CEA ADVANCED NURSING PRACTICE
QUIZ WITH ACCURATE SOLUTIONS
When gevaluating ga g78-year-old gman, gthe gPMHNP gnotices gthe gpatient gfrequently
gleans gin gwith gthe gright gside gof ghis ghead gand gfrequently gasks gfor gthings gto gbe
grepeated. gHis gdaughter gis gvery gworried gthat ghe ghas gdementia gor gdepression
gbecause ghe ghas galso gbecome gincreasingly gisolated, gas gwell gas gincreasingly
girritable gas ghe gbelieves gpeople gare gyelling gat ghim gout gof gfrustration gof gnot
gbeing gheard. gThe gdaughter gis gtearful, ganxious, gand gfrustrated. gWhat gshould gthe
gPMHNP gdo gfirst?
Order ga gCT gscan gof gthe ghead
Separate gthe gpatient gfrom gthe gdaughter gand ginterview ghim galone
Examine gthe gpatient's gear gcanals
Provide ganticipatory gguidance gregarding gaging gparents gto gthe gdaughter g- gcorrect
ganswers g-Examine gthe gpatient's gear gcanals
A g35-year-old gman gdiagnosed gwith gbipolar gdisorder gmentions gto ghis gPMHNP
gthat ghe ghad gfelt ga glump gon ghis gleft gtesticle. gHe gis gconcerned ghe ghas gnot ghad
ga gphysical gexam gin g10 gyears. gWhat gis gthe gbest gaction gby gthe gPMHNP?
, Explore gthe greason gfor gnot ghaving ghad ga gphysical gin gso glong
Refer ghim gto ghis gprimary gcare gprovider
Perform ga gurogenital gexam gand gorder gan gultrasound
Refer ghim gto gurology g- gcorrect ganswers g-Explore gthe greason gfor gnot ghaving ghad
ga gphysical gin gso glong
In gobserving gthe gappearance gof gthe gpatient gwith gdepression gand ga ghistory gof
gsystemic glupus gerythematosus, gthe gPMHNP gnotices ga glesion gon gthe gneck gof
gthe gpatient gabout gthe gsize gof ga gpencil geraser, gflush gwith gthe gskin, guniformly
gcolored, gwith gdiscrete gborders, gand gconsistent gtexture. gThe gPMHNP gshould:
Refer gthe gpatient gto goncology
Watch gand gwait
Refer gthe gpatient gto grheumatology
Refer gthe gpatient gto gdermatology g- gcorrect ganswers g-Watch gand gwait
Which gof gthe gfollowing gbest grepresent gthe gphysical gexam gmaneuver gknown gas
gMurphy's gsign?
While gsupine, gask gthe gpatient gto ggrasp gher gknee gwhile gtucking g1 gleg gup gto gthe
gchest. gA gpositive gtest goccurs gwhen gpain gprohibits gelevation gof gthe gipsilateral
gleg.
The gexaminer gpalpates gin gthe gright gupper gabdominal gquadrant gbelow gthe gcostal
gmargin gwhile gthe gpatient gbreathes gin. gThe gtest gis gpositive gif gthe gexaminer
gobserves gpain gduring ginhalation.
Press gand gpalpate gdeeply ginto gthe gabdomen gand grelease gquickly gobserving gfor
gpain.
Ask gthe gpatient gto gbend gat gthe gknees gwhile gholding gonto ga grail, gobserve gfor ga
gloss gof gbalance. g- gcorrect ganswers g-The gexaminer gpalpates gin gthe gright gupper
gabdominal gquadrant gbelow gthe gcostal gmargin gwhile gthe gpatient gbreathes gin. gThe
gtest gis gpositive gif gthe gexaminer gobserves gpain gduring ginhalation.
Acute gcholecystitis
What gdoes gthe gMurphy gsign gassess gfor g- gcorrect ganswers g-Cholecystitis
A g26-year-old gman ghas gbeen gon gan gantipsychotic. gHe grequires gfurther gtitration
gfor gcontrol gof gsymptoms. gWhich gof gthe gfollowing gtests gshould gbe grepeated?
