• 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+
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes –
Correct Answer :High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to be socially accepted. Of these
options, high-level athletes are the only ones who fit this mold. Adolescence of higher, social economic status
are less likely because they don't usually have a difficulty being accepted in society, and individuals with many
P 1
, • NR 511 CEA EXAM 09/11/2026
friends likewise are more accepted. Individuals from large families are also less likely to lack social engagement
due to a larger support system.
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?
*Mercury
*Ammonia
*Iron
*Carbon dioxide - Correct Answer :Ammonia
Rationale: For liver dysfunction, ammonia levels should always be considered. Treatment for an elevated
ammonia level will likely include minimizing protein intake, avoiding hepatotoxic agents, and the use of lactulose,
along with inpatient care.
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse
practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the
patient often has no money to buy food, despite income from social security and a coal miner's pension. The
nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
*Report the case to the proper authorities.
*Tell the neighbor to check on the woman daily and report back.
*Document the data and report the information to risk management.
*Call the patient's family and inquire about the concerns. - Correct Answer :Report the case to the proper
authorities.
Rationale: Remember, that suspected abuse is always a reportable event and therefore should be the right
answer you gravitate toward on any question that suggest that there is any type of actual or suspected elder
abuse.
A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with
aging is the most likely cause?
*Increased bile secretion
*Decreased bowel muscle tone
*Increased absorption of calcium
*Decreased pancreatic secretions - Correct Answer :Decreased bowel muscle tone
P 2
, • NR 511 CEA EXAM 09/11/2026
Rationale: The frail, elderly patient will typically have their GI track decrease bile secretion and decrease
absorption of calcium. A decrease in pancreas secretions is not related to presence of constipation, however,
decreased bowel muscle tone certainly does reduce the GI motility and increase the transit time, thereby
increasing the drying of stool in the large intestine which leads to constipation
Your irate patient on involuntary hold due to risk of harm to themself or others says they are going to "kill you
when you leave work after they get discharged". This statement is an example of which of the following?
*None of these options
*Verbal battery
*Verbal assault
*Emotional battery - Correct Answer :Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery refers to the actual act of that harm.
The patient you just saw in urgent care is being admitted for strep viridans endocarditis. Which of the following
does the prudent nurse practitioner considered the most possible source of the illness?
*Perioral abscess seen on maxillofacial bone CT scan this admission
*Recent viral infection diagnosed as a common cold
*Recent infestation of scabies on the webbings of feet
*New IV catheter placed today in the operating room - Correct Answer :Perioral abscess seen on maxillofacial
bone CT scan this admission
Rationale: Gumline infections are remarkably easy to introduce pathogens into the bloodstream to attack valves,
cause sepsis, etc. Strep viridans is a very common oral pathogen. Scabies do not carry a risk of bacterial sepsis,
nor does a recent low-grade common cold virus. Any invasive lines should be considered at risk, but the IV
catheter placement is both unlikely as a source and does not fit the timing after already being admitted.
Which of the following bacteria are more commonly associated with pharyngitis?
*Proteus
*Enterococcus
*Group A Streptococcus
*Streptomyces - Correct Answer :Group A Streptococcus
Rationale: Group A Streptococcus represents the most common bacteria found in pharyngitis. Enterococcus are
found in the intestines. Streptomyces species are commonly associated with immunocompromised patients and
lung abscess. Proteus is commonly associated with urinary tract infection in men.
P 3
, • NR 511 CEA EXAM 09/11/2026
Which of the following is not one of the four Ds of epiglottitis?
*Dysphagia
*Dystonia
*Dysphonia
*Drooling - Correct Answer :Drooling
Initial management for a patient with dry eyes should include:
*Cyclosporine ophthalmic emulsion
*Preservative-free lubricative eye drops
*Referring to ophthalmology
*Erythromycin 0.5% ointment - Correct Answer :Preservative-free lubricative eye drops
Rationale: Preservative-free lubricative eye drops are the lest invasive and most likely to provide immediate relief.
If this is unsuccessful, it would be considered reasonable to refer the patient to ophthalmology.
Workup to rule out cardiac source of an embolic stroke should include which of the following exams?
*12 Lead EKG
*CT chest without contrast
*CT facial bones
*Transthoracic or Transesophageal echocardiogram - Correct Answer :Transthoracic or Transesophageal
echocardiogram
Rationale: Patients with acute embolic strokes should have a transthoracic echocardiogram to evaluate for any
presence of valvular dysfunction. With presence of pharyngitis, the risk of bacterial endocarditis must be ruled
out, and valvular vegetation as a cause must be evaluated with an echocardiogram. If any findings are noted, a
transesophageal echocardiogram may be performed to better identify the vegetation.
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac work-up is negative
but CBC reveals a hemoglobin of 6.5. Which of the following indices would indicate a potential iron deficiency
anemia?
*MCV 72, MCHC 38
*MCV 112, MCHC 40
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+
Anorexia nervosa occurs most commonly in which of the following?
