• NR 511 CEA EXAM 09/11/2026
NR 511 CEA EXAM CHAMBERLAIN UNIVERSITY | NR
511 COMPREHENSIVE CLINICAL EXAM (CEA) 2026–
2027 QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
A 43-year-old male patient weighing 100kg was burned over 20 percent of their body with partial thickness burns
after escaping a house fire. Using the Parkland formula, what is the most appropriate amount of IV fluid
resuscitation to provide the patient in the first 8 hours?
*8 Liters
*2 Liters
*4 Liters
*3 Liters - Correct Answer :4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn % with 50% delivered to patient over
first 8 hrs. For this patient 4x100x20=8000ml, of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and find a new multicolored mole
measuring 9mm with irregular borders. What is the most likely diagnosis?
P 1
, • NR 511 CEA EXAM 09/11/2026
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - Correct Answer :Melanoma
Rationale: These are all classic findings for melanoma: irregular borders, diameter over 6mm, multicolor, and
new or rapidly evolved.
Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - Correct Answer :Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius vermicularis). It belongs to the same
class of medications as mebendazole and works similarly by interfering with the parasite's ability to absorb
sugars, leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish lesions on the face, ears, and hands
presents with a firm erythematous, ulcerated nodule on the dorsal surface of the hand. The most likely diagnosis
is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - Correct Answer :Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also occur in other areas of the body,
including the lining of the respiratory and digestive tracts. The symptoms of SCC can vary depending on the
location of the cancer. SCC typically appears as a firm, red nodule or a flat sore with a scaly crust. It may also
present as a rough, scaly patch that may bleed or crust over.
Your patient with a recent fall from the edge of the bathtub who developed a hip fracture should be worked up
with which of the following exams?
*PET scan
*DEXA scan
P 2
, • NR 511 CEA EXAM 09/11/2026
*Whole body CT scan
*Serum haptoglobin - Correct Answer :DEXA scan
Rationale: Due to a minimal mechanism of action for this fall, it is surprising the patient suffered a fracture. A
DEXA scan would be valuable to evaluate for bone density issues and a potential diagnosis such as osteoporosis
or osteopenia. PET scan is for tumor evaluation but is not typically ordered without a diagnosis of a nodule or
lesion of concern. Serum haptoglobin does not have any correlation with this, as it is used for hemolytic anemia
workup.
The most specific test for gout is:
*Synovial fluid with monosodium urate crystals
*Serum purine level
*Normalized uric acid level after a trial of allopurinol (Zyloprim)
*Hyperuricemia greater than 7mg/dL - Correct Answer :Synovial fluid with monosodium urate crystals
Rationale: Gout is diagnosed definitively by identifying monosodium urate crystals in synovial fluid aspirated from
an affected joint. These crystals appear as needle-shaped, negatively birefringent crystals under a microscope.
Which of the following are not items assessed for compartment syndrome?
*Guarding
*Sensation
*Pain
*Skin color - Correct Answer :Guarding
Rationale: The 5 Ps of compartment syndrome are pain, pallor (skin color), paresthesia (sensation),
pulselessness or deficit, and paralysis. Guarding is not associated with compartment syndrome.
An 84-year-old patient present with complaints of diffuse bilateral lower back pain which is made worse by
standing. On exam the patient maintains a posture of forward flexing at the waist. The most likely diagnosis is?
*Lumbar strain
*Nerve root impingement
*Lumbar disk herniation
*Spinal stenosis - Correct Answer :Spinal stenosis
P 3
, • NR 511 CEA EXAM 09/11/2026
Rationale: The symptoms of spinal stenosis often develop gradually over time, as the narrowing of the spinal
canal progresses and exerts pressure on the nerves. Symptoms may worsen with activities that extend the spine
(such as standing upright) and improve with activities that flex the spine (such as sitting or leaning forward).
Which of the following modalities of dialysis allows the patient to receive therapy through an indwelling catheter
at home without the restriction of being connected during therapy?
*Continuous cycling peritoneal dialysis
*Ambulatory peritoneal dialysis with extraneal dwell
*Traditional hemodialysis
*Continuous renal replacement therapy - Correct Answer :Ambulatory peritoneal dialysis with extraneal dwell
Rationale: Patients with peritoneal dialysis can undergo therapy sessions at home and have a dwell of dialysate
called Extraneal (icodextrin) to allow patients to move freely about their dwelling and maintain a fairly normal
lifestyle.
An older adult with diabetes mellitus, COPD, hypertension, and osteoarthritis develops chronic kidney disease.
The most likely cause is:
*Hypertension
*Diabetes
*COPD
*Osteoarthritis - Correct Answer :Diabetes
Rationale: Diabetes is a leading cause of kidney failure, medically known as end-stage renal disease (ESRD), and
it is often referred to as diabetic nephropathy when discussing kidney damage specifically caused by diabetes.
Your ESRD patient on hemodialysis has missed therapy two separate times this week. What potentially life-
threatening lab finding would you anticipate to be acutely elevated?
*Chloride
*Calcium
*Sodium
*Potassium - Correct Answer :Potassium
rationale: ESRD patients are put on hemodialysis due to their inability to clear creatinine, BUN, and potassium.
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
P 4
NR 511 CEA EXAM CHAMBERLAIN UNIVERSITY | NR
511 COMPREHENSIVE CLINICAL EXAM (CEA) 2026–
2027 QUESTIONS AND 100% VERIFIED ANSWERS
WITH RATIONALES GRADED A+
A 43-year-old male patient weighing 100kg was burned over 20 percent of their body with partial thickness burns
after escaping a house fire. Using the Parkland formula, what is the most appropriate amount of IV fluid
resuscitation to provide the patient in the first 8 hours?
