• 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+
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
*Eastern Europeans
*African Americans
*Pacific Islanders
*Native Alaskans - Correct Answer :African Americans
Rationale: African Americans are four times as likely as Caucasians to have a diagnosis of hypertension.
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by urinalysis. She has no allergies.
What is the most appropriate first-line antibiotic treatment?
*Amoxicillin
P 1
, • NR 511 CEA EXAM 09/11/2026
*Trimethoprim-sulfamethoxazole
*Ciprofloxacin
*Nitrofurantoin - Correct Answer :Nitrofurantoin
Rationale: Overall, Nitrofurantoin is a preferred choice for treating uncomplicated UTIs, especially in otherwise
healthy individuals where local resistance patterns support its efficacy.
Patients presenting to the emergency department with hematuria and RBC casts in their urine should be
considered for which diagnosis?
*Pyelonephritis
*Nephrotic syndrome
*Glomerulonephritis
*Acute tubular necrosis - Correct Answer :Glomerulonephritis
Rationale: GN is commonly diagnosed with proteinuria, hematuria, and RBC casts in their urine. Pyelonephritis
commonly has WBC casts present on urinalysis. ATN does not typically have any of these features of casts.
Nephrotic syndrome tends to have proteinuria, but no RBCs or casts present.
Inability to reach the bathroom before urinating is a feature consistent with which of the following diagnoses?
*urge-type incontinence
*stress incontinence
*overflow incontinence
*functional incontinence - Correct Answer :urge-type incontinence
Rationale: Urge-type incontinence, also known as overactive bladder (OAB) or urgency incontinence, is a
condition characterized by a sudden and intense urge to urinate, often resulting in involuntary leakage of urine
before reaching the toilet. It occurs due to involuntary contractions of the bladder muscle (detrusor muscle),
which leads to an urgent need to urinate even when the bladder may not be full.
An older adult female presents with a 2-month history of incontinence. She specifically complains of an inability
to make it to the bathroom without the loss of some urine most of the time, and denies incontinence due to
laughing, coughing, or sneezing; she denies dysuria. Her medications include an angiotensin-converting enzyme
(ACE) inhibitor. The initial plan of action for this patient would be:
*Teaching Kegels exercise and bladder training exercise
*Changing her hypertensive medication
P 2
, • NR 511 CEA EXAM 09/11/2026
*Obtaining a urinalysis for pyuria, hematuria, and glucosuria
*Referring to a urologist for urodynamic testing - Correct Answer :Obtaining a urinalysis for pyuria, hematuria,
and glucosuria
Rationale: Obtaining a urinalysis for pyuria (pus in the urine), hematuria (blood in the urine), and glucosuria
(glucose in the urine) is typically done to evaluate and diagnose various medical conditions affecting the urinary
tract and overall health.
The hospitalized patient you are caring for has experienced a low blood pressure for a period of 2 hours before
treatment with a fluid bolus. Which type acute renal dysfunction is being described in this scenario?
*Prerenal
*Intrarenal
*Postrenal
*Chronic kidney disease - Correct Answer :Prerenal
Rationale: Inability to provide driving pressure to the glomerulus of the kidney such as hypotension is an example
of prerenal source of renal dysfunction.
A patient who presents to your clinic with an acute change in facial symmetry, inability to speak clearly and
unilateral muscular weakness should be transported for evaluation immediately as treatment for embolic stroke
with tPA within which timeframe?
*Less than 4.5 hrs
*Less than 24 hrs
*Less than 8 hrs
*Less than 6 hrs - Correct Answer :Less than 4.5 hrs
Rationale: 4.5 hrs is considered the end of the window for tPA therapy unless otherwise contraindicated.
An adolescent male college freshman presents to the student health office with concerns about succeeding in
school. He is in his second semester and is on academic probation because of poor grades. He states that he has
always struggled in school but managed to graduate from high school with a 3.5 grade point average because
his parents monitored and controlled his studying. He wonders if he has a learning disability or other disorder.
