NR 667 Chamberlain CEA Final Exam (Latest ):
Most Comprehensive Practice Qs & Answers — 250
Questions
Exam-focused original practice bank • Large visual answer markers • Clinical vignettes • No A/B/C/D labels
Cardiology
1. A 72-year-old with exertional chest pressure has ST-segment depression during exercise. Which finding most
strongly supports myocardial ischemia?
ST-segment elevation at rest
Horizontal ST-segment depression with symptoms
Shortened PR interval
Diffuse peaked T waves
CLINICAL VISUAL 1 — Normal Sinus Rhythm
R
T
P
Schematic normal sinus rhythm
Use the P-QRS-T sequence to orient rhythm questions.
2. A patient with atrial fibrillation is being assessed for stroke prevention. Which tool is commonly used to estimate
thromboembolic risk?
Wells score
CHA■DS■-VASc score
CURB-65
PERC rule
3. A patient has a regular narrow-complex tachycardia at 180/min and is hemodynamically stable. What is the
appropriate initial intervention?
Immediate defibrillation
Vagal maneuvers
IV thrombolysis
Permanent pacemaker
4. Which finding is most characteristic of left-sided heart failure?
Dependent edema only
Pulmonary crackles and orthopnea
Unilateral calf tenderness
Jaundice
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 1
, CLINICAL VISUAL 2 — General Human Examination Orientation
Clinical examination orientation
Anterior view — schematic
Schematic human figure for physical-assessment questions.
5. A patient taking an ACE inhibitor develops facial swelling and tongue enlargement. What is the priority?
Give the next ACE-inhibitor dose
Assess and protect the airway
Recommend increased dietary potassium
Start a thiazide only
6. Which ECG component represents ventricular depolarization?
P wave
PR interval
QRS complex
T wave
7. A patient with symptomatic bradycardia and hypotension is being evaluated. Which medication is commonly
used initially?
Atropine
Adenosine
Warfarin
Digoxin immune Fab
8. Which lifestyle intervention has the strongest general benefit for reducing cardiovascular risk in a smoker?
Smoking cessation
Avoiding all dairy
Increasing sodium intake
Avoiding resistance exercise
9. A patient with suspected acute coronary syndrome has no contraindication. Which medication should generally
be given early?
Aspirin
Oral iron
Loperamide
Allopurinol
10. A harsh crescendo-decrescendo systolic murmur radiating to the carotids is most consistent with:
Mitral stenosis
Aortic stenosis
Tricuspid regurgitation
Mitral regurgitation
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 2
, Pulmonology
11. A patient with asthma has wheezing and reversible airflow obstruction. Which medication is used for rapid
symptom relief?
Albuterol
Fluticasone alone
Montelukast only
Tiotropium as rescue monotherapy
12. Which spirometry pattern is most consistent with obstructive lung disease?
Reduced FEV1/FVC ratio
Increased FEV1/FVC ratio
Normal FEV1 with absent symptoms
Reduced total lung capacity only
13. A patient with COPD is chronically stable. Which intervention has the greatest effect on slowing disease
progression in a smoker?
Smoking cessation
Routine antibiotics
Bed rest
High-dose systemic steroids indefinitely
14. A patient presents with fever, cough, focal crackles, and a lobar infiltrate on chest radiograph. The most likely
diagnosis is:
Community-acquired pneumonia
Panic disorder
Pulmonary embolism only
Pleural tumor
15. Which finding should raise concern for pulmonary embolism?
Sudden dyspnea with pleuritic chest pain
Chronic nasal congestion
Bilateral ear pain
Gradual hair loss
16. A patient with acute severe asthma has a 'silent chest' and increasing fatigue. This finding indicates:
Improvement
Impending respiratory failure
Simple allergic rhinitis
Resolved bronchospasm
17. Which test is most useful to confirm obstructive sleep apnea in an appropriate adult?
Polysomnography or validated sleep testing
Plain abdominal radiograph
Serum ferritin alone
Urinalysis
18. A patient with pleuritic pain and unilateral absent breath sounds after a procedure may have:
Pneumothorax
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 3
, Sinusitis
Pericarditis only
Gastritis
19. Which physical finding is typical of pleural effusion?
Dullness to percussion
Hyperresonance throughout
Stridor
Barking cough
20. A patient with chronic cough, weight loss, and hemoptysis requires evaluation particularly for:
Lung malignancy and tuberculosis depending on risk
Migraine
Appendicitis
Otitis externa
Endocrinology
21. A patient has polyuria, polydipsia, weight loss, and a markedly elevated glucose. Which diagnosis is most
likely?
Diabetes mellitus
Hypothyroidism
Addison disease only
Hyperparathyroidism
EPIDERMIS hair shaft
CLINICAL VISUAL 3 — Skin Layers
DERMIS
hair follicle
SUBCUTANEOUS TISSUE
Epidermis, dermis, and subcutaneous tissue.
22. Which laboratory test reflects average glycemia over roughly the preceding 2–3 months?
HbA1c
Serum sodium
TSH
Troponin
23. A patient with hyperthyroidism has tremor, heat intolerance, and weight loss. Which medication class reduces
adrenergic symptoms?
