CEA ADVANCED NURSING PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2025

CEA ADVANCED NURSING PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2025 When evaluating a 78-year-old 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 - ANSWER Examine the patient's ear canals A 35-year-old man diagnosed with bipolar disorder mentions to his 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 - ANSWER Explore the reason for not having had a physical in so long In observing the appearance of the 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 - ANSWER Watch and wait Which of the following best represent the physical exam maneuver known as Murphy's sign? While supine, ask the patient to grasp her knee while tucking 1 leg 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. - ANSWER 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. Acute cholecystitis What does the Murphy sign assess for - ANSWER Cholecystitis A 26-year-old man has been on an 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 - ANSWER EKG Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you recognize that cancerous moles can be detected on exam. Which of the following would not be of