EKG
Head gCT gscan
Liver gfunction gtest
Urinalysis g- gcorrect ganswers g-EKG
QUIZ WITH ACCURATE SOLUTIONS
When gevaluating ga g78-year-old gman, gthe gPMHNP gnotices gthe gpatient gfrequently
gleans gin gwith gthe gright gside gof ghis ghead gand gfrequently gasks gfor gthings gto gbe
grepeated. gHis gdaughter gis gvery gworried gthat ghe ghas gdementia gor gdepression
gbecause ghe ghas galso gbecome gincreasingly gisolated, gas gwell gas gincreasingly
girritable gas ghe gbelieves gpeople gare gyelling gat ghim gout gof gfrustration gof gnot
gbeing gheard. gThe gdaughter gis gtearful, ganxious, gand gfrustrated. gWhat gshould gthe
gPMHNP gdo gfirst?
Order ga gCT gscan gof gthe ghead
Separate gthe gpatient gfrom gthe gdaughter gand ginterview ghim galone
Examine gthe gpatient's gear gcanals
Provide ganticipatory gguidance gregarding gaging gparents gto gthe gdaughter g- gcorrect
ganswers g-Examine gthe gpatient's gear gcanals
A g35-year-old gman gdiagnosed gwith gbipolar gdisorder gmentions gto ghis gPMHNP
gthat ghe ghad gfelt ga glump gon ghis gleft gtesticle. gHe gis gconcerned ghe ghas gnot ghad
ga gphysical gexam gin g10 gyears. gWhat gis gthe gbest gaction gby gthe gPMHNP?
, Explore gthe greason gfor gnot ghaving ghad ga gphysical gin gso glong
Refer ghim gto ghis gprimary gcare gprovider
Perform ga gurogenital gexam gand gorder gan gultrasound
Refer ghim gto gurology g- gcorrect ganswers g-Explore gthe greason gfor gnot ghaving ghad
ga gphysical gin gso glong
In gobserving gthe gappearance gof gthe gpatient gwith gdepression gand ga ghistory gof
gsystemic glupus gerythematosus, gthe gPMHNP gnotices ga glesion gon gthe gneck gof
gthe gpatient gabout gthe gsize gof ga gpencil geraser, gflush gwith gthe gskin, guniformly
gcolored, gwith gdiscrete gborders, gand gconsistent gtexture. gThe gPMHNP gshould:
Refer gthe gpatient gto goncology
Watch gand gwait
Refer gthe gpatient gto grheumatology
Refer gthe gpatient gto gdermatology g- gcorrect ganswers g-Watch gand gwait
Which gof gthe gfollowing gbest grepresent gthe gphysical gexam gmaneuver gknown gas
gMurphy's gsign?
While gsupine, gask gthe gpatient gto ggrasp gher gknee gwhile gtucking g1 gleg gup gto gthe
gchest. gA gpositive gtest goccurs gwhen gpain gprohibits gelevation gof gthe gipsilateral
gleg.
The gexaminer gpalpates gin gthe gright gupper gabdominal gquadrant gbelow gthe gcostal
gmargin gwhile gthe gpatient gbreathes gin. gThe gtest gis gpositive gif gthe gexaminer
gobserves gpain gduring ginhalation.
Press gand gpalpate gdeeply ginto gthe gabdomen gand grelease gquickly gobserving gfor
gpain.
Ask gthe gpatient gto gbend gat gthe gknees gwhile gholding gonto ga grail, gobserve gfor ga
gloss gof gbalance. g- gcorrect ganswers g-The gexaminer gpalpates gin gthe gright gupper
gabdominal gquadrant gbelow gthe gcostal gmargin gwhile gthe gpatient gbreathes gin. gThe
gtest gis gpositive gif gthe gexaminer gobserves gpain gduring ginhalation.
Acute gcholecystitis
What gdoes gthe gMurphy gsign gassess gfor g- gcorrect ganswers g-Cholecystitis
A g26-year-old gman ghas gbeen gon gan gantipsychotic. gHe grequires gfurther gtitration
gfor gcontrol gof gsymptoms. gWhich gof gthe gfollowing gtests gshould gbe grepeated?
EKG
Head gCT gscan
Liver gfunction gtest
Urinalysis g- gcorrect ganswers g-EKG
