NR 547 CEA EXAM 2026 -
CHAMBERLAIN UNIVERSITY
COMPREHENSIVE EXAM ASSESSMENT
(CEA) QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED
A+ LATEST
Course
NR 547 CEA
1. A 73-year-old patient reports sleeping from 9:30 PM until 4:45 AM and denies daytime
impairment. What is the most appropriate response?
A. Diagnose insomnia disorder
B. Explain that an earlier sleep-wake pattern can occur with aging
C. Start a sedative-hypnotic medication
D. Recommend sleeping medication every night
Answer: B. Explain that an earlier sleep-wake pattern can occur with aging
,Rationale: Older adults commonly experience changes in circadian rhythm, including earlier
sleep and wake times. If the patient has adequate sleep and no functional impairment, medication
is generally not indicated solely because of the schedule.
2. Which finding is characteristic of Lewy body dementia?
A. Progressive memory loss without fluctuations
B. Recurrent well-formed visual hallucinations and fluctuating cognition
C. Early isolated language impairment
D. Exclusively motor symptoms
Answer: B. Recurrent well-formed visual hallucinations and fluctuating cognition
Rationale: Lewy body dementia commonly features fluctuating cognition, recurrent visual
hallucinations, parkinsonism, REM sleep behavior disorder, and marked sensitivity to
antipsychotic medications.
3. A patient with type 2 diabetes reports burning and tingling in both feet, particularly at
night. Which medication is commonly used for diabetic peripheral neuropathic pain?
A. Gabapentin
B. Amoxicillin
C. Furosemide
D. Omeprazole
Answer: A. Gabapentin
,Rationale: Gabapentin is commonly used for neuropathic pain because it modulates abnormal
neuronal signaling. Treatment should be individualized based on renal function, adverse effects,
and other patient factors.
4. A patient with chronic kidney disease has substantially reduced renal function. Which
medication requires particular attention because renal impairment can increase the risk of
metformin-associated lactic acidosis?
A. Metformin
B. Loratadine
C. Topical hydrocortisone
D. Acetaminophen at standard doses
Answer: A. Metformin
Rationale: Metformin use is restricted or contraindicated at certain levels of renal impairment
because reduced clearance increases the risk of accumulation and lactic acidosis. Renal function
should be assessed before and during therapy.
5. A patient presents with dysuria, urinary frequency, and suprapubic discomfort. Urinalysis
is positive for nitrites and leukocyte esterase. Which condition is most likely?
A. Acute cystitis
B. Nephrotic syndrome
C. Renal artery stenosis
D. Glomerulonephritis
Answer: A. Acute cystitis
, Rationale: Dysuria, urinary frequency, and suprapubic discomfort are classic symptoms of lower
urinary tract infection. Nitrites and leukocyte esterase further support bacterial cystitis.
6. Which symptom combination is most concerning for pulmonary embolism?
A. Sudden dyspnea, pleuritic chest pain, and tachycardia
B. Gradual nasal congestion and sneezing
C. Chronic constipation and abdominal bloating
D. Mild chronic back pain
Answer: A. Sudden dyspnea, pleuritic chest pain, and tachycardia
Rationale: Pulmonary embolism may present with sudden unexplained dyspnea, pleuritic chest
pain, tachycardia, hypoxemia, or syncope. Prompt evaluation is required when PE is suspected.
7. A patient has a BMI of 34 kg/m² and a thickened, velvety, hyperpigmented area on the
posterior neck. Which condition is most likely?
A. Vitiligo
B. Acanthosis nigricans
C. Psoriasis
D. Cellulitis
Answer: B. Acanthosis nigricans
Rationale: Acanthosis nigricans commonly appears as hyperpigmented, thickened, velvety skin
in areas such as the neck and axillae. It is frequently associated with insulin resistance and
obesity.
CHAMBERLAIN UNIVERSITY
COMPREHENSIVE EXAM ASSESSMENT
(CEA) QUESTIONS AND VERIFIED
ANSWERS WITH RATIONALES GRADED
A+ LATEST
Course
NR 547 CEA
1. A 73-year-old patient reports sleeping from 9:30 PM until 4:45 AM and denies daytime
impairment. What is the most appropriate response?
A. Diagnose insomnia disorder
B. Explain that an earlier sleep-wake pattern can occur with aging
C. Start a sedative-hypnotic medication
D. Recommend sleeping medication every night
Answer: B. Explain that an earlier sleep-wake pattern can occur with aging
,Rationale: Older adults commonly experience changes in circadian rhythm, including earlier
sleep and wake times. If the patient has adequate sleep and no functional impairment, medication
is generally not indicated solely because of the schedule.
2. Which finding is characteristic of Lewy body dementia?
A. Progressive memory loss without fluctuations
B. Recurrent well-formed visual hallucinations and fluctuating cognition
C. Early isolated language impairment
D. Exclusively motor symptoms
Answer: B. Recurrent well-formed visual hallucinations and fluctuating cognition
Rationale: Lewy body dementia commonly features fluctuating cognition, recurrent visual
hallucinations, parkinsonism, REM sleep behavior disorder, and marked sensitivity to
antipsychotic medications.
3. A patient with type 2 diabetes reports burning and tingling in both feet, particularly at
night. Which medication is commonly used for diabetic peripheral neuropathic pain?
A. Gabapentin
B. Amoxicillin
C. Furosemide
D. Omeprazole
Answer: A. Gabapentin
,Rationale: Gabapentin is commonly used for neuropathic pain because it modulates abnormal
neuronal signaling. Treatment should be individualized based on renal function, adverse effects,
and other patient factors.
4. A patient with chronic kidney disease has substantially reduced renal function. Which
medication requires particular attention because renal impairment can increase the risk of
metformin-associated lactic acidosis?
A. Metformin
B. Loratadine
C. Topical hydrocortisone
D. Acetaminophen at standard doses
Answer: A. Metformin
Rationale: Metformin use is restricted or contraindicated at certain levels of renal impairment
because reduced clearance increases the risk of accumulation and lactic acidosis. Renal function
should be assessed before and during therapy.
5. A patient presents with dysuria, urinary frequency, and suprapubic discomfort. Urinalysis
is positive for nitrites and leukocyte esterase. Which condition is most likely?
A. Acute cystitis
B. Nephrotic syndrome
C. Renal artery stenosis
D. Glomerulonephritis
Answer: A. Acute cystitis
, Rationale: Dysuria, urinary frequency, and suprapubic discomfort are classic symptoms of lower
urinary tract infection. Nitrites and leukocyte esterase further support bacterial cystitis.
6. Which symptom combination is most concerning for pulmonary embolism?
A. Sudden dyspnea, pleuritic chest pain, and tachycardia
B. Gradual nasal congestion and sneezing
C. Chronic constipation and abdominal bloating
D. Mild chronic back pain
Answer: A. Sudden dyspnea, pleuritic chest pain, and tachycardia
Rationale: Pulmonary embolism may present with sudden unexplained dyspnea, pleuritic chest
pain, tachycardia, hypoxemia, or syncope. Prompt evaluation is required when PE is suspected.
7. A patient has a BMI of 34 kg/m² and a thickened, velvety, hyperpigmented area on the
posterior neck. Which condition is most likely?
A. Vitiligo
B. Acanthosis nigricans
C. Psoriasis
D. Cellulitis
Answer: B. Acanthosis nigricans
Rationale: Acanthosis nigricans commonly appears as hyperpigmented, thickened, velvety skin
in areas such as the neck and axillae. It is frequently associated with insulin resistance and
obesity.
