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CEA Advanced Nursing Practice Quiz With
Correct Answers-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 - Correct-
answer-Examine the patient's ear canals
A 72-year-old female presents to the emergency department for altered mental
status. Her urine analysis is negative, and her labs are normal. She has been
referred to psychiatry for dementia. The patient's husband reports increasing
forgetfulness over the last 6 months, walking as if her feet are stuck to the ground,
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and most recently episodes of urinary incontinence. Based on the signs and
symptoms which of the following diagnostic tests should the PMHNP order to rule
out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas - Correct-answer-Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant
depression about electroconvulsive therapy (ECT), you tell the patient that the
most common adverse effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi - Correct-answer-Amnesia
A 66-year-old registered nurse, who retired from psychiatry 3 years ago, spends
much of her time watching television. She is easily irritated by those interrupting
her shows and has no desire to engage in any activities or identify with a broader
community. Which developmental stage did she fail to master?
Initiative versus Guilt
Industry versus Inferiority
Ego integrity versus Despiar
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Generativity versus Stagnation - Correct-answer-Generativity versus Stagnation
A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
Urinalysis
Blood alcohol level
Urinary porphobilinogen
Acetaminophen level - Correct-answer-Urinary porphobilinogen
A 52-year-old obese man with type 2 diabetes reports dozing off while driving,
watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered a
sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each
per hour of sleep. Based on these findings, what should the PMHNP prescribe for
his condition?
Referral to otolaryngology for uvuloplasty
Referral to otolaryngology for rhinoplasty
Continuous positive airway pressure
Antidepressant medications - Correct-answer-CPAP
CEA Advanced Nursing Practice Quiz With
Correct Answers-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 - Correct-
answer-Examine the patient's ear canals
A 72-year-old female presents to the emergency department for altered mental
status. Her urine analysis is negative, and her labs are normal. She has been
referred to psychiatry for dementia. The patient's husband reports increasing
forgetfulness over the last 6 months, walking as if her feet are stuck to the ground,
,2|Page
and most recently episodes of urinary incontinence. Based on the signs and
symptoms which of the following diagnostic tests should the PMHNP order to rule
out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas - Correct-answer-Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant
depression about electroconvulsive therapy (ECT), you tell the patient that the
most common adverse effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi - Correct-answer-Amnesia
A 66-year-old registered nurse, who retired from psychiatry 3 years ago, spends
much of her time watching television. She is easily irritated by those interrupting
her shows and has no desire to engage in any activities or identify with a broader
community. Which developmental stage did she fail to master?
Initiative versus Guilt
Industry versus Inferiority
Ego integrity versus Despiar
, 3|Page
Generativity versus Stagnation - Correct-answer-Generativity versus Stagnation
A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the
consulting PMHNP order given these symptoms?
Urinalysis
Blood alcohol level
Urinary porphobilinogen
Acetaminophen level - Correct-answer-Urinary porphobilinogen
A 52-year-old obese man with type 2 diabetes reports dozing off while driving,
watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered a
sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each
per hour of sleep. Based on these findings, what should the PMHNP prescribe for
his condition?
Referral to otolaryngology for uvuloplasty
Referral to otolaryngology for rhinoplasty
Continuous positive airway pressure
Antidepressant medications - Correct-answer-CPAP
