CEA ADVANCED NURSING EXAM 2025 WITH
CORRECT ANSWERS
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?
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 -
Precise Answer ✔✔Examine the patient's ear canals
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?
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 - Precise Answer ✔✔Explore the reason for not
having had a physical in so long
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:
Refer the patient to oncology
Watch and wait
Refer the patient to rheumatology
Refer the patient to dermatology - Precise 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 leg up 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 breathes in. The test is positive if the
examiner observes pain during inhalation.
CORRECT ANSWERS
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?
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 -
Precise Answer ✔✔Examine the patient's ear canals
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?
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 - Precise Answer ✔✔Explore the reason for not
having had a physical in so long
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:
Refer the patient to oncology
Watch and wait
Refer the patient to rheumatology
Refer the patient to dermatology - Precise 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 leg up 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 breathes in. The test is positive if the
examiner observes pain during inhalation.
