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CEA ADVANCED NURSING 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
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 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
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Refer him to his primary care provider
Perform a urogenital exam and order an ultrasound
Refer him to urology - correct 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 - correct 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.
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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. - correct 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 - correct 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 - correct answer- EKG
CEA ADVANCED NURSING 2025
UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.
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 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
,2 | Page
Refer him to his primary care provider
Perform a urogenital exam and order an ultrasound
Refer him to urology - correct 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 - correct 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.
, 3 | Page
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. - correct 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 - correct 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 - correct answer- EKG
