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NR 511 Comprehensive Clinical Exam (CEA) EXAM QUESTIONS
AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR – JUST RELEASED
NR 511 Comprehensive Clinical Exam (CEA) – Practice Questions & Study Guide
GASTROINTESTINAL DISORDERS (Weeks 5-6)
QUESTION 1
A 45-year-old male presents with right upper quadrant pain that worsens with deep breathing.
He reports nausea and vomiting after eating fatty meals. On examination, you elicit a positive
Murphy's sign. Which of the following diagnoses is most consistent with these findings?
A) Appendicitis
B) Cholecystitis
C) Crohn's disease
D) Pancreatitis
Answer: B) Cholecystitis
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RATIONALE: Right upper quadrant pain with positive Murphy's sign (inspiratory arrest with
palpation of the RUQ) is classic for acute cholecystitis. Pain after fatty meals is also
characteristic .
QUESTION 2
A 32-year-old female presents with chronic diarrhea, abdominal pain, and weight loss. She
reports a history of "skipped" lesions noted on colonoscopy. Which of the following diagnoses
should the nurse practitioner suspect?
A) Ulcerative colitis
B) Irritable bowel syndrome
C) Crohn's disease
D) Diverticulitis
Answer: C) Crohn's disease
RATIONALE: Crohn's disease is an inflammatory bowel disease characterized by skip lesions
(segments of normal intestine between inflamed areas) and can affect any portion of the GI
tract from mouth to anus . Ulcerative colitis is limited to the colon and rectum with continuous
inflammation.
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QUESTION 3
A 58-year-old patient with a history of GERD presents with dysphagia and reports a sensation of
food getting stuck in the chest. Which condition should be highest on the differential?
A) Esophageal stricture
B) Hiatal hernia
C) Barrett's esophagus
D) Achalasia
Answer: A) Esophageal stricture
RATIONALE: Esophageal stricture is a common complication of chronic GERD. It presents with
progressive dysphagia (first to solids, then liquids) and a sensation of food getting stuck .
QUESTION 4
A 28-year-old male presents with left lower quadrant abdominal pain, fever, and nausea. He
reports a history of constipation. Which diagnosis is most likely?
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A) Appendicitis
B) Diverticulitis
C) Crohn's disease
D) Gastroenteritis
Answer: B) Diverticulitis
RATIONALE: Diverticulitis typically presents with left lower quadrant pain, fever, nausea, and
changes in bowel habits. It is more common in older adults but can occur in younger patients.
CT with contrast is the preferred imaging modality .
QUESTION 5
A 22-year-old male patient reports that his scrotum is very enlarged and feels "full." He is a
powerlifter and works as a trash collector. You suspect which diagnosis?
A) Varicocele
B) Meningocele
C) Rectocele
D) Hydrocele
NR 511 Comprehensive Clinical Exam (CEA) EXAM QUESTIONS
AND CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR – JUST RELEASED
NR 511 Comprehensive Clinical Exam (CEA) – Practice Questions & Study Guide
GASTROINTESTINAL DISORDERS (Weeks 5-6)
QUESTION 1
A 45-year-old male presents with right upper quadrant pain that worsens with deep breathing.
He reports nausea and vomiting after eating fatty meals. On examination, you elicit a positive
Murphy's sign. Which of the following diagnoses is most consistent with these findings?
A) Appendicitis
B) Cholecystitis
C) Crohn's disease
D) Pancreatitis
Answer: B) Cholecystitis
, Page 2 of 169
RATIONALE: Right upper quadrant pain with positive Murphy's sign (inspiratory arrest with
palpation of the RUQ) is classic for acute cholecystitis. Pain after fatty meals is also
characteristic .
QUESTION 2
A 32-year-old female presents with chronic diarrhea, abdominal pain, and weight loss. She
reports a history of "skipped" lesions noted on colonoscopy. Which of the following diagnoses
should the nurse practitioner suspect?
A) Ulcerative colitis
B) Irritable bowel syndrome
C) Crohn's disease
D) Diverticulitis
Answer: C) Crohn's disease
RATIONALE: Crohn's disease is an inflammatory bowel disease characterized by skip lesions
(segments of normal intestine between inflamed areas) and can affect any portion of the GI
tract from mouth to anus . Ulcerative colitis is limited to the colon and rectum with continuous
inflammation.
, Page 3 of 169
QUESTION 3
A 58-year-old patient with a history of GERD presents with dysphagia and reports a sensation of
food getting stuck in the chest. Which condition should be highest on the differential?
A) Esophageal stricture
B) Hiatal hernia
C) Barrett's esophagus
D) Achalasia
Answer: A) Esophageal stricture
RATIONALE: Esophageal stricture is a common complication of chronic GERD. It presents with
progressive dysphagia (first to solids, then liquids) and a sensation of food getting stuck .
QUESTION 4
A 28-year-old male presents with left lower quadrant abdominal pain, fever, and nausea. He
reports a history of constipation. Which diagnosis is most likely?
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A) Appendicitis
B) Diverticulitis
C) Crohn's disease
D) Gastroenteritis
Answer: B) Diverticulitis
RATIONALE: Diverticulitis typically presents with left lower quadrant pain, fever, nausea, and
changes in bowel habits. It is more common in older adults but can occur in younger patients.
CT with contrast is the preferred imaging modality .
QUESTION 5
A 22-year-old male patient reports that his scrotum is very enlarged and feels "full." He is a
powerlifter and works as a trash collector. You suspect which diagnosis?
A) Varicocele
B) Meningocele
C) Rectocele
D) Hydrocele
