CEA advanced Nursing Practice EXAM (2026)
QUESTIONS AND (elaborated) WITH COMPLETE
SOLUTIONS
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Terms in this set (41)
When evaluating a 78-year-old Examine the patient's ear canals
man, the PMHNP notices the
patient frequently leans in with the
right side of his head and
frequently asks for things to be
repeated. His daughter is very
worried that he has dementia or
depression because he has also
become increasingly isolated, as
well as increasingly irritable as he
believes people are yelling at him
out of frustration of not being
heard. The daughter is tearful,
anxious, and frustrated. What
should the PMHNP do first?
Order a CT scan of the head
Separate the patient from the
daughter and interview him alone
Examine the patient's ear canals
Provide anticipatory guidance
regarding aging parents to the
daughter
,A 35-year-old man diagnosed with Explore the reason for not having had a physical
bipolar disorder mentions to his in so long
PMHNP that he had felt a lump on
his left testicle. He is concerned he
has not had a physical exam in 10
years. What is the best action by the
PMHNP?
Explore the reason for not having
had a physical in so long
Refer him to his primary care
provider
Perform a urogenital exam and
order an ultrasound
Refer him to urology
In observing the appearance of the Watch and wait
patient with depression and a
history of systemic lupus
erythematosus, the PMHNP notices
a lesion on the neck of the patient
about the size of a pencil eraser,
flush with the skin, uniformly
colored, with discrete borders, and
consistent texture. The PMHNP
should:
Refer the patient to oncology
Watch and wait
Refer the patient to rheumatology
Refer the patient to dermatology
, Which of the following best The examiner palpates in the right upper
represent the physical exam abdominal quadrant below the costal margin
maneuver known as Murphy's sign? while the patient breathes in. The test is positive if
the examiner observes pain during inhalation.
While supine, ask the patient to
grasp her knee while tucking 1 leg Acute cholecystitis
up to the chest. A positive test
occurs when pain prohibits
elevation of the ipsilateral leg.
The examiner palpates in the right
upper abdominal quadrant below
the costal margin while the patient
breathes in. The test is positive if the
examiner observes pain during
inhalation.
Press and palpate deeply into the
abdomen and release quickly
observing for pain.
Ask the patient to bend at the knees
while holding onto a rail, observe
for a loss of balance.
What does the Murphy sign assess Cholecystitis
for
A 26-year-old man has been on an EKG
antipsychotic. He requires further
titration for control of symptoms.
Which of the following tests should
be repeated?
EKG
Head CT scan
Liver function test
Urinalysis
QUESTIONS AND (elaborated) WITH COMPLETE
SOLUTIONS
Save
Terms in this set (41)
When evaluating a 78-year-old Examine the patient's ear canals
man, the PMHNP notices the
patient frequently leans in with the
right side of his head and
frequently asks for things to be
repeated. His daughter is very
worried that he has dementia or
depression because he has also
become increasingly isolated, as
well as increasingly irritable as he
believes people are yelling at him
out of frustration of not being
heard. The daughter is tearful,
anxious, and frustrated. What
should the PMHNP do first?
Order a CT scan of the head
Separate the patient from the
daughter and interview him alone
Examine the patient's ear canals
Provide anticipatory guidance
regarding aging parents to the
daughter
,A 35-year-old man diagnosed with Explore the reason for not having had a physical
bipolar disorder mentions to his in so long
PMHNP that he had felt a lump on
his left testicle. He is concerned he
has not had a physical exam in 10
years. What is the best action by the
PMHNP?
Explore the reason for not having
had a physical in so long
Refer him to his primary care
provider
Perform a urogenital exam and
order an ultrasound
Refer him to urology
In observing the appearance of the Watch and wait
patient with depression and a
history of systemic lupus
erythematosus, the PMHNP notices
a lesion on the neck of the patient
about the size of a pencil eraser,
flush with the skin, uniformly
colored, with discrete borders, and
consistent texture. The PMHNP
should:
Refer the patient to oncology
Watch and wait
Refer the patient to rheumatology
Refer the patient to dermatology
, Which of the following best The examiner palpates in the right upper
represent the physical exam abdominal quadrant below the costal margin
maneuver known as Murphy's sign? while the patient breathes in. The test is positive if
the examiner observes pain during inhalation.
While supine, ask the patient to
grasp her knee while tucking 1 leg Acute cholecystitis
up to the chest. A positive test
occurs when pain prohibits
elevation of the ipsilateral leg.
The examiner palpates in the right
upper abdominal quadrant below
the costal margin while the patient
breathes in. The test is positive if the
examiner observes pain during
inhalation.
Press and palpate deeply into the
abdomen and release quickly
observing for pain.
Ask the patient to bend at the knees
while holding onto a rail, observe
for a loss of balance.
What does the Murphy sign assess Cholecystitis
for
A 26-year-old man has been on an EKG
antipsychotic. He requires further
titration for control of symptoms.
Which of the following tests should
be repeated?
EKG
Head CT scan
Liver function test
Urinalysis
