- | P a g e
CEA EXAM NEWEST 2025 ACTUAL EXAM COMPLETE
250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS ) |ALREADY GRADED
A+||BRAND NEW!!
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 1 / 4
- | P a g e
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:
explains loss of appetite is common at the end of life 2 / 4
- | P a g e
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 3 / 4
- | P a g e
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. They start CPR and initiate the emergency care system to transport the patient for care in the emergency department.
- / 4