NR 603 CEA PRACTICE EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+| 100% VERIFIED
SOLUTIONS
Core Domains
Advanced Pathophysiology
Pharmacotherapeutics and Prescribing Principles
Diagnostic Reasoning and Clinical Decision-Making
Cardiovascular and Pulmonary Disorders
Endocrine and Metabolic Disorders
Neurological and Psychiatric Disorders
Gastrointestinal and Renal Disorders
Infectious Disease and Immunology
Women's Health and Pediatrics
Ethical, Legal, and Evidence-Based Practice
Introduction
,This comprehensive practice examination is designed to prepare candidates for the NR 603 CEA (Clinical
Evaluation and Assessment) exam at Chamberlain University. The assessment evaluates advanced clinical
knowledge in pathophysiology, pharmacotherapeutics, diagnostic reasoning, and holistic patient management
across multiple body systems. Through multiple-choice questions and real-world clinical scenarios, candidates
demonstrate critical thinking, evidence-based decision-making, and the application of clinical guidelines in diverse
patient populations. This examination serves as a critical tool for assessing readiness for the comprehensive CEA
exam, emphasizing clinical competency and professional standards in advanced nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A 65-year-old male presents with a blood pressure of 152/94 mmHg on two separate visits. According to the
JNC 8 guidelines, what is the initial recommended target blood pressure for this patient?
A. Less than 130/80 mmHg
B. Less than 140/90 mmHg
C. Less than 150/90 mmHg
D. Less than 160/100 mmHg
🟢B
🔴 RATIONALE: JNC 8 guidelines recommend a target blood pressure of less than 140/90 mmHg for patients
aged 60 years and older without diabetes or chronic kidney disease.
,2. A 45-year-old female presents with fatigue, cold intolerance, weight gain, and constipation. Laboratory
findings reveal an elevated TSH and low free T4. What is the most likely diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Cushing's syndrome
D. Diabetes insipidus
🟢B
🔴 RATIONALE: Elevated TSH with low free T4 indicates primary hypothyroidism. Symptoms include cold
intolerance, weight gain, fatigue, and constipation due to decreased metabolic rate.
3. A 55-year-old male with a history of hypertension and diabetes presents with a blood pressure of 152/94
mmHg. According to JNC 8 guidelines, what is the recommended initial antihypertensive agent for this patient?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Metoprolol
🟢B
, 🔴 RATIONALE: JNC 8 recommends an ACE inhibitor (lisinopril) or ARB as initial therapy for patients with
hypertension and diabetes to provide renal protection and reduce cardiovascular risk.
4. A 70-year-old male presents with sudden confusion, agitation, and hallucinations. He has a history of a
urinary tract infection and is taking multiple medications. What is the most likely cause of his symptoms?
A. Alzheimer's disease
B. Delirium
C. Schizophrenia
D. Bipolar disorder
🟢B
🔴 RATIONALE: Delirium is an acute, fluctuating confusional state often caused by infection, medications, or
metabolic disturbances. The sudden onset and presence of UTI suggest delirium rather than dementia or
psychiatric disorders.
5. A 62-year-old female presents with a 3-week history of progressive shortness of breath, orthopnea, and
peripheral edema. She has a history of hypertension and coronary artery disease. What is the most likely
diagnosis?
A. Chronic obstructive pulmonary disease
B. Heart failure
SOLUTIONS
Core Domains
Advanced Pathophysiology
Pharmacotherapeutics and Prescribing Principles
Diagnostic Reasoning and Clinical Decision-Making
Cardiovascular and Pulmonary Disorders
Endocrine and Metabolic Disorders
Neurological and Psychiatric Disorders
Gastrointestinal and Renal Disorders
Infectious Disease and Immunology
Women's Health and Pediatrics
Ethical, Legal, and Evidence-Based Practice
Introduction
,This comprehensive practice examination is designed to prepare candidates for the NR 603 CEA (Clinical
Evaluation and Assessment) exam at Chamberlain University. The assessment evaluates advanced clinical
knowledge in pathophysiology, pharmacotherapeutics, diagnostic reasoning, and holistic patient management
across multiple body systems. Through multiple-choice questions and real-world clinical scenarios, candidates
demonstrate critical thinking, evidence-based decision-making, and the application of clinical guidelines in diverse
patient populations. This examination serves as a critical tool for assessing readiness for the comprehensive CEA
exam, emphasizing clinical competency and professional standards in advanced nursing practice.
SECTION ONE: QUESTIONS 1–100
1. A 65-year-old male presents with a blood pressure of 152/94 mmHg on two separate visits. According to the
JNC 8 guidelines, what is the initial recommended target blood pressure for this patient?
A. Less than 130/80 mmHg
B. Less than 140/90 mmHg
C. Less than 150/90 mmHg
D. Less than 160/100 mmHg
🟢B
🔴 RATIONALE: JNC 8 guidelines recommend a target blood pressure of less than 140/90 mmHg for patients
aged 60 years and older without diabetes or chronic kidney disease.
,2. A 45-year-old female presents with fatigue, cold intolerance, weight gain, and constipation. Laboratory
findings reveal an elevated TSH and low free T4. What is the most likely diagnosis?
A. Hyperthyroidism
B. Hypothyroidism
C. Cushing's syndrome
D. Diabetes insipidus
🟢B
🔴 RATIONALE: Elevated TSH with low free T4 indicates primary hypothyroidism. Symptoms include cold
intolerance, weight gain, fatigue, and constipation due to decreased metabolic rate.
3. A 55-year-old male with a history of hypertension and diabetes presents with a blood pressure of 152/94
mmHg. According to JNC 8 guidelines, what is the recommended initial antihypertensive agent for this patient?
A. Hydrochlorothiazide
B. Lisinopril
C. Amlodipine
D. Metoprolol
🟢B
, 🔴 RATIONALE: JNC 8 recommends an ACE inhibitor (lisinopril) or ARB as initial therapy for patients with
hypertension and diabetes to provide renal protection and reduce cardiovascular risk.
4. A 70-year-old male presents with sudden confusion, agitation, and hallucinations. He has a history of a
urinary tract infection and is taking multiple medications. What is the most likely cause of his symptoms?
A. Alzheimer's disease
B. Delirium
C. Schizophrenia
D. Bipolar disorder
🟢B
🔴 RATIONALE: Delirium is an acute, fluctuating confusional state often caused by infection, medications, or
metabolic disturbances. The sudden onset and presence of UTI suggest delirium rather than dementia or
psychiatric disorders.
5. A 62-year-old female presents with a 3-week history of progressive shortness of breath, orthopnea, and
peripheral edema. She has a history of hypertension and coronary artery disease. What is the most likely
diagnosis?
A. Chronic obstructive pulmonary disease
B. Heart failure
