CEA ADVANCED NURSING EXAM 2025
QUESTIONS FROM PAST ACTUAL
EXAM WITH 100% CORRECT ANSWERS
| A+ GRADE
A 30-year-old man with history of alcohol use disorder is
being evaluated for altered mental status. He has a
negative blood alcohol level, aspartate transaminase 100,
alanine transaminase 90, hemoglobin 10, hematocrit 30,
negative stool for occult blood, negative head CT scan.
What further tests should the PMHNP order before
diagnosing psychosis not otherwise specified?
EKG
Serum ceruloplasmin
Lipid profile
Hemoglobin A1C Correct Answer Serum ceruloplasmin
A 48-year-old obese woman experiences excessive
daytime sleepiness, fatigue, anhedonia, and apathy. Her
husband reports that she snores loudly when sleeping,
and often will wake up drenched in sweat. The patient has
no prior psychiatric history and denies substance abuse.
Which of the following is the most likely cause of her
symptoms?
Airway obstruction
Narcolepsy
Perimenopause
Major depression Correct Answer Airway obstruction
, A systematic inquiry that elaborates on the chief complaint
while eliciting pertinent positive and pertinent negative
factors from the history is known as:
The mental status exam
Review of systems
Physical exam
Diagnostic formulation Correct Answer ROS
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 Correct Answer Examine the patient's ear
canals
A mother of a teenage boy is unable to acknowledge that
her son's mental illness is perpetuated by his poly
substance use disorder and is insisting that his father's
genes are to blame. Which defense mechanism is
employed?
QUESTIONS FROM PAST ACTUAL
EXAM WITH 100% CORRECT ANSWERS
| A+ GRADE
A 30-year-old man with history of alcohol use disorder is
being evaluated for altered mental status. He has a
negative blood alcohol level, aspartate transaminase 100,
alanine transaminase 90, hemoglobin 10, hematocrit 30,
negative stool for occult blood, negative head CT scan.
What further tests should the PMHNP order before
diagnosing psychosis not otherwise specified?
EKG
Serum ceruloplasmin
Lipid profile
Hemoglobin A1C Correct Answer Serum ceruloplasmin
A 48-year-old obese woman experiences excessive
daytime sleepiness, fatigue, anhedonia, and apathy. Her
husband reports that she snores loudly when sleeping,
and often will wake up drenched in sweat. The patient has
no prior psychiatric history and denies substance abuse.
Which of the following is the most likely cause of her
symptoms?
Airway obstruction
Narcolepsy
Perimenopause
Major depression Correct Answer Airway obstruction
, A systematic inquiry that elaborates on the chief complaint
while eliciting pertinent positive and pertinent negative
factors from the history is known as:
The mental status exam
Review of systems
Physical exam
Diagnostic formulation Correct Answer ROS
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 Correct Answer Examine the patient's ear
canals
A mother of a teenage boy is unable to acknowledge that
her son's mental illness is perpetuated by his poly
substance use disorder and is insisting that his father's
genes are to blame. Which defense mechanism is
employed?
