NR 547 CEA EXAM AND PRACTICE EXAM
(CHAMBERLAIN) NEWEST 2026/ 2027 TEST BANK|
NR547 (CEA) PRE-CLINICAL DIAGNOSTIC EXAM
PREP WITH COMPLETE 650 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
An adult female who recently returned from a business trip to Japan
presents for a recheck appointment. The only remarkable laboratory
result is for thyroid-stimulating hormone (TSH), at 0.3 microunits/mL
(normal = 0.4-6 microunits/mL). The patient reports that her neck hurts;
examination reveals thyroid tenderness. Which of the following
laboratory tests should the nurse practitioner order now?
A. Triiodothyronine (T3) and free thyroxine (FT4)
B. Triiodothyronine (T3) and free triiodothyronine (FT3)
C. Triiodothyronine (T3) only
D. Triiodothyronine (T3) resin uptake assay - Correct Answer -
Triiodothyronine (T3) and free thyroxine (FT4)
The patient has a low TSH which when paired with elevated T3 and T4,
suggest hyperthyroidism. The next steps for this patient are to check the
T3 and T4 levels which would presumably be high and clinically
correlate the findings for a diagnosis of hyperthyroidism.
A patient has a 2 cm pituitary adenoma on MRI. Deficiency of one of the
pituitary hormones can cause immediate hemodynamic instability and
has a risk of death. Which is the most critical hormone deficiency to rule
out?
A. FSH/LH
pg. 1
,B. ACTH
C. Prolactin
D. TSH - Correct Answer - ACTH
Adrenal crisis is a life-threatening emergency and needs to be ruled out.
Unrecognized/untreated adrenal insufficiency can result in death. ACTH
is the pituitary hormone responsible for cortisol production.
A 39-year-old male with type 1 DM is seen in the urgent care after a
recent hospitalization for DKA. Treated with IV fluids, IV insulin, and
potassium correction, His BS decreases to 120 mg/dL and is transitioned
from IV insulin to Sub Q. After 6 hours he begins vomiting and ABG is
done: pH 7.19, CO2 13, K+ 5.5, glucose 180. Which of the following is
the most likely reason for persistent acidosis?
A. Premature discontinuation of insulin drip
B. Lack of absorption of Sub Q insulin
C. Failure to correct hyperkalemia
D. Failure to give bicarbonate - Correct Answer - Premature
discontinuation of insulin drip
Glucose is only one of the parameters that needs to be followed in DKA,
it takes longer for ketones to clear than glucose to normalize, insulin drip
should be continued until ketonemia has resolved and the anion gap has
closed, if IV insulin is discontinued prematurely the patient may have
rebound acidosis, bicarbonate replacement has been controversial in
DKA.
A 64-year-old female with a past medical history significant for hepatitis
C and Cirrhosis presents to your office with abdominal pain and
distention. Exam reveals tense ascites. Which is indicated for treatment?
A. Midodrine 10mg PO TID
pg. 2
,B. Labetalol 200mg PO BID
C. Transfer to the hospital for large Volume paracentesis
D. Furosemide 40mg PO BID - Correct Answer - Transfer to the hospital
for large Volume paracentesis
Large Volume Paracentesis will provide immediate relief for the patient,
it will also allow for testing of fluid for spontaneous bacterial peritonitis.
A 64-year-old female with a past medical history significant for hepatitis
C and Cirrhosis presents to the urgent care with abdominal pain and
distention. Exam reveals tense ascites. After transfer to the emergency
department, large volume paracentesis was performed. What regimen
should you place patient on for further maintenance of her ascites?
A. Midodrine 10mg TID
B. Labetalol 200mg BID
C. Furosemide 40mg BID
D. Flagyl 500mg PO TID - Correct Answer - Furosemide 40mg BID
Furosemide is typically prescribed for a patient for continued
maintenance of ascites once a paracentesis is performed to help reduce
chances of recurrence
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?
A. Order a complete blood count (CBC) with differential.
B. Send to the emergency room.
C. Order serum iron, total iron-binding capacity (TIBC), and ferritin.
pg. 3
, D. Refer to a gastroenterologist. - Correct Answer - Send to the
emergency room.
This patient is experiencing a GI bleed and is in need of emergency
treatment due to their considerably low hemoglobin.
A patient states that his girlfriend was recently diagnosed with hepatitis,
and he tests positive for hepatitis C. He expresses fear of the diagnosis
because his father died after a liver transplantation. Which existing
information in the patient's history is the most significant factor in the
progression of liver failure?
A. chronic alcohol intake
B. Lack of fluid intake
C. intermittent acetaminophen intake
D. Lack of exercise - Correct Answer - chronic alcohol intake
Chronic alcohol intake and the damage to the liver is more causative and
predictive to liver failure than exercise (or lack therof), fluid intake
levels (which more affect hydration status, and acetaminophen intake
which is noted to be only intermittent.
A patient with alcohol-induced liver disease presents with a sudden
change in personality and loss of concentration and judgement after
ingesting a meal high in protein. The nurse practitioner should plan to
reduce the elevated level of which toxin in the blood?
