CEA Advanced Nursing Practice Study Guide Test.

CEA Advanced Nursing Practice Study Guide Test. 1. When evaluating a 78-year-old man, the PMHNP no- tices 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 par- ents to the daughter 2. A 35-year-old man diagnosed with bipolar disorder Examine the patient's ear canals Explore the reason for not mentions to his PMHNP that he had felt a lump on his having had a physical in so left testicle. He is concerned he has not had a physical long exam in 10 years. What is the best action by the PMH- NP? 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 3. In observing the appearance of the patient with de- pression and a history of systemic lupus erythemato- sus, the PMHNP notices a lesion on the neck of the Watch and wait 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 4. 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 ob- serves pain during inhalation. Press and palpate deeply into the abdomen and re- lease quickly observing for pain. Ask the patient to bend at the knees while holding onto a rail, observe for a loss of balance. 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 in- halation. Acute cholecystitis 5. What does the Murphy sign assess for Cholecystitis 6. A 26-year-old man has been on an antipsychotic. He re- EKG quires further titration for control of symptoms. Which of the following tests should be repeated? EKG Head CT scan Liver function test Urinalysis 7. Your client Jamie asks you about a mole of her forearm. All of the above You refer her to dermatology. As an APRN, you recog- nize that cancerous moles can be detected on exam. Which of the following would not be of concern? A mole that is not elevated A