2025-2026 NR 511 CEA FINAL EXAM
PREDICTOR LATEST ACTUAL EXAM
CORRECT ANSWERS WITH DETAILED
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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
Generativity versus Stagnation
A+ TEST BANK 1
, NR 511 FINAL EXAM
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
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
CPAP
Which of the following is true regarding the influenza vaccination?
Those who currently have cold like symptoms with a temperature of 101.6 should not receive the
vaccine
All of the statements are true.
Anyone 6 months of age or older should obtain the influenza vaccine
A history of Guillain Barre 4 weeks after a previous inlfuenza injection would be a contraindication for
future influenza vaccination
All of the statements are true.
A+ TEST BANK 2
, NR 511 FINAL EXAM
A patient presents with atypical symptoms of psychosis that include inconsistent auditory hallucinations
without disorganization. What is the best definition of an EEG and its utility?
A neuropsychological test to distinguish psychosis from a psychosomatic illness.
Electrophysiologic test that depicts electrical activity on the surface of the brain
Radiologic test utilizing magnets and radio waves to provide a detailed image of the structures of the
brain
A serum test to indicate nutritional deficiencies that inhibit the formation of neurotransmitters
Electrophysiologic test that depicts electrical activity on the surface of the brain
On physical exam, rebound tenderness most likely suggests what?
Acute choledocholithiasis
Acute appendicitis
Acute pyelonephritis
Acute cholecystitis
Acute appendicitis
Voluntary guarding, rebound tenderness, abdominal pain with coughing or localized right lower
quadrant pain all suggest
acute appendicitis.
In patients with active Lupus, the erythrocyte sedimentation rate is likely?
0.5 - 1.1
Between 11 and 20
Markedly low
Elevated
Elevated
normal sed rate
0-20 men 0-29 women
A+ TEST BANK 3
, NR 511 FINAL EXAM
A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall injury
during her new taekwondo martial arts class. This pain subsided during "the cool down period" of her
class. Which of the following is most likely given her presentation?
Acute myocardial infarction
Hiatal hernia
Angina pectoris
Pericarditis
Angina pectoris
The condition in which the patient is unable to discriminate between objects based on touching is
known as:
Astereognosis
Agraphesthesia
Choreiform
Dysdiadochokinesia
Astereognosis
A 30-year-old man with history of alcohol use disorder is being evaluated for altered mental status. He
has a negative blood alcohol level, aspartate transaminase 100, alanine transaminase 90, hemoglobin 10,
hematocrit 30, negative stool for occult blood, negative head CT scan. What further tests should the
PMHNP order before diagnosing psychosis not otherwise specified?
EKG
Serum ceruloplasmin
Lipid profile
Hemoglobin A1C
Serum ceruloplasmin
A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue, anhedonia, and apathy.
Her husband reports that she snores loudly when sleeping, and often will wake up drenched in sweat.
The patient has no prior psychiatric history and denies substance abuse. Which of the following is the
most likely cause of her symptoms?
Airway obstruction
A+ TEST BANK 4