NR 668 CEA FINAL EXAM QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST UPDATE THIS YEAR – JUST RELEASED
NR 668 CEA FINAL EXAM
Exam Coverage
Advanced practice nursing roles, leadership competencies, scope of practice, licensure,
certification, and credentialing
Evidence-based practice, research utilization, quality improvement, root-cause analysis,
and patient-safety principles
Advanced clinical assessment, diagnostic reasoning, differential diagnosis, and
formulation of comprehensive treatment plans
Psychiatric assessment, mental-status examination, risk assessment, suicide and violence
screening, and clinical decision-making
Psychopathology and management of depressive, bipolar, psychotic, anxiety, trauma-
related, personality, and substance-use disorders
Psychopharmacology, medication selection, adverse effects, drug interactions,
monitoring, adherence, and patient education
Psychotherapy principles, therapeutic communication, motivational interviewing,
cognitive-behavioral approaches, and crisis intervention
Lifespan psychiatric care involving children, adolescents, adults, pregnant patients, and
older adults
Cultural competence, health disparities, ethics, legal responsibilities, informed consent,
confidentiality, and professional boundaries
Epidemiology, statistics, screening, prevention, clinical outcomes, documentation,
collaboration, and comprehensive patient-centered care
1.
Which action best demonstrates the leadership competency expected of an advanced practice
registered nurse?
A. Avoiding participation in community health initiatives
B. Delegating every clinical decision to another provider
, Page 2 of 125
C. Participating in initiatives that improve population health outcomes
D. Limiting professional activities to direct medication administration
Answer: C
Rationale: APRN leadership includes improving systems, participating in population-focused
initiatives, advocating for patients, and contributing to improved health outcomes.
2.
Which credential legally authorizes an advanced practice nurse to practice within a particular
state?
A. Licensure
B. Certification
C. Graduation
D. Hospital orientation
Answer: A
Rationale: State licensure provides the legal authority to practice nursing within the jurisdiction,
subject to that state's laws and regulations.
3.
A PMHNP is considering whether a proposed clinical activity is legally permitted. Which source
should be reviewed first?
, Page 3 of 125
A. A pharmaceutical company's prescribing guide
B. The state Nurse Practice Act and applicable regulations
C. Another provider's personal preference
D. The patient's insurance policy
Answer: B
Rationale: The Nurse Practice Act and related state regulations establish the legal scope of
nursing and advanced practice.
4.
What does evidence-based practice require when developing a clinical treatment plan?
A. Following research findings without considering the patient
B. Using clinical experience alone
C. Combining best available evidence, clinical expertise, and patient preferences
D. Selecting the newest treatment regardless of evidence quality
Answer: C
Rationale: Evidence-based practice integrates research evidence with clinician expertise and
patient values, preferences, and circumstances.
5.
Which quality-improvement method specifically investigates underlying causes of an adverse
event?
, Page 4 of 125
A. Root cause analysis
B. Randomization
C. Blinding
D. Convenience sampling
Answer: A
Rationale: Root cause analysis systematically examines why an event occurred and identifies
system factors that can be changed to reduce recurrence.
6.
A psychiatric provider asks repeatedly, “Why did this error occur?” during an investigation.
Which quality-improvement approach is most consistent with this process?
A. Root cause analysis
B. Descriptive statistics only
C. Therapeutic communication
D. Medication reconciliation
Answer: A
Rationale: Repeatedly asking why an event occurred is characteristic of root cause analysis,
which seeks contributing and underlying system factors.
7.
Which statement best describes a Just Culture approach to patient safety?