed as with the patients undergoing surgery and a chest tube, and
- person emergency consent is described with the patient with altered mental
status. The collapsed patient reflects a clear inability to care for oneself and care is being performed under the assumption of what is implied as what any reasonable person would want.Which of the following refers to the primary access point of medical care patients are encouraged to use to aid in providing continuity and reduction of cost per the Affordable Care Act?The Medical Home
Rationale: The medical home reduces cost by providing continuity of care,
reducing overtesting, duplicate testing, and aids with longitudinal management of the patient. The other options all increase these cost-burdening elements and should be avoided unless care through the medical home is not a reasonable or appropriate option.A patient states they do not want to have any further medical care and wishes to leave against medical advice. Unknown to you, the healthcare tech then held their arm down to get an IV catheter placed against their will. The healthcare tech is at
risk of being charged with which of the following:
Battery Rationale: Assault refers to the risk of a harm to others, whereas battery refers to the actual act of that harm.Which act formed in 1996 was created to protect patient health information from being disclosed without the patient's consent or knowledge?Health Insurance Portability and Acountability Act (HIPAA)
Rationale: The Health Insurance Portability and Accountability Act of 1996
(HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge. FERPA was aimed at educational protections similar to HIPAA but for education. COBRA is for continuing insurance benefits after separation from employment. EMTALA is to guarantee provision of emergency treatment for stabilization or for those in active labor.
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