NR 547 CEA EXAM 2026 - CHAMBERLAIN
UNIVERSITY COMPREHENSIVE EXAM
ASSESSMENT (CEA) QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED A+ LATEST
Question 1
A 52-year-old patient with type 2 diabetes presents with numbness and
burning pain in both feet, worse at right. Which medication is most
appropriate as first-line treatment?
A. Ibuprofen
B. Gabapentin
C. Prednisone
D. Acetaminophen
Correct Answer: B
Rationale: Gabapentin is a first-line agent for diabetic peripheral
neuropathy due to its effectiveness in neuropathic pain modulation. NSAIDs
and acetaminophen are ineffective for neuropathic pain, and corticosteroids
are not indicated.
,Question 2
A patient with chronic kidney disease stage 4 should have which medication
dose adjusted or avoided?
A. Acetaminophen
B. Metformin
C. Amlodipine
D. Insulin glargine
Correct Answer: B
Rationale: Metformin should be avoided or dose-adjusted in advanced renal
disease due to increased risk of lactic acidosis. The other medications are
generally safe with monitoring.
Question 3
A 28-year-old woman presents with dysuria, urinary frequency, and
suprapubic pain. Urinalysis shows positive leukocyte esterase and nitrites.
What is the most appropriate initial treatment?
A. Ciprofloxacin for 14 days
B. Nitrofurantoin for 5 days
C. Trimethoprim-sulfamethoxazole for 21 days
,D. Amoxicillin-clavulanate for 14 days
Correct Answer: B
Rationale: Nitrofurantoin for 5 days is first-line therapy for uncomplicated
cystitis. Longer durations or broader-spectrum antibiotics are unnecessary.
Question 4
Which finding is most concerning in a patient with suspected pulmonary
embolism?
A. Gradual onset dyspnea
B. Pleuritic chest pain
C. Sudden unexplained tachycardia
D. Mild hypoxia
Correct Answer: C
Rationale: Sudden unexplained tachycardia is a hallmark and concerning
sign of pulmonary embolism, indicating acute cardiopulmonary stress.
Question 5
, A patient with heart failure with reduced ejection fraction should be
prescribed which medication to improve mortality?
A. Diltiazem
B. Furosemide
C. Lisinopril
D. Digoxin
Correct Answer: C
Rationale: ACE inhibitors reduce mortality and slow disease progression in
HFrEF. Diuretics improve symptoms but do not reduce mortality.
Question 6
A 6-year-old child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Asthma
Correct Answer: C
UNIVERSITY COMPREHENSIVE EXAM
ASSESSMENT (CEA) QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED A+ LATEST
Question 1
A 52-year-old patient with type 2 diabetes presents with numbness and
burning pain in both feet, worse at right. Which medication is most
appropriate as first-line treatment?
A. Ibuprofen
B. Gabapentin
C. Prednisone
D. Acetaminophen
Correct Answer: B
Rationale: Gabapentin is a first-line agent for diabetic peripheral
neuropathy due to its effectiveness in neuropathic pain modulation. NSAIDs
and acetaminophen are ineffective for neuropathic pain, and corticosteroids
are not indicated.
,Question 2
A patient with chronic kidney disease stage 4 should have which medication
dose adjusted or avoided?
A. Acetaminophen
B. Metformin
C. Amlodipine
D. Insulin glargine
Correct Answer: B
Rationale: Metformin should be avoided or dose-adjusted in advanced renal
disease due to increased risk of lactic acidosis. The other medications are
generally safe with monitoring.
Question 3
A 28-year-old woman presents with dysuria, urinary frequency, and
suprapubic pain. Urinalysis shows positive leukocyte esterase and nitrites.
What is the most appropriate initial treatment?
A. Ciprofloxacin for 14 days
B. Nitrofurantoin for 5 days
C. Trimethoprim-sulfamethoxazole for 21 days
,D. Amoxicillin-clavulanate for 14 days
Correct Answer: B
Rationale: Nitrofurantoin for 5 days is first-line therapy for uncomplicated
cystitis. Longer durations or broader-spectrum antibiotics are unnecessary.
Question 4
Which finding is most concerning in a patient with suspected pulmonary
embolism?
A. Gradual onset dyspnea
B. Pleuritic chest pain
C. Sudden unexplained tachycardia
D. Mild hypoxia
Correct Answer: C
Rationale: Sudden unexplained tachycardia is a hallmark and concerning
sign of pulmonary embolism, indicating acute cardiopulmonary stress.
Question 5
, A patient with heart failure with reduced ejection fraction should be
prescribed which medication to improve mortality?
A. Diltiazem
B. Furosemide
C. Lisinopril
D. Digoxin
Correct Answer: C
Rationale: ACE inhibitors reduce mortality and slow disease progression in
HFrEF. Diuretics improve symptoms but do not reduce mortality.
Question 6
A 6-year-old child presents with a barking cough and inspiratory stridor.
What is the most likely diagnosis?
A. Epiglottitis
B. Bronchiolitis
C. Croup
D. Asthma
Correct Answer: C