*8 Liters
*2 Liters
*4 Liters
*3 Liters - Correct Answer :4 Liters
Rationale: The Parkland formula for resuscitation in burns is 4ml x kg x burn % with 50% delivered to patient over
first 8 hrs. For this patient 4x100x20=8000ml, of which half is to be given in the first 8 hrs.
During the preadmission history and physical, you examine your patient and find a new multicolored mole
measuring 9mm with irregular borders. What is the most likely diagnosis?
P 1
, • NR 511 CEA EXAM 09/11/2026
*Cutaneous Horn
*Simple Nevus
*Melanoma
*Squamous Cell Carcinoma - Correct Answer :Melanoma
Rationale: These are all classic findings for melanoma: irregular borders, diameter over 6mm, multicolor, and
new or rapidly evolved.
Which of the following medications is prescribed for the treatment of pinworm?
*Lindane (Kwell)
*Corticosteroids
*Metronidazole (Flagyl)
*Albendazole(Albenza) - Correct Answer :Albendazole(Albenza)
Rationale: Albendazole (Albenza) can treat pinworm infections (Enterobius vermicularis). It belongs to the same
class of medications as mebendazole and works similarly by interfering with the parasite's ability to absorb
sugars, leading to its eventual elimination from the body.
A frail elderly male with a history of sun exposure and rough, scaly, brownish lesions on the face, ears, and hands
presents with a firm erythematous, ulcerated nodule on the dorsal surface of the hand. The most likely diagnosis
is:
*Seborrheic keratosis
*Squamous cell carcinoma
*Melanoma
*Sebaceous hyperplasia - Correct Answer :Squamous cell carcinoma
Rationale: Squamous cell carcinoma (SCC) is a type of skin cancer that can also occur in other areas of the body,
including the lining of the respiratory and digestive tracts. The symptoms of SCC can vary depending on the
location of the cancer. SCC typically appears as a firm, red nodule or a flat sore with a scaly crust. It may also
present as a rough, scaly patch that may bleed or crust over.
Your patient with a recent fall from the edge of the bathtub who developed a hip fracture should be worked up
with which of the following exams?
*PET scan
*DEXA scan
P 2
, • NR 511 CEA EXAM 09/11/2026
*Whole body CT scan
*Serum haptoglobin - Correct Answer :DEXA scan
Rationale: Due to a minimal mechanism of action for this fall, it is surprising the patient suffered a fracture. A
DEXA scan would be valuable to evaluate for bone density issues and a potential diagnosis such as osteoporosis
or osteopenia. PET scan is for tumor evaluation but is not typically ordered without a diagnosis of a nodule or
lesion of concern. Serum haptoglobin does not have any correlation with this, as it is used for hemolytic anemia
workup.
The most specific test for gout is:
*Synovial fluid with monosodium urate crystals
*Serum purine level
*Normalized uric acid level after a trial of allopurinol (Zyloprim)
*Hyperuricemia greater than 7mg/dL - Correct Answer :Synovial fluid with monosodium urate crystals
Rationale: Gout is diagnosed definitively by identifying monosodium urate crystals in synovial fluid aspirated from
an affected joint. These crystals appear as needle-shaped, negatively birefringent crystals under a microscope.
Which of the following are not items assessed for compartment syndrome?
*Guarding
*Sensation
*Pain
*Skin color - Correct Answer :Guarding
Rationale: The 5 Ps of compartment syndrome are pain, pallor (skin color), paresthesia (sensation),
pulselessness or deficit, and paralysis. Guarding is not associated with compartment syndrome.
An 84-year-old patient present with complaints of diffuse bilateral lower back pain which is made worse by
standing. On exam the patient maintains a posture of forward flexing at the waist. The most likely diagnosis is?
*Lumbar strain
*Nerve root impingement
*Lumbar disk herniation
*Spinal stenosis - Correct Answer :Spinal stenosis
P 3
, • NR 511 CEA EXAM 09/11/2026
Rationale: The symptoms of spinal stenosis often develop gradually over time, as the narrowing of the spinal
canal progresses and exerts pressure on the nerves. Symptoms may worsen with activities that extend the spine
(such as standing upright) and improve with activities that flex the spine (such as sitting or leaning forward).
Which of the following modalities of dialysis allows the patient to receive therapy through an indwelling catheter
at home without the restriction of being connected during therapy?
*Continuous cycling peritoneal dialysis
*Ambulatory peritoneal dialysis with extraneal dwell
*Traditional hemodialysis
*Continuous renal replacement therapy - Correct Answer :Ambulatory peritoneal dialysis with extraneal dwell
Rationale: Patients with peritoneal dialysis can undergo therapy sessions at home and have a dwell of dialysate
called Extraneal (icodextrin) to allow patients to move freely about their dwelling and maintain a fairly normal
lifestyle.
An older adult with diabetes mellitus, COPD, hypertension, and osteoarthritis develops chronic kidney disease.
The most likely cause is:
*Hypertension
*Diabetes
*COPD
*Osteoarthritis - Correct Answer :Diabetes
Rationale: Diabetes is a leading cause of kidney failure, medically known as end-stage renal disease (ESRD), and
it is often referred to as diabetic nephropathy when discussing kidney damage specifically caused by diabetes.
Your ESRD patient on hemodialysis has missed therapy two separate times this week. What potentially life-
threatening lab finding would you anticipate to be acutely elevated?
*Chloride
*Calcium
*Sodium
*Potassium - Correct Answer :Potassium
rationale: ESRD patients are put on hemodialysis due to their inability to clear creatinine, BUN, and potassium.
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
P 4
