Latest NR607 CEA Exam Review of 150 newest
exam questions and correct verified answers with
rationales/ NR 607 CEA Exam Review/ NR607
CEA Exam Prep *2026-2027*
Pauline is an 83-year-old female with moderate-advanced Alzheimer's dementia.
She has been wandering inside the locked ward of the nursing home. The PMHNP
is consulted to address her wandering behavior. What is the most appropriate
treatment option?
A. Start Aricept 5mg at night
B. Supervise Pauline and allow her to wander
C. Remind Pauline of her fall risk and clip a bed alarm to her johnny
D. Start quetiapine 25mg at night
B. Supervise Pauline and allow her to wander
Safe, supervised wandering is preferable to unnecessary restraint or medication
Which of the following about major depressive disorder and suicide is false?
A. Suicide attempts are higher for women
B. Living alone or being single is a risk factor for increased risk of a completed
suicide
C. Suicide attempts are higher for men
D. Suicide completions are higher for men
C. Suicide attempts are higher for men
FALSE. Attempts are generally more common among women, while deaths are
higher among men
Which of the following treatments is considered a first-line option for maintenance
therapy in bipolar disorder and has demonstrated effectiveness in reducing suicide
risk?
A. Lithium
B. Lamotrigine
1
,C. Quetiapine
D. Valproate
A. Lithium
First-line maintenance option with evidence for reducing suicide risk
According to the DSM-5, which course modifier in bipolar II disorder is associated
with a better prognosis?
A. Single status
B. Less education
C. Younger age
D. Rapid cycling pattern
C. Younger age
A patient diagnosed with Major Neurocognitive Disorder due to Alzheimer's
disease has been started on donepezil. What is the primary mechanism of action?
A. Inhibits acetlycholinesterase
B. Inhibits the reuptake of serotonin
C. Blocks NMDA receptors
D. Increases dopamine release
A. Inhibits acetylcholinesterase
Donepezil increases acetlycholine availability
Kolu is a 33-year-old female who displays 2 distinct personality states. She
experiences gaps in memory beyond forgetting. These symptoms have negatively
impacted her career. She has no medical conditions and does not use substances.
What is the most likely diagnosis?
A. Depersonalization/Derealization disorder
B. Dissociative Identity Disorder
C. Factitious disorder
D. Somatic symptom disorder
B. Dissociative Identity Disorder
Characterized by distinct personality states plus recurrent memory gaps
Which of the following are true regarding dissociative amnesia?
A. Dissociative amnesia is related to neurobiological damage preventing memory
storage
B. Personal identity is completely forgotten as well as previously learned skills
2
,C. The amnesia is selective for specific events which should be successfully
recalled in stored memory and readily remembered
D. All of these statements are true
C. The amnesia is selective for specific events which should successfully recalled
in stored memory and readily remembered
The experience of depersonalization is ego ________ and reality testing is
________?
A. Ego-syntonic and reality testing remains intact
B. Ego-dystonic and reality testing is NOT intact
C. Ego-dystonic and reality testing is intact
D. Ego-syntonic and reality testing is NOT intact
C. Ego-dystonic and reality testing is intact
Patients recognize depersonalization experiences are subjective rather than external
reality
Jordan experienced repeated sexual abuse as a child. Years later, during therapy,
several distinct personality states emerged. This is best described as?
A. Derealization
B. Acute psychotic episode
C. Dissociative amnesia
D. Dissociative Identity Disorder
D. Dissociative Identity Disorder
Distinct identity states associated with significant trauma are characteristic
A client asks about a mole on her forearm. Which of the following would not be a
concern?
A. A mole that is not elevated
B. A mole that is 5mm in size
C. A dark mole
D. All of the above
D. All of the above
Elevation itself is not necessary for melanoma, but neither is 5mm diameter nor
simply being dark automatically indicates malignancy
3
, In patients with active lupus, the erythrocyte sedimentation rate is likely?
A. Markedly low
B. Between 11 and 20
C. Elevated
D. 0.5-1.1
C. Elevated
ESR commonly rises with active systemic inflammation such as lupus
A 48-year-old female recalls a brief episode of chest tightness during a CrossFit
class. The pain subsided during the cool-down period. Most likely diagnosis?
A. Acute myocardial infarction
B. Angina pectoris
C. Hiatal hernia
D. Pericarditis
B. Angina pectoris
Exertional chest tightness relieved by rest is characteristic of stable angina
A 71-year-old woman with severe anxiety presents with mild shortness of breath,
fine crackles in the left lower lobe, and a nonproductive cough. She recently "ran
out of pills." Which medication omission most likely caused her symptoms?
A. Lorazepam
B. Furosemide
C. Metformin
D. Metoprolol
B. Furosemide
Missing a diuretic can contribute to fluid accumulation, crackles, and dyspnea
Which of the following would be considered a risk factor for melanoma?
A. A mole with symmetrical borders
B. Female gender
C. A dark-colored mole approximately 5mm in size
D. A history of melanoma
D. A history of melanoma
Strong melanoma risk factor
Which of the following best represents the physical exam maneuver known as
Murphy's sign?
