CEA EXAM 1100 CORE ENERGY
MANAGEMENT, BUILDING SYSTEMS, AND
AUDITING PRINCIPLES REVIEW 2026
◉ 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 any use of NSAID's or blood thinners. What must be taken
into consideration before performing a colonoscopy on this patient.
Answer: All are reasonable options
Rationale: This patient has had blood loss and should first be
hemodynamically stable, and fluid/blood product resuscitated. In all
cases of GI bleed risk factors for an upper GI bleed must be taken
into consideration first, we must always discuss with the patient all
risks and benefits associated with the procedure to provide an
informed consent.
◉ A 39-year-old female is being seen by your service for diarrhea.
Patient reports 3-4 loose stools a day. She also reports mild
cramping. Which labs would be helpful in further workup of a
diagnosis?.
Answer: ESR, fecal occult, Stool culture
Rationale: ESR, Fecal occult, and stool culture would be the biggest
benefit to determine the potential cause of her symptoms.
,◉ An adult female presents with a 1-week history of left lower
quadrant abdominal pain. T=101.2 degrees F. (38.4 degrees C) and
an elevated WBC count. This is the patient's first episode of severe
abdominal pain. The nurse practitioner suspects diverticulitis.
Which of the following diagnostic tests would confirm the
diagnosis?.
Answer: CT scan of the abdomen
Rationale: For patients with acute diverticulitis, CT of the abdomen
will provide evidence of the pathophysiology. Evidence of diverticula
will be present on a flat plate KUB x-ray, but there is not enough
specificity to show that it is inflamed as with a CT scan.
◉ 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?.
Answer: 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?.
Answer: 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?.
Answer: 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 inflammation from the rectum
extending proximally. What is the most likely diagnosis?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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
MANAGEMENT, BUILDING SYSTEMS, AND
AUDITING PRINCIPLES REVIEW 2026
◉ 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 any use of NSAID's or blood thinners. What must be taken
into consideration before performing a colonoscopy on this patient.
Answer: All are reasonable options
Rationale: This patient has had blood loss and should first be
hemodynamically stable, and fluid/blood product resuscitated. In all
cases of GI bleed risk factors for an upper GI bleed must be taken
into consideration first, we must always discuss with the patient all
risks and benefits associated with the procedure to provide an
informed consent.
◉ A 39-year-old female is being seen by your service for diarrhea.
Patient reports 3-4 loose stools a day. She also reports mild
cramping. Which labs would be helpful in further workup of a
diagnosis?.
Answer: ESR, fecal occult, Stool culture
Rationale: ESR, Fecal occult, and stool culture would be the biggest
benefit to determine the potential cause of her symptoms.
,◉ An adult female presents with a 1-week history of left lower
quadrant abdominal pain. T=101.2 degrees F. (38.4 degrees C) and
an elevated WBC count. This is the patient's first episode of severe
abdominal pain. The nurse practitioner suspects diverticulitis.
Which of the following diagnostic tests would confirm the
diagnosis?.
Answer: CT scan of the abdomen
Rationale: For patients with acute diverticulitis, CT of the abdomen
will provide evidence of the pathophysiology. Evidence of diverticula
will be present on a flat plate KUB x-ray, but there is not enough
specificity to show that it is inflamed as with a CT scan.
◉ 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?.
Answer: 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?.
Answer: 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?.
Answer: 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 inflammation from the rectum
extending proximally. What is the most likely diagnosis?.
Answer: 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?.
Answer: 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?.
Answer: 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?.
Answer: 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
