NR 511 CEA EXAM CHAMBERLAIN UNIVERSITY | NR 511 COMPREHENSIVE
CLINICAL EXAM (CEA) 2026–2027 QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
Course
NR 511
Question 1
A 58-year-old man presents with crushing substernal chest pain radiating to the left arm for 30
minutes accompanied by diaphoresis and nausea. What is the priority diagnosis?
A. GERD
B. Costochondritis
C. Acute Coronary Syndrome
D. Anxiety attack
Answer: C. Acute Coronary Syndrome
Rationale
Classic ischemic chest pain includes pressure-like substernal discomfort radiating to the left arm,
neck, or jaw with diaphoresis and nausea. ACS must be ruled out first because delayed
treatment significantly increases mortality.
Question 2
Which patient requires immediate emergency department referral?
A. 42-year-old with seasonal allergies
B. 68-year-old with sudden unilateral weakness and slurred speech
C. 30-year-old with viral pharyngitis
D. 24-year-old with migraine
Answer: B. 68-year-old with sudden unilateral weakness and slurred speech
Rationale
These symptoms indicate possible acute ischemic stroke. Time-sensitive intervention may
preserve neurological function.
,Question 3
A patient has BP readings averaging 152/94 mmHg on three visits. What is the most appropriate
diagnosis?
A. Elevated BP
B. Stage 1 Hypertension
C. Stage 2 Hypertension
D. Hypertensive Crisis
Answer: C. Stage 2 Hypertension
Rationale
ACC/AHA:
Stage 1: 130–139 or 80–89
Stage 2: ≥140 or ≥90
Question 4
Which medication is first-line for uncomplicated hypertension in a patient without compelling
indications?
A. Prednisone
B. ACE inhibitor
C. Digoxin
D. Diazepam
Answer: B. ACE inhibitor
Rationale
ACE inhibitors, ARBs, thiazide diuretics, and calcium channel blockers are recommended first-
line options depending on patient characteristics.
Question 5
Which laboratory test best evaluates long-term diabetic control?
,A. Random glucose
B. HbA1c
C. Urine glucose
D. Serum insulin
Answer: B. HbA1c
Rationale
HbA1c reflects average blood glucose over approximately three months.
Question 6
Which finding strongly suggests diabetic peripheral neuropathy?
A. Positive Murphy sign
B. Burning feet with decreased monofilament sensation
C. McBurney tenderness
D. Positive Homan sign
Answer: B. Burning feet with decreased monofilament sensation
Rationale
Peripheral neuropathy causes symmetric burning pain, numbness, and loss of protective
sensation.
Question 7
A patient has fasting glucose of 140 mg/dL on two separate occasions.
Diagnosis?
A. Prediabetes
B. Diabetes Mellitus
C. Normal
D. Hypoglycemia
, Answer: B. Diabetes Mellitus
Rationale
Diabetes is diagnosed with fasting plasma glucose ≥126 mg/dL on two occasions.
Question 8
Which medication should generally be avoided in older adults because of strong anticholinergic
effects?
A. Metformin
B. Diphenhydramine
C. Lisinopril
D. Atorvastatin
Answer: B. Diphenhydramine
Rationale
It increases confusion, urinary retention, constipation, and fall risk.
Question 9
Which patient should undergo abdominal aortic aneurysm screening?
A. 70-year-old male who smoked
B. 30-year-old female
C. Healthy teenager
D. 40-year-old nonsmoker
Answer: A. 70-year-old male who smoked
Rationale
One-time ultrasound is recommended for men aged 65–75 who have ever smoked.
Question 10
CLINICAL EXAM (CEA) 2026–2027 QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
Course
NR 511
Question 1
A 58-year-old man presents with crushing substernal chest pain radiating to the left arm for 30
minutes accompanied by diaphoresis and nausea. What is the priority diagnosis?
A. GERD
B. Costochondritis
C. Acute Coronary Syndrome
D. Anxiety attack
Answer: C. Acute Coronary Syndrome
Rationale
Classic ischemic chest pain includes pressure-like substernal discomfort radiating to the left arm,
neck, or jaw with diaphoresis and nausea. ACS must be ruled out first because delayed
treatment significantly increases mortality.
Question 2
Which patient requires immediate emergency department referral?
A. 42-year-old with seasonal allergies
B. 68-year-old with sudden unilateral weakness and slurred speech
C. 30-year-old with viral pharyngitis
D. 24-year-old with migraine
Answer: B. 68-year-old with sudden unilateral weakness and slurred speech
Rationale
These symptoms indicate possible acute ischemic stroke. Time-sensitive intervention may
preserve neurological function.
,Question 3
A patient has BP readings averaging 152/94 mmHg on three visits. What is the most appropriate
diagnosis?
A. Elevated BP
B. Stage 1 Hypertension
C. Stage 2 Hypertension
D. Hypertensive Crisis
Answer: C. Stage 2 Hypertension
Rationale
ACC/AHA:
Stage 1: 130–139 or 80–89
Stage 2: ≥140 or ≥90
Question 4
Which medication is first-line for uncomplicated hypertension in a patient without compelling
indications?
A. Prednisone
B. ACE inhibitor
C. Digoxin
D. Diazepam
Answer: B. ACE inhibitor
Rationale
ACE inhibitors, ARBs, thiazide diuretics, and calcium channel blockers are recommended first-
line options depending on patient characteristics.
Question 5
Which laboratory test best evaluates long-term diabetic control?
,A. Random glucose
B. HbA1c
C. Urine glucose
D. Serum insulin
Answer: B. HbA1c
Rationale
HbA1c reflects average blood glucose over approximately three months.
Question 6
Which finding strongly suggests diabetic peripheral neuropathy?
A. Positive Murphy sign
B. Burning feet with decreased monofilament sensation
C. McBurney tenderness
D. Positive Homan sign
Answer: B. Burning feet with decreased monofilament sensation
Rationale
Peripheral neuropathy causes symmetric burning pain, numbness, and loss of protective
sensation.
Question 7
A patient has fasting glucose of 140 mg/dL on two separate occasions.
Diagnosis?
A. Prediabetes
B. Diabetes Mellitus
C. Normal
D. Hypoglycemia
, Answer: B. Diabetes Mellitus
Rationale
Diabetes is diagnosed with fasting plasma glucose ≥126 mg/dL on two occasions.
Question 8
Which medication should generally be avoided in older adults because of strong anticholinergic
effects?
A. Metformin
B. Diphenhydramine
C. Lisinopril
D. Atorvastatin
Answer: B. Diphenhydramine
Rationale
It increases confusion, urinary retention, constipation, and fall risk.
Question 9
Which patient should undergo abdominal aortic aneurysm screening?
A. 70-year-old male who smoked
B. 30-year-old female
C. Healthy teenager
D. 40-year-old nonsmoker
Answer: A. 70-year-old male who smoked
Rationale
One-time ultrasound is recommended for men aged 65–75 who have ever smoked.
Question 10