4
exam questions and correct verified answers with
rationales/ NR 607 CEA Exam Review/ NR607
CEA Exam Prep *2026-2027*
Pauline is an 83-year-old female with moderate-advanced Alzheimer's dementia.
She has been wandering inside the locked ward of the nursing home. The PMHNP
is consulted to address her wandering behavior. What is the most appropriate
treatment option?
A. Start Aricept 5mg at night
B. Supervise Pauline and allow her to wander
C. Remind Pauline of her fall risk and clip a bed alarm to her johnny
D. Start quetiapine 25mg at night
B. Supervise Pauline and allow her to wander
Safe, supervised wandering is preferable to unnecessary restraint or medication
Which of the following about major depressive disorder and suicide is false?
A. Suicide attempts are higher for women
B. Living alone or being single is a risk factor for increased risk of a completed
suicide
C. Suicide attempts are higher for men
D. Suicide completions are higher for men
C. Suicide attempts are higher for men
FALSE. Attempts are generally more common among women, while deaths are
higher among men
Which of the following treatments is considered a first-line option for maintenance
therapy in bipolar disorder and has demonstrated effectiveness in reducing suicide
risk?
A. Lithium
B. Lamotrigine
1
,C. Quetiapine
D. Valproate
A. Lithium
First-line maintenance option with evidence for reducing suicide risk
According to the DSM-5, which course modifier in bipolar II disorder is associated
with a better prognosis?
A. Single status
B. Less education
C. Younger age
D. Rapid cycling pattern
C. Younger age
A patient diagnosed with Major Neurocognitive Disorder due to Alzheimer's
disease has been started on donepezil. What is the primary mechanism of action?
A. Inhibits acetlycholinesterase
B. Inhibits the reuptake of serotonin
C. Blocks NMDA receptors
D. Increases dopamine release
A. Inhibits acetylcholinesterase
Donepezil increases acetlycholine availability
Kolu is a 33-year-old female who displays 2 distinct personality states. She
experiences gaps in memory beyond forgetting. These symptoms have negatively
impacted her career. She has no medical conditions and does not use substances.
What is the most likely diagnosis?
A. Depersonalization/Derealization disorder
B. Dissociative Identity Disorder
C. Factitious disorder
D. Somatic symptom disorder
B. Dissociative Identity Disorder
Characterized by distinct personality states plus recurrent memory gaps
Which of the following are true regarding dissociative amnesia?
A. Dissociative amnesia is related to neurobiological damage preventing memory
storage
B. Personal identity is completely forgotten as well as previously learned skills
2
,C. The amnesia is selective for specific events which should be successfully
recalled in stored memory and readily remembered
D. All of these statements are true
C. The amnesia is selective for specific events which should successfully recalled
in stored memory and readily remembered
The experience of depersonalization is ego ________ and reality testing is
________?
A. Ego-syntonic and reality testing remains intact
B. Ego-dystonic and reality testing is NOT intact
C. Ego-dystonic and reality testing is intact
D. Ego-syntonic and reality testing is NOT intact
C. Ego-dystonic and reality testing is intact
Patients recognize depersonalization experiences are subjective rather than external
reality
Jordan experienced repeated sexual abuse as a child. Years later, during therapy,
several distinct personality states emerged. This is best described as?
A. Derealization
B. Acute psychotic episode
C. Dissociative amnesia
D. Dissociative Identity Disorder
D. Dissociative Identity Disorder
Distinct identity states associated with significant trauma are characteristic
A client asks about a mole on her forearm. Which of the following would not be a
concern?
A. A mole that is not elevated
B. A mole that is 5mm in size
C. A dark mole
D. All of the above
D. All of the above
Elevation itself is not necessary for melanoma, but neither is 5mm diameter nor
simply being dark automatically indicates malignancy
3
, In patients with active lupus, the erythrocyte sedimentation rate is likely?
A. Markedly low
B. Between 11 and 20
C. Elevated
D. 0.5-1.1
C. Elevated
ESR commonly rises with active systemic inflammation such as lupus
A 48-year-old female recalls a brief episode of chest tightness during a CrossFit
class. The pain subsided during the cool-down period. Most likely diagnosis?
A. Acute myocardial infarction
B. Angina pectoris
C. Hiatal hernia
D. Pericarditis
B. Angina pectoris
Exertional chest tightness relieved by rest is characteristic of stable angina
A 71-year-old woman with severe anxiety presents with mild shortness of breath,
fine crackles in the left lower lobe, and a nonproductive cough. She recently "ran
out of pills." Which medication omission most likely caused her symptoms?
A. Lorazepam
B. Furosemide
C. Metformin
D. Metoprolol
B. Furosemide
Missing a diuretic can contribute to fluid accumulation, crackles, and dyspnea
Which of the following would be considered a risk factor for melanoma?
A. A mole with symmetrical borders
B. Female gender
C. A dark-colored mole approximately 5mm in size
D. A history of melanoma
D. A history of melanoma
Strong melanoma risk factor
Which of the following best represents the physical exam maneuver known as
Murphy's sign?
4
