NUR 511 Differential Diagnosis & Primary Care Practicum
NUR 511 CEA Assignments – Quizzes Midterm and Final
Exam
NR 511 (CEA) Clinical Education Assessment Exam
Course Title and Number: NR 511 CEA Exams
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Exam Date: Exam 2025- 2026
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NR 511 (CEA) Clinical Education Assessment Exam
NUR 511 CEA Assignments – Quizzes Midterm and Final Exam
NUR 511 Differential Diagnosis & Primary Care Practicum
Chamberlain University.
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
A 24-year-old female reports urinary urgency with suprapubic
tenderness relieved by bladder emptying. The patient has been
evaluated by urology and urogynecology. Review of laboratory
reports reveal negative urinalysis and cultures, negative results
for sexually transmitted infections, and an unremarkable
cystoscopy. Which of the following is an appropriate plan of
care?
*Amitriptyline (Elavil) 25 mg oral once daily
*Referral to psychiatry
*Propranolol (Inderal) 10 mg oral once daily
*Nitrofurantoin (Macrodantin) 100 mg oral once daily -
=Answer>> Amitriptyline (Elavil) 25 mg oral once daily
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Rationale: Amitriptyline (Elavil) is a tricyclic antidepressant
medication that is sometimes used off-label for various
conditions, including the management of urinary urgency and
overactive bladder symptoms.
What is the standard treatment for women with uncomplicated
urinary tract infection in a geographical area with less than
20% resistance?
*Amoxicillin 875mg BID x 7 days
*Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
*Nitrofurantoin 100mg BID x 5 days
*Ciprofloxacin 500mg BID x 7 days - =Answer>>
Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days
Rationale: In female patients with uncomplicated UTI with less
than 20% resistance geographically
Sulfamethoxazole/Trimethoprim 800/160mg BID x 3 days is the
correct answer.
Your patient presents to the emergency department with
periorbital and peripheral edema and has evidence of
macroalbuminuria. Which state is described by this clinical
presentation?
*Acute tubular necrosis
*Chronic kidney disease
*Acute kidney disease
*Nephrotic syndrome - =Answer>> Nephrotic syndrome
Raionale: Nephrotic syndrome is not a disease, but rather a
clinical state described above.
A young male presents with dysuria. Dipstick urinalysis is
positive for WBCs, shows a pH of 7.0, a specific gravity of
1.015, and is otherwise negative. The nurse practitioner should:
*Initiate trimethoprim-sulfamethoxazole (Bactrim) pending
culture results
*Obtain a urine sample for a nucleic acid test (NAT) for
chlamydia
*Order a voiding cystourethrogram and an ultrasound of the
kidneys
*Start pyridoxine to decrease symptoms pending culture results
- =Answer>> Obtain a urine sample for a nucleic acid test
(NAT) for chlamydia
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Rationale: Symptoms of chlamydia in men may include painful
urination (dysuria), discharge from the penis, and, rarely, pain
or swelling in the testicles.
The hospitalized patient you are caring for has experienced a
low blood pressure for a period of 2 hours before treatment
with a fluid bolus. Which type acute renal dysfunction is being
described in this scenario?
*Chronic kidney disease
*Prerenal
*Postrenal
*Intrarenal - =Answer>> Prerenal
Rationale: Inability to provide driving pressure to the
glomerulus of the kidney such as hypotension is an example of
prerenal source of renal dysfunction.
The patient with urine output of 450 ml/hr for 6 hours straight
despite only 100ml/hr of IV fluid after being intubated for a
head trauma with increased intracranial pressure should be
treated for which condition?
*Diabetic ketoacidosis
*Diabetes insipidus
*Hyperosmolar hyperglycemic non-ketotic coma
*Diabetes mellitus - =Answer>> Diabetes insipidus
Rationale: Repression of ADH release in the pituitary gland
creates this scenario and should be treated with vasopressin.
An adult patient presents with a history of headaches. Which
new symptom should immediately cause the patient to be
referred for further evaluation and possible neuroimaging?
*Frontal headache upon awakening
*Aura of visual flashing lights
*Unilateral motor weakness
*Unilateral pulsating head pain - =Answer>> Unilateral
motor weakness
Rationale: Unilateral weakness, especially if sudden in onset
and accompanied by other stroke symptoms such as facial
droop, speech difficulties, or vision changes, could indicate an
ischemic stroke or hemorrhagic stroke.
Your anxious 73-year-old male patient who presents to urgent
care after a panic attack notices he has a rapid cyclical rate
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