Beta-blockers
Loop diuretics
Bisphosphonates
Antacids
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 4
Most Comprehensive Practice Qs & Answers — 250
Questions
Exam-focused original practice bank • Large visual answer markers • Clinical vignettes • No A/B/C/D labels
Cardiology
1. A 72-year-old with exertional chest pressure has ST-segment depression during exercise. Which finding most
strongly supports myocardial ischemia?
ST-segment elevation at rest
Horizontal ST-segment depression with symptoms
Shortened PR interval
Diffuse peaked T waves
CLINICAL VISUAL 1 — Normal Sinus Rhythm
R
T
P
Schematic normal sinus rhythm
Use the P-QRS-T sequence to orient rhythm questions.
2. A patient with atrial fibrillation is being assessed for stroke prevention. Which tool is commonly used to estimate
thromboembolic risk?
Wells score
CHA■DS■-VASc score
CURB-65
PERC rule
3. A patient has a regular narrow-complex tachycardia at 180/min and is hemodynamically stable. What is the
appropriate initial intervention?
Immediate defibrillation
Vagal maneuvers
IV thrombolysis
Permanent pacemaker
4. Which finding is most characteristic of left-sided heart failure?
Dependent edema only
Pulmonary crackles and orthopnea
Unilateral calf tenderness
Jaundice
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 1
, CLINICAL VISUAL 2 — General Human Examination Orientation
Clinical examination orientation
Anterior view — schematic
Schematic human figure for physical-assessment questions.
5. A patient taking an ACE inhibitor develops facial swelling and tongue enlargement. What is the priority?
Give the next ACE-inhibitor dose
Assess and protect the airway
Recommend increased dietary potassium
Start a thiazide only
6. Which ECG component represents ventricular depolarization?
P wave
PR interval
QRS complex
T wave
7. A patient with symptomatic bradycardia and hypotension is being evaluated. Which medication is commonly
used initially?
Atropine
Adenosine
Warfarin
Digoxin immune Fab
8. Which lifestyle intervention has the strongest general benefit for reducing cardiovascular risk in a smoker?
Smoking cessation
Avoiding all dairy
Increasing sodium intake
Avoiding resistance exercise
9. A patient with suspected acute coronary syndrome has no contraindication. Which medication should generally
be given early?
Aspirin
Oral iron
Loperamide
Allopurinol
10. A harsh crescendo-decrescendo systolic murmur radiating to the carotids is most consistent with:
Mitral stenosis
Aortic stenosis
Tricuspid regurgitation
Mitral regurgitation
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 2
, Pulmonology
11. A patient with asthma has wheezing and reversible airflow obstruction. Which medication is used for rapid
symptom relief?
Albuterol
Fluticasone alone
Montelukast only
Tiotropium as rescue monotherapy
12. Which spirometry pattern is most consistent with obstructive lung disease?
Reduced FEV1/FVC ratio
Increased FEV1/FVC ratio
Normal FEV1 with absent symptoms
Reduced total lung capacity only
13. A patient with COPD is chronically stable. Which intervention has the greatest effect on slowing disease
progression in a smoker?
Smoking cessation
Routine antibiotics
Bed rest
High-dose systemic steroids indefinitely
14. A patient presents with fever, cough, focal crackles, and a lobar infiltrate on chest radiograph. The most likely
diagnosis is:
Community-acquired pneumonia
Panic disorder
Pulmonary embolism only
Pleural tumor
15. Which finding should raise concern for pulmonary embolism?
Sudden dyspnea with pleuritic chest pain
Chronic nasal congestion
Bilateral ear pain
Gradual hair loss
16. A patient with acute severe asthma has a 'silent chest' and increasing fatigue. This finding indicates:
Improvement
Impending respiratory failure
Simple allergic rhinitis
Resolved bronchospasm
17. Which test is most useful to confirm obstructive sleep apnea in an appropriate adult?
Polysomnography or validated sleep testing
Plain abdominal radiograph
Serum ferritin alone
Urinalysis
18. A patient with pleuritic pain and unilateral absent breath sounds after a procedure may have:
Pneumothorax
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 3
, Sinusitis
Pericarditis only
Gastritis
19. Which physical finding is typical of pleural effusion?
Dullness to percussion
Hyperresonance throughout
Stridor
Barking cough
20. A patient with chronic cough, weight loss, and hemoptysis requires evaluation particularly for:
Lung malignancy and tuberculosis depending on risk
Migraine
Appendicitis
Otitis externa
Endocrinology
21. A patient has polyuria, polydipsia, weight loss, and a markedly elevated glucose. Which diagnosis is most
likely?
Diabetes mellitus
Hypothyroidism
Addison disease only
Hyperparathyroidism
EPIDERMIS hair shaft
CLINICAL VISUAL 3 — Skin Layers
DERMIS
hair follicle
SUBCUTANEOUS TISSUE
Epidermis, dermis, and subcutaneous tissue.
22. Which laboratory test reflects average glycemia over roughly the preceding 2–3 months?
HbA1c
Serum sodium
TSH
Troponin
23. A patient with hyperthyroidism has tremor, heat intolerance, and weight loss. Which medication class reduces
adrenergic symptoms?
Beta-blockers
Loop diuretics
Bisphosphonates
Antacids
NR 667 CEA • 250-Question Comprehensive Practice Bank Page 4