The nurse practitioner should respond by:
*acknowledging that he might have an attention disorder or learning disability, and then refer him for an
evaluation
*informing him that he might have an attention disorder or learning disability, but is too old for any diagnosis or
treatment
P 3
, • NR 511 CEA EXAM 09/11/2026
*calling his parents after he leaves the office to report his school problems and recommending tutoring services -
Correct Answer :acknowledging that he might have an attention disorder or learning disability, and then refer
him for an evaluation
Rationale: While specific prevalence rates among college students may vary, learning disorders can indeed affect
academic performance and overall well-being. Early identification, appropriate accommodations, and supportive
interventions can help college students with learning disorders navigate their academic careers successfully.
Which of the following are not associated with alcohol abuse?
*Vitamin B12 deficiency
*Macrocytic anemia
*Thiamine deficiency
*Microcytic anemia - Correct Answer :Microcytic anemia
Rationale: Vitamin B12 and thiamine are commonly low in patients who abuse alcohol chronically. Macrocytic
anemia is also common in this population. Microcytic anemia is more common with iron deficient states and
thalassemia.
Which of the following constellations of symptoms, lasting more than 3 months, is most common in
fibromyalgia?
*Diffuse pain, sleep abnormality, fatigue
*Depression, anxiety, fatigue
*Unilateral pain, headache, anxiety
*Tinnitus, joint stiffness and swelling - Correct Answer :Diffuse pain, sleep abnormality, fatigue
Rationale: The combination of diffuse pain, sleep abnormalities, and fatigue is characteristic of fibromyalgia
syndrome (FMS).
Which of the following visual defects is associated with loss of vision of the same side of the field in both eyes?
*Acute angle glaucoma
*Homonymous hemianopsia
*Astigmatism
*Amaurosis fugax - Correct Answer :Homonymous hemianopsia
Rationale: HH is described perfectly with this example. Amaurosis fugax is more related to sudden loss and
regaining of vision in one or both eyes related to atherosclerosis. Astigmatism is a "flat eyeball", and acute angle
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+
Which nationality is four times as likely as Caucasians to be diagnosed with kidney disease?
*Eastern Europeans
*African Americans
*Pacific Islanders
*Native Alaskans - Correct Answer :African Americans
Rationale: African Americans are four times as likely as Caucasians to have a diagnosis of hypertension.
A 25-year-old woman presents with a urinary tract infection (UTI) confirmed by urinalysis. She has no allergies.
What is the most appropriate first-line antibiotic treatment?
*Amoxicillin
P 1
, • NR 511 CEA EXAM 09/11/2026
*Trimethoprim-sulfamethoxazole
*Ciprofloxacin
*Nitrofurantoin - Correct Answer :Nitrofurantoin
Rationale: Overall, Nitrofurantoin is a preferred choice for treating uncomplicated UTIs, especially in otherwise
healthy individuals where local resistance patterns support its efficacy.
Patients presenting to the emergency department with hematuria and RBC casts in their urine should be
considered for which diagnosis?
*Pyelonephritis
*Nephrotic syndrome
*Glomerulonephritis
*Acute tubular necrosis - Correct Answer :Glomerulonephritis
Rationale: GN is commonly diagnosed with proteinuria, hematuria, and RBC casts in their urine. Pyelonephritis
commonly has WBC casts present on urinalysis. ATN does not typically have any of these features of casts.
Nephrotic syndrome tends to have proteinuria, but no RBCs or casts present.
Inability to reach the bathroom before urinating is a feature consistent with which of the following diagnoses?
*urge-type incontinence
*stress incontinence
*overflow incontinence
*functional incontinence - Correct Answer :urge-type incontinence
Rationale: Urge-type incontinence, also known as overactive bladder (OAB) or urgency incontinence, is a
condition characterized by a sudden and intense urge to urinate, often resulting in involuntary leakage of urine
before reaching the toilet. It occurs due to involuntary contractions of the bladder muscle (detrusor muscle),
which leads to an urgent need to urinate even when the bladder may not be full.
