The INFJayne Nurse – NR511 CEA Workbook
NR 511 CEA Master Study Guide –
Chamberlain University
The INFJayne Nurse Edition: Primary Care Exam Study Workbook
Prepared for: Jayne Etuge, RN, FNP-Student
Chamberlain University – Family Nurse Practitioner Program
© The INFJayne Nurse | 2025 Study Edition
© The INFJayne Nurse | 2025 Study Edition — Page 1
, The INFJayne Nurse – NR511 CEA Workbook
Table of Contents
• Study Tips for the NR511 CEA
• HEENT / Respiratory
• Cardiovascular / Hypertension / Lipids
• Gastrointestinal / Hepatic / Gallbladder
• Renal / GU / Reproductive
• Endocrine / Diabetes / Thyroid
• Musculoskeletal / Ortho
• Dermatology
• Psych / Neuro / Sleep
• Infectious Disease / Immunizations
• Evidence-Based Guidelines / Preventive Health
• SOAP / Documentation / Clinical Reasoning
• Red-Flag Clinical Cues (Bonus)
© The INFJayne Nurse | 2025 Study Edition — Page 2
, The INFJayne Nurse – NR511 CEA Workbook
Study Tips for the NR511 CEA
• Use OLDCARTS to structure HPI and anchor differentials on time course and red flags.
• Always generate three differentials: most likely, alternative, and worst-case; identify
discriminating findings.
• Tie decisions to guidelines (USPSTF, ADA, ACC/AHA, GOLD, IDSA, ACOG, ASCCP).
• For pediatrics, confirm dosing by weight, vaccine timing, and dehydration signs.
• Document with SOAP clarity; state-thinking in Assessment connects to Plan items.
• Time management: ~60–90 seconds per question; if stuck, eliminate, mark, and return.
© The INFJayne Nurse | 2025 Study Edition — Page 3
, The INFJayne Nurse – NR511 CEA Workbook
HEENT / Respiratory
1. A 52-year-old with bulging erythematous TM and decreased mobility. First-line antibiotic?
A. Amoxicillin
B. Azithromycin
C. Cefdinir
D. No antibiotics
✅ Correct Answer: A
💡 Rationale:
- Bulging TM with fever indicates bacterial AOM; high-dose amoxicillin is first-line unless
recent amox or conjunctivitis.
- Macrolides have higher resistance; reserve for beta-lactam allergy.
- Observe only in selected mild cases; here findings are classic bacterial.
📚 Reference(s):
- AAP AOM Guideline.
2. A 28-year-old smoker with focal crackles and CURB-65=0. Outpatient CAP therapy?
A. Amoxicillin alone
B. Azithromycin monotherapy regardless of resistance
C. Amox-clav + doxycycline
D. Oseltamivir
✅ Correct Answer: C
💡 Rationale:
© The INFJayne Nurse | 2025 Study Edition — Page 4
NR 511 CEA Master Study Guide –
Chamberlain University
The INFJayne Nurse Edition: Primary Care Exam Study Workbook
Prepared for: Jayne Etuge, RN, FNP-Student
Chamberlain University – Family Nurse Practitioner Program
© The INFJayne Nurse | 2025 Study Edition
© The INFJayne Nurse | 2025 Study Edition — Page 1
, The INFJayne Nurse – NR511 CEA Workbook
Table of Contents
• Study Tips for the NR511 CEA
• HEENT / Respiratory
• Cardiovascular / Hypertension / Lipids
• Gastrointestinal / Hepatic / Gallbladder
• Renal / GU / Reproductive
• Endocrine / Diabetes / Thyroid
• Musculoskeletal / Ortho
• Dermatology
• Psych / Neuro / Sleep
• Infectious Disease / Immunizations
• Evidence-Based Guidelines / Preventive Health
• SOAP / Documentation / Clinical Reasoning
• Red-Flag Clinical Cues (Bonus)
© The INFJayne Nurse | 2025 Study Edition — Page 2
, The INFJayne Nurse – NR511 CEA Workbook
Study Tips for the NR511 CEA
• Use OLDCARTS to structure HPI and anchor differentials on time course and red flags.
• Always generate three differentials: most likely, alternative, and worst-case; identify
discriminating findings.
• Tie decisions to guidelines (USPSTF, ADA, ACC/AHA, GOLD, IDSA, ACOG, ASCCP).
• For pediatrics, confirm dosing by weight, vaccine timing, and dehydration signs.
• Document with SOAP clarity; state-thinking in Assessment connects to Plan items.
• Time management: ~60–90 seconds per question; if stuck, eliminate, mark, and return.
© The INFJayne Nurse | 2025 Study Edition — Page 3
, The INFJayne Nurse – NR511 CEA Workbook
HEENT / Respiratory
1. A 52-year-old with bulging erythematous TM and decreased mobility. First-line antibiotic?
A. Amoxicillin
B. Azithromycin
C. Cefdinir
D. No antibiotics
✅ Correct Answer: A
💡 Rationale:
- Bulging TM with fever indicates bacterial AOM; high-dose amoxicillin is first-line unless
recent amox or conjunctivitis.
- Macrolides have higher resistance; reserve for beta-lactam allergy.
- Observe only in selected mild cases; here findings are classic bacterial.
📚 Reference(s):
- AAP AOM Guideline.
2. A 28-year-old smoker with focal crackles and CURB-65=0. Outpatient CAP therapy?
A. Amoxicillin alone
B. Azithromycin monotherapy regardless of resistance
C. Amox-clav + doxycycline
D. Oseltamivir
✅ Correct Answer: C
💡 Rationale:
© The INFJayne Nurse | 2025 Study Edition — Page 4
