NR 667 CEA Midterm Assessment Questions and
Answers
1. A 25-year-old athlete presents with shoulder pain and difficulty with overhead
activities. Physical examination suggests impingement syndrome. What is the most
appropriate initial treatment?
a. Surgical intervention
• b. Nonsteroidal anti-inflammatory drugs (NSAIDs) and physical activity
modification
c. Physical therapy focusing on rotator cuff strengthening
d. Corticosteroid injection
2. What A1C reading indicates diabetes?
a. 5.5%
b. 6.0%
• c. 6.5% or greater
d. 7.0%
3. When a patient has diabetes, what should their A1C be to be considered “well
controlled”?
a. 6.0%
• b. 7.0%
c. 8.0%
d. 9.0%
4. What is the first-line treatment (medication) for a patient with Type 2 diabetes?
a. Insulin
• b. Metformin
c. Sulfonylurea
d. GLP-1 agonist
5. Which antibiotic is most appropriate for treating uncomplicated urinary tract
infection (UTI)?
a. Ciprofloxacin
• b. Nitrofurantoin
c. Amoxicillin
d. Azithromycin
6. Which of the following is the hallmark sign of congestive heart failure (CHF)?
a. Chest pain
b. Palpitations
• c. Dyspnea on exertion and orthopnea
d. Syncope
7. In asthma management, what is the preferred rescue medication?
, a. Inhaled corticosteroid
• b. Short-acting beta-agonist (SABA)
c. Leukotriene receptor antagonist
d. Long-acting beta-agonist (LABA)
8. At what age should colorectal cancer screening begin for average-risk adults?
a. 40 years
• b. 45 years
c. 50 years
d. 55 years
9. Which vaccine is recommended annually for all adults?
a. Hepatitis B
b. Pneumococcal
• c. Influenza
d. Varicella
10. Which intervention is most effective in reducing blood pressure in hypertensive
patients?
a. Reducing caffeine intake
• b. Weight loss and dietary sodium restriction
c. Vitamin supplementation
d. Increased protein intake
11. A patient presents with acute appendicitis. What is the definitive treatment?
a. Antibiotics alone
• b. Surgical removal (appendectomy)
c. Pain management
d. Observation
12. Which diagnostic test is most sensitive for pulmonary embolism?
a. Chest X-ray
b. D-dimer
• c. CT pulmonary angiography
d. ECG
13. Which drug is contraindicated in asthma patients?
a. Albuterol
b. Montelukast
• c. Non-selective beta-blockers (e.g., propranolol)
d. Inhaled corticosteroids
14. What is the mechanism of action of ACE inhibitors?
a. Block calcium channels
• b. Prevent conversion of angiotensin I to angiotensin II
c. Increase sodium reabsorption
Answers
1. A 25-year-old athlete presents with shoulder pain and difficulty with overhead
activities. Physical examination suggests impingement syndrome. What is the most
appropriate initial treatment?
a. Surgical intervention
• b. Nonsteroidal anti-inflammatory drugs (NSAIDs) and physical activity
modification
c. Physical therapy focusing on rotator cuff strengthening
d. Corticosteroid injection
2. What A1C reading indicates diabetes?
a. 5.5%
b. 6.0%
• c. 6.5% or greater
d. 7.0%
3. When a patient has diabetes, what should their A1C be to be considered “well
controlled”?
a. 6.0%
• b. 7.0%
c. 8.0%
d. 9.0%
4. What is the first-line treatment (medication) for a patient with Type 2 diabetes?
a. Insulin
• b. Metformin
c. Sulfonylurea
d. GLP-1 agonist
5. Which antibiotic is most appropriate for treating uncomplicated urinary tract
infection (UTI)?
a. Ciprofloxacin
• b. Nitrofurantoin
c. Amoxicillin
d. Azithromycin
6. Which of the following is the hallmark sign of congestive heart failure (CHF)?
a. Chest pain
b. Palpitations
• c. Dyspnea on exertion and orthopnea
d. Syncope
7. In asthma management, what is the preferred rescue medication?
, a. Inhaled corticosteroid
• b. Short-acting beta-agonist (SABA)
c. Leukotriene receptor antagonist
d. Long-acting beta-agonist (LABA)
8. At what age should colorectal cancer screening begin for average-risk adults?
a. 40 years
• b. 45 years
c. 50 years
d. 55 years
9. Which vaccine is recommended annually for all adults?
a. Hepatitis B
b. Pneumococcal
• c. Influenza
d. Varicella
10. Which intervention is most effective in reducing blood pressure in hypertensive
patients?
a. Reducing caffeine intake
• b. Weight loss and dietary sodium restriction
c. Vitamin supplementation
d. Increased protein intake
11. A patient presents with acute appendicitis. What is the definitive treatment?
a. Antibiotics alone
• b. Surgical removal (appendectomy)
c. Pain management
d. Observation
12. Which diagnostic test is most sensitive for pulmonary embolism?
a. Chest X-ray
b. D-dimer
• c. CT pulmonary angiography
d. ECG
13. Which drug is contraindicated in asthma patients?
a. Albuterol
b. Montelukast
• c. Non-selective beta-blockers (e.g., propranolol)
d. Inhaled corticosteroids
14. What is the mechanism of action of ACE inhibitors?
a. Block calcium channels
• b. Prevent conversion of angiotensin I to angiotensin II
c. Increase sodium reabsorption
