CEA ADVANCED NURSING PRACTICE
QUESTIONS WITH CORRECT ANSWERS 2025-2026
When evaluating a 78-year-
old man, the PMHNP notices the patient frequently leans in with the right side of hisFhead 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. WhatFshould
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 thatFhe had felt a lump on his left testicl
e. 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
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 patientFwith depression and a history of systemicFlupus erythematosu
s, the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the s
kin, 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 legFup 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
breathesFin. 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
WhatFdoes the Murphy sign assess for - correct answer-Cholecystitis
AF26-year-
old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the
followingFtests should be repeated?
EKG
Head CT scan
Liver function test
Urinalysis - correct answer-EKG
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you re
cognize that cancerous moles can be detected on exam. Which of the following would not be of concern?
A mole that is not elevated
QUESTIONS WITH CORRECT ANSWERS 2025-2026
When evaluating a 78-year-
old man, the PMHNP notices the patient frequently leans in with the right side of hisFhead 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. WhatFshould
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 thatFhe had felt a lump on his left testicl
e. 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
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 patientFwith depression and a history of systemicFlupus erythematosu
s, the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the s
kin, 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 legFup 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
breathesFin. 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
WhatFdoes the Murphy sign assess for - correct answer-Cholecystitis
AF26-year-
old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the
followingFtests should be repeated?
EKG
Head CT scan
Liver function test
Urinalysis - correct answer-EKG
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you re
cognize that cancerous moles can be detected on exam. Which of the following would not be of concern?
A mole that is not elevated