A. Mercury
B. Ammonia
C. Iron
D. Carbon dioxide - Correct Answer - Ammonia
pg. 4
(CHAMBERLAIN) NEWEST 2026/ 2027 TEST BANK|
NR547 (CEA) PRE-CLINICAL DIAGNOSTIC EXAM
PREP WITH COMPLETE 650 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
An adult female who recently returned from a business trip to Japan
presents for a recheck appointment. The only remarkable laboratory
result is for thyroid-stimulating hormone (TSH), at 0.3 microunits/mL
(normal = 0.4-6 microunits/mL). The patient reports that her neck hurts;
examination reveals thyroid tenderness. Which of the following
laboratory tests should the nurse practitioner order now?
A. Triiodothyronine (T3) and free thyroxine (FT4)
B. Triiodothyronine (T3) and free triiodothyronine (FT3)
C. Triiodothyronine (T3) only
D. Triiodothyronine (T3) resin uptake assay - Correct Answer -
Triiodothyronine (T3) and free thyroxine (FT4)
The patient has a low TSH which when paired with elevated T3 and T4,
suggest hyperthyroidism. The next steps for this patient are to check the
T3 and T4 levels which would presumably be high and clinically
correlate the findings for a diagnosis of hyperthyroidism.
A patient has a 2 cm pituitary adenoma on MRI. Deficiency of one of the
pituitary hormones can cause immediate hemodynamic instability and
has a risk of death. Which is the most critical hormone deficiency to rule
out?
A. FSH/LH
pg. 1
,B. ACTH
C. Prolactin
D. TSH - Correct Answer - ACTH
Adrenal crisis is a life-threatening emergency and needs to be ruled out.
Unrecognized/untreated adrenal insufficiency can result in death. ACTH
is the pituitary hormone responsible for cortisol production.
A 39-year-old male with type 1 DM is seen in the urgent care after a
recent hospitalization for DKA. Treated with IV fluids, IV insulin, and
potassium correction, His BS decreases to 120 mg/dL and is transitioned
from IV insulin to Sub Q. After 6 hours he begins vomiting and ABG is
done: pH 7.19, CO2 13, K+ 5.5, glucose 180. Which of the following is
the most likely reason for persistent acidosis?
A. Premature discontinuation of insulin drip
B. Lack of absorption of Sub Q insulin
C. Failure to correct hyperkalemia
D. Failure to give bicarbonate - Correct Answer - Premature
discontinuation of insulin drip
Glucose is only one of the parameters that needs to be followed in DKA,
it takes longer for ketones to clear than glucose to normalize, insulin drip
should be continued until ketonemia has resolved and the anion gap has
closed, if IV insulin is discontinued prematurely the patient may have
rebound acidosis, bicarbonate replacement has been controversial in
DKA.
A 64-year-old female with a past medical history significant for hepatitis
C and Cirrhosis presents to your office with abdominal pain and
distention. Exam reveals tense ascites. Which is indicated for treatment?
A. Midodrine 10mg PO TID
pg. 2
,B. Labetalol 200mg PO BID
C. Transfer to the hospital for large Volume paracentesis
D. Furosemide 40mg PO BID - Correct Answer - Transfer to the hospital
for large Volume paracentesis
Large Volume Paracentesis will provide immediate relief for the patient,
it will also allow for testing of fluid for spontaneous bacterial peritonitis.
A 64-year-old female with a past medical history significant for hepatitis
C and Cirrhosis presents to the urgent care with abdominal pain and
distention. Exam reveals tense ascites. After transfer to the emergency
department, large volume paracentesis was performed. What regimen
should you place patient on for further maintenance of her ascites?
A. Midodrine 10mg TID
B. Labetalol 200mg BID
C. Furosemide 40mg BID
D. Flagyl 500mg PO TID - Correct Answer - Furosemide 40mg BID
Furosemide is typically prescribed for a patient for continued
maintenance of ascites once a paracentesis is performed to help reduce
chances of recurrence
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?
A. Order a complete blood count (CBC) with differential.
B. Send to the emergency room.
C. Order serum iron, total iron-binding capacity (TIBC), and ferritin.
pg. 3
, D. Refer to a gastroenterologist. - Correct Answer - Send to the
emergency room.
This patient is experiencing a GI bleed and is in need of emergency
treatment due to their considerably low hemoglobin.
A patient states that his girlfriend was recently diagnosed with hepatitis,
and he tests positive for hepatitis C. He expresses fear of the diagnosis
because his father died after a liver transplantation. Which existing
information in the patient's history is the most significant factor in the
progression of liver failure?
A. chronic alcohol intake
B. Lack of fluid intake
C. intermittent acetaminophen intake
D. Lack of exercise - Correct Answer - chronic alcohol intake
Chronic alcohol intake and the damage to the liver is more causative and
predictive to liver failure than exercise (or lack therof), fluid intake
levels (which more affect hydration status, and acetaminophen intake
which is noted to be only intermittent.
A patient with alcohol-induced liver disease presents with a sudden
change in personality and loss of concentration and judgement after
ingesting a meal high in protein. The nurse practitioner should plan to
reduce the elevated level of which toxin in the blood?
A. Mercury
B. Ammonia
C. Iron
D. Carbon dioxide - Correct Answer - Ammonia
pg. 4
