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NR 511 CEA Exam 2026|Actual
Questions And Answers
The 84 year old lethargic patient who lives alone accidentally overdosed their
amlodipine (Norvasc) was found by their daughter and taken to your clinic for
evaluation. On exam, you found her blood pressure of 80/42 which the daughter
says was "about what she found on her home cuff for the last 6 hours before
bringing her in to be evaluated". The patient was then transferred to the hospital
for evaluation. During her hospitalization she was also evaluated with CBC, BMP,
and a UA. The results reflect normal labs except the UA showed trace WBCs in
urine and no leukocyte esterases or nitrites and the BMP showed a creatinine of
1.9 with her normal baseline of1.2 (normal range 0.5-1.2mg/dL) and BUN of 34,
with a baseline of 20 (normal range 10-20 mg/dL). What si likely to cause which of
her renal issues? A -Pyelonephritis
B -Chronic kidney disease
C -Acute tubular necrosis
D -Glomerulonephritis - correct-answer - C -Acute tubular necrosis
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Your 52 year old male patient Gus has a diagnosis of heart failure with a low
ejection fraction (HFrEF) (EF 30%) following a recent myocardial infarction and has
been started on optimal medical therapy. Assuming he tolerates all the following
medicines without side effects or contraindications, which one of the following
agents should be avoided for optimal medical therapy specifically aimed at
optimizing his HFrEF?
A -Amlodipine (Norvasc)
B -Entresto (Sacubitril/Valsartan)
C -Furosemide (Lasix)
D -Carvedilol (Coreg) - correct-answer - A -Amlodipine (Norvasc)
Your 19 year old otherwise healthy male patient Vivek has been monitoring their
peak flow at home after a recent visit at which time his symptoms suggest a new
diagnosis of asthma. Which of the following is the most likely drug to be the first
prescription?
A -fluticasone/salmeterol (Advair diskus) 250/50 BID PRN for shortness of breath
B -salmeterol (Serevent) 50mcg inhaled daily
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C -albuterol (Xopenex) MDI PRN for wheezing
D -montelukast (Singulair) 10mg PO daily - correct-answer - C -albuterol
(Xopenex) MDI PRN for wheezing
Margo, a 47 year old female patient recently underwent routine surveillance labs
during her annual visit. From a routine screening lab of Hgb A1C of 7.2, you have
diagnosed her with type 2 diabetes mellitus (T2DM) and anticipate discharging
her with medication and referral to diabetic education. Your patient teaching
should include notification of which common side effect of the most commonly
prescribed first agent for T2DM?
A -diarrhea
B -delayed gastric emptying
C -mycotic infections
D -constipation - correct-answer - A -diarrhea
Oliver, a 62 year old otherwise healthy male patient with an active lifestyle
presents to your clinic today with a chief complaint of gnawing abdominal pain
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with a history of orthopedic overuse injuries. In developing a working differential
diagnosis for this patient, which of the following questions is most useful in
probing this further to rule out more serious conditions?
A -What time of the day aer you taking your acetaminophen (Tylenol)?
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
C -When was the last time you took topical corticosteroids for pain?
D -Have you noticed any particular food has made this worse? - correct-answer -
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
Zeke, a 2 year old male patient presented to your primary care clinic with
unilateral leg swelling and tenderness after an "al nighter"playing video games.
You suspect he has a provokedDVT from immobility and an ultrasound has been
ordered. While awaiting thisexam to be performed, you preemptively discuss
anticoagulation with the patient assuming he wil most likely be needing this
therapy. Which of the following represents adequate understanding from the
patient?
A -The goal for my INR on rivaroxaban (Xarelto) should be somewhere over 20
NR 511 CEA Exam 2026|Actual
Questions And Answers
The 84 year old lethargic patient who lives alone accidentally overdosed their
amlodipine (Norvasc) was found by their daughter and taken to your clinic for
evaluation. On exam, you found her blood pressure of 80/42 which the daughter
says was "about what she found on her home cuff for the last 6 hours before
bringing her in to be evaluated". The patient was then transferred to the hospital
for evaluation. During her hospitalization she was also evaluated with CBC, BMP,
and a UA. The results reflect normal labs except the UA showed trace WBCs in
urine and no leukocyte esterases or nitrites and the BMP showed a creatinine of
1.9 with her normal baseline of1.2 (normal range 0.5-1.2mg/dL) and BUN of 34,
with a baseline of 20 (normal range 10-20 mg/dL). What si likely to cause which of
her renal issues? A -Pyelonephritis
B -Chronic kidney disease
C -Acute tubular necrosis
D -Glomerulonephritis - correct-answer - C -Acute tubular necrosis
,2|Page
Your 52 year old male patient Gus has a diagnosis of heart failure with a low
ejection fraction (HFrEF) (EF 30%) following a recent myocardial infarction and has
been started on optimal medical therapy. Assuming he tolerates all the following
medicines without side effects or contraindications, which one of the following
agents should be avoided for optimal medical therapy specifically aimed at
optimizing his HFrEF?
A -Amlodipine (Norvasc)
B -Entresto (Sacubitril/Valsartan)
C -Furosemide (Lasix)
D -Carvedilol (Coreg) - correct-answer - A -Amlodipine (Norvasc)
Your 19 year old otherwise healthy male patient Vivek has been monitoring their
peak flow at home after a recent visit at which time his symptoms suggest a new
diagnosis of asthma. Which of the following is the most likely drug to be the first
prescription?
A -fluticasone/salmeterol (Advair diskus) 250/50 BID PRN for shortness of breath
B -salmeterol (Serevent) 50mcg inhaled daily
,3|Page
C -albuterol (Xopenex) MDI PRN for wheezing
D -montelukast (Singulair) 10mg PO daily - correct-answer - C -albuterol
(Xopenex) MDI PRN for wheezing
Margo, a 47 year old female patient recently underwent routine surveillance labs
during her annual visit. From a routine screening lab of Hgb A1C of 7.2, you have
diagnosed her with type 2 diabetes mellitus (T2DM) and anticipate discharging
her with medication and referral to diabetic education. Your patient teaching
should include notification of which common side effect of the most commonly
prescribed first agent for T2DM?
A -diarrhea
B -delayed gastric emptying
C -mycotic infections
D -constipation - correct-answer - A -diarrhea
Oliver, a 62 year old otherwise healthy male patient with an active lifestyle
presents to your clinic today with a chief complaint of gnawing abdominal pain
, 4|Page
with a history of orthopedic overuse injuries. In developing a working differential
diagnosis for this patient, which of the following questions is most useful in
probing this further to rule out more serious conditions?
A -What time of the day aer you taking your acetaminophen (Tylenol)?
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
C -When was the last time you took topical corticosteroids for pain?
D -Have you noticed any particular food has made this worse? - correct-answer -
B -Have you been taking any non-steroidal anti-inflammatory medications lately?
Zeke, a 2 year old male patient presented to your primary care clinic with
unilateral leg swelling and tenderness after an "al nighter"playing video games.
You suspect he has a provokedDVT from immobility and an ultrasound has been
ordered. While awaiting thisexam to be performed, you preemptively discuss
anticoagulation with the patient assuming he wil most likely be needing this
therapy. Which of the following represents adequate understanding from the
patient?
A -The goal for my INR on rivaroxaban (Xarelto) should be somewhere over 20
