CEA ADVANCED NURSING EXAM STUDY GUIDE | COMPLETE EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS | UPDATED 2026/2027 — ALREADY GRADED A+.

CEA ADVANCED NURSING EXAM STUDY GUIDE | COMPLETE EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS | UPDATED 2026/2027 — ALREADY GRADED A+. 1. When evaluating a 78-year-old man, the PMHNP notices 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? A. Order a CT scan of the head B. Separate the patient from the daughter and interview him alone C. Examine the patient's ear canals D. Provide anticipatory guidance regarding aging parents to the daughter Answer: C 2. A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What is the best action by the PMHNP? A. Explore the reason for not having had a physical in so long B. Refer him to his primary care provider C. Perform a urogenital exam and order an ultrasound D. Refer him to urology Answer: A 3. In observing the appearance of the patient with depression and a history of systemic lupus erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent texture. The PMHNP should: A. Refer the patient to oncology B. Watch and wait C. Refer the patient to rheumatology D. Refer the patient to dermatology Answer: B 4. Which of the following best represent the physical exam maneuver known as Murphy's sign? A. 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. B. 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. C. Press and palpate deeply into the abdomen and release quickly observing for pain. D. Ask the patient to bend at the knees while holding onto a rail, observe for a loss of balance. Answer: B 5. What does the Murphy sign assess for? A. Acute cholecystitis B. Acute appendicitis C. Acute pyelonephritis D. Acute choledocholithiasis Answer: A 6. A 26-year-old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the following tests should be repeated? A. EKG B. Head CT scan C. Liver function test D. Urinalysis Answer: A 7. 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 mole that is 5 mm in size C. All of the above D. A dark mole Answer: C 8. Recall the ABCDE acronym. Concerning moles A. asymmetric, have irregular borders, have color variation, a diameter 6mm and elevated moles. B. symmetric, have regular borders, have uniform color, a diameter 6mm and flat moles. C. asymmetric, have regular borders, have uniform color, a diameter 6mm and flat moles. D. symmetric, have irregular borders, have color variation, a diameter 6mm and elevated moles. Answer: A 9. Which of the following would be considered a risk factor for melanoma? A. Female gender B. A history of melanoma C. A mole with symmetrical borders D. A dark covered mole approximately 5mm in size Answer: B 10. Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive cough. She recently "ran out of pills". Which medication omission most likely lead to her current presenting symptoms? A. Metoprolol B. Lorazepam C. Metformin D. Furosemide Answer: D 11. A 62-year-old woman formerly employed as a receptionist reports progressive word-finding difficulty over the past 6 months that caused her so much anxiety she quit her job. Her daughter has become increasingly impatient waiting for her to finish her sentences but she has now become depressed due to the relational strain. She denies any other behavioral problems. Which of the following diagnostic tests would be most appropriate? A. Bilateral carotid Doppler study B. Transthoracic echocardiogram C. EEG D. Brain MRI with and without contrast Answer: D 12. A 26-year-old female is diagnosed with psychosis not otherwise specified (NOS) and substance use disorder. Which of the following lab tests should be ordered prior to starting antipsychotic medications? A. Amylase, lipase, liver function test B. Urinalysis, urine pregnancy test C. Cardiac enzymes, brain naturetic peptide D. Hemoglobin A1C, lipid profile, EKG Answer: D 13. 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. Regression B. Dissociation C. Reaction formation D. Denial Answer: D