*Individuals with many friends
*You Answered In adolescents of higher social-economic status
*Individuals from large families
*High-level athletes –
Correct Answer :High-level athletes
Rationale: Anorexia is more common in high performers, who feel a need to be socially accepted. Of these
options, high-level athletes are the only ones who fit this mold. Adolescence of higher, social economic status
are less likely because they don't usually have a difficulty being accepted in society, and individuals with many
P 1
, • NR 511 CEA EXAM 09/11/2026
friends likewise are more accepted. Individuals from large families are also less likely to lack social engagement
due to a larger support system.
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?
*Mercury
*Ammonia
*Iron
*Carbon dioxide - Correct Answer :Ammonia
Rationale: For liver dysfunction, ammonia levels should always be considered. Treatment for an elevated
ammonia level will likely include minimizing protein intake, avoiding hepatotoxic agents, and the use of lactulose,
along with inpatient care.
A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse
practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the
patient often has no money to buy food, despite income from social security and a coal miner's pension. The
nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
*Report the case to the proper authorities.
*Tell the neighbor to check on the woman daily and report back.
*Document the data and report the information to risk management.
*Call the patient's family and inquire about the concerns. - Correct Answer :Report the case to the proper
authorities.
Rationale: Remember, that suspected abuse is always a reportable event and therefore should be the right
answer you gravitate toward on any question that suggest that there is any type of actual or suspected elder
abuse.
A frail elderly patient presents with constipation. Which of the following normal physiologic changes seen with
aging is the most likely cause?
*Increased bile secretion
*Decreased bowel muscle tone
*Increased absorption of calcium
*Decreased pancreatic secretions - Correct Answer :Decreased bowel muscle tone
P 2
, • NR 511 CEA EXAM 09/11/2026
Rationale: The frail, elderly patient will typically have their GI track decrease bile secretion and decrease
absorption of calcium. A decrease in pancreas secretions is not related to presence of constipation, however,
decreased bowel muscle tone certainly does reduce the GI motility and increase the transit time, thereby
increasing the drying of stool in the large intestine which leads to constipation
Your irate patient on involuntary hold due to risk of harm to themself or others says they are going to "kill you
when you leave work after they get discharged". This statement is an example of which of the following?
*None of these options
*Verbal battery
*Verbal assault
*Emotional battery - Correct Answer :Verbal assault
Rationale: Assault refers to the risk of a harm to others, whereas battery refers to the actual act of that harm.
The patient you just saw in urgent care is being admitted for strep viridans endocarditis. Which of the following
does the prudent nurse practitioner considered the most possible source of the illness?
*Perioral abscess seen on maxillofacial bone CT scan this admission
*Recent viral infection diagnosed as a common cold
*Recent infestation of scabies on the webbings of feet
*New IV catheter placed today in the operating room - Correct Answer :Perioral abscess seen on maxillofacial
bone CT scan this admission
Rationale: Gumline infections are remarkably easy to introduce pathogens into the bloodstream to attack valves,
cause sepsis, etc. Strep viridans is a very common oral pathogen. Scabies do not carry a risk of bacterial sepsis,
nor does a recent low-grade common cold virus. Any invasive lines should be considered at risk, but the IV
catheter placement is both unlikely as a source and does not fit the timing after already being admitted.
Which of the following bacteria are more commonly associated with pharyngitis?
*Proteus
*Enterococcus
*Group A Streptococcus
*Streptomyces - Correct Answer :Group A Streptococcus
Rationale: Group A Streptococcus represents the most common bacteria found in pharyngitis. Enterococcus are
found in the intestines. Streptomyces species are commonly associated with immunocompromised patients and
lung abscess. Proteus is commonly associated with urinary tract infection in men.
P 3
, • NR 511 CEA EXAM 09/11/2026
Which of the following is not one of the four Ds of epiglottitis?
*Dysphagia
*Dystonia
*Dysphonia
*Drooling - Correct Answer :Drooling
Initial management for a patient with dry eyes should include:
*Cyclosporine ophthalmic emulsion
*Preservative-free lubricative eye drops
*Referring to ophthalmology
*Erythromycin 0.5% ointment - Correct Answer :Preservative-free lubricative eye drops
Rationale: Preservative-free lubricative eye drops are the lest invasive and most likely to provide immediate relief.
If this is unsuccessful, it would be considered reasonable to refer the patient to ophthalmology.
Workup to rule out cardiac source of an embolic stroke should include which of the following exams?
*12 Lead EKG
*CT chest without contrast
*CT facial bones
*Transthoracic or Transesophageal echocardiogram - Correct Answer :Transthoracic or Transesophageal
echocardiogram
Rationale: Patients with acute embolic strokes should have a transthoracic echocardiogram to evaluate for any
presence of valvular dysfunction. With presence of pharyngitis, the risk of bacterial endocarditis must be ruled
out, and valvular vegetation as a cause must be evaluated with an echocardiogram. If any findings are noted, a
transesophageal echocardiogram may be performed to better identify the vegetation.
A patient presents to the urgent care with SOB, fatigue, headache, and chest pain. Cardiac work-up is negative
but CBC reveals a hemoglobin of 6.5. Which of the following indices would indicate a potential iron deficiency
anemia?
*MCV 72, MCHC 38
*MCV 112, MCHC 40
P 4
