NR 668 CEA FINAL EXAM 2026| EXPERT
VERIFIED ACTUAL QUESTIONS & CORRECT
ANSWERS
Which of the following is characteristic of the leadership competency for
APRNs?
a. Participating in a community-focused program that promotes mental
health and reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
c. Developing an age-appropriate treatment plan
d. Evaluating the appropriate use of seclusion - correct-answer-a.
Participating in a community-focused program that promotes mental
health and reduces the risk of mental health problems
In the field of quality improvement, the key question "Why" leads to
understanding and the prevention of the recurrence of an error or event.
Which of the following utilizes the question of "Why" to help identify the
underlying cause of error?
a. Bottom up approach
b. Kaizen
c. Plan-Do-Study-Act
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d. Root cause analysis - correct-answer-d. Root cause analysis
Root cause analysis involves preventing future harm and asking the key
question "why" did it happen? This leads to the root cause of the error or
event.
What is the purpose of the "Just Culture" concept in nursing?
a. Reduce discrimination in nursing
b. Implement system wide practices to improve awareness of diverse
cultures and backgrounds
c. Improve empathy for persons with a mental health disorder
d. Improve patient safety - correct-answer-d. Improve patient safety
Your client Jamie asks you about a mole of her forearm. You refer her to
dermatology. As an APRN, you recognize that cancerous moles can be
detected on exam. Which of the following would not be of concern?
a. A mole that is not elevated
b. A dark mole
c. A mole that is 5 mm in size
d. All of the above - correct-answer-d. All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have
irregular borders, have color variation, a diameter > 6mm and elevated
moles.
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A mother of a teenage boy is unable to acknowledge that her son's mental
illness is perpetuated by his poly substance use disorder and is insisting
that his father's genes are to blame. Which defense mechanism is
employed?
a. Reaction formation
b. Regression
c. Denial
d. Dissociation - correct-answer-c. Denial
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?
a. Urinary porphobilinogen
b. Acetaminophen level
c. Urinalysis
d. Blood alcohol level - correct-answer-a. Urinary porphobilinogen
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In patients with active Lupus, the erythrocyte sedimentation rate is likely?
a. 0.5 - 1.1
b. Between 11 and 20
c. Elevated
d. Markedly low - correct-answer-c. Elevated
The ESR or red blood cell sedimentation rate is elevated in conditions with
inflammation. This is because of higher amounts of fibrinogen and
antibodies found in conditions like Lupus, Temporal arteritis, etc.
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. Radiologic test utilizing magnets and radio waves to provide a detailed
image of the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the surface of
the brain
c. A neuropsychological test to distinguish psychosis from a
psychosomatic illness
d. A serum test to indicate nutritional deficiencies that inhibit the formation
of neurotransmitters - correct-answer-b. Electrophysiologic test that
depicts electrical activity on the surface of the brain