An older adult female presents with a 2-month history of incontinence. She specifically complains of an inability
to make it to the bathroom without the loss of some urine most of the time, and denies incontinence due to
laughing, coughing, or sneezing; she denies dysuria. Her medications include an angiotensin-converting enzyme
(ACE) inhibitor. The initial plan of action for this patient would be:
*Teaching Kegels exercise and bladder training exercise
*Changing her hypertensive medication
P 2
, • NR 511 CEA EXAM 09/11/2026
*Obtaining a urinalysis for pyuria, hematuria, and glucosuria
*Referring to a urologist for urodynamic testing - Correct Answer :Obtaining a urinalysis for pyuria, hematuria,
and glucosuria
Rationale: Obtaining a urinalysis for pyuria (pus in the urine), hematuria (blood in the urine), and glucosuria
(glucose in the urine) is typically done to evaluate and diagnose various medical conditions affecting the urinary
tract and overall health.
The hospitalized patient you are caring for has experienced a low blood pressure for a period of 2 hours before
treatment with a fluid bolus. Which type acute renal dysfunction is being described in this scenario?
*Prerenal
*Intrarenal
*Postrenal
*Chronic kidney disease - Correct Answer :Prerenal
Rationale: Inability to provide driving pressure to the glomerulus of the kidney such as hypotension is an example
of prerenal source of renal dysfunction.
A patient who presents to your clinic with an acute change in facial symmetry, inability to speak clearly and
unilateral muscular weakness should be transported for evaluation immediately as treatment for embolic stroke
with tPA within which timeframe?
*Less than 4.5 hrs
*Less than 24 hrs
*Less than 8 hrs
*Less than 6 hrs - Correct Answer :Less than 4.5 hrs
Rationale: 4.5 hrs is considered the end of the window for tPA therapy unless otherwise contraindicated.
An adolescent male college freshman presents to the student health office with concerns about succeeding in
school. He is in his second semester and is on academic probation because of poor grades. He states that he has
always struggled in school but managed to graduate from high school with a 3.5 grade point average because
his parents monitored and controlled his studying. He wonders if he has a learning disability or other disorder.
The nurse practitioner should respond by:
*acknowledging that he might have an attention disorder or learning disability, and then refer him for an
evaluation
*informing him that he might have an attention disorder or learning disability, but is too old for any diagnosis or
treatment
P 3
, • NR 511 CEA EXAM 09/11/2026
*calling his parents after he leaves the office to report his school problems and recommending tutoring services -
Correct Answer :acknowledging that he might have an attention disorder or learning disability, and then refer
him for an evaluation
Rationale: While specific prevalence rates among college students may vary, learning disorders can indeed affect
academic performance and overall well-being. Early identification, appropriate accommodations, and supportive
interventions can help college students with learning disorders navigate their academic careers successfully.
Which of the following are not associated with alcohol abuse?
*Vitamin B12 deficiency
*Macrocytic anemia
*Thiamine deficiency
*Microcytic anemia - Correct Answer :Microcytic anemia
Rationale: Vitamin B12 and thiamine are commonly low in patients who abuse alcohol chronically. Macrocytic
anemia is also common in this population. Microcytic anemia is more common with iron deficient states and
thalassemia.
Which of the following constellations of symptoms, lasting more than 3 months, is most common in
fibromyalgia?
*Diffuse pain, sleep abnormality, fatigue
*Depression, anxiety, fatigue
*Unilateral pain, headache, anxiety
*Tinnitus, joint stiffness and swelling - Correct Answer :Diffuse pain, sleep abnormality, fatigue
Rationale: The combination of diffuse pain, sleep abnormalities, and fatigue is characteristic of fibromyalgia
syndrome (FMS).
Which of the following visual defects is associated with loss of vision of the same side of the field in both eyes?
*Acute angle glaucoma
*Homonymous hemianopsia
*Astigmatism
*Amaurosis fugax - Correct Answer :Homonymous hemianopsia
Rationale: HH is described perfectly with this example. Amaurosis fugax is more related to sudden loss and
regaining of vision in one or both eyes related to atherosclerosis. Astigmatism is a "flat eyeball", and acute angle
P 4
