CEA advanced Nursing Practice Quiz
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 mole that is not elevated
A mole that is 5 mm in size
All of the above
A dark mole - CORRECT ANSWER-All of the above
Recall the ABCDE acronym. Concerning moles - CORRECT ANSWER-asymmetric,
have irregular borders, have color variation, a diameter > 6mm and elevated moles.
Which of the following would be considered a risk factor for melanoma?
Female gender
A history of melanoma
A mole with symmetrical borders
A dark covered mole approximately 5mm in size - CORRECT ANSWER-A history of
melanoma
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?
Metoprolol
Lorazepam
Metformin
Furosemide - CORRECT ANSWER-Furosemide
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?
Bilateral carotid Doppler study
Transthoracic echocardiogram
EEG
Brain MRI with and without contrast - CORRECT ANSWER-Brain MRI with and without
contrast
, 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?
Amylase, lipase, liver function test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG - CORRECT ANSWER-Hemoglobin A1C, lipid
profile, EKG
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?
Regression
Dissociation
Reaction formation
Denial - CORRECT ANSWER-Denial
A 72-year-old female presents to the emergency department for altered mental status.
Her urine analysis is negative, and her labs are normal. She has been referred to
psychiatry for dementia. The patient's husband reports increasing forgetfulness over the
last 6 months, walking as if her feet are stuck to the ground, and most recently episodes
of urinary incontinence. Based on the signs and symptoms which of the following
diagnostic tests should the PMHNP order to rule out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas - CORRECT ANSWER-Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant depression about
electroconvulsive therapy (ECT), you tell the patient that the most common adverse
effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi - CORRECT ANSWER-Amnesia
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 - CORRECT ANSWER-Generativity versus Stagnation
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 mole that is not elevated
A mole that is 5 mm in size
All of the above
A dark mole - CORRECT ANSWER-All of the above
Recall the ABCDE acronym. Concerning moles - CORRECT ANSWER-asymmetric,
have irregular borders, have color variation, a diameter > 6mm and elevated moles.
Which of the following would be considered a risk factor for melanoma?
Female gender
A history of melanoma
A mole with symmetrical borders
A dark covered mole approximately 5mm in size - CORRECT ANSWER-A history of
melanoma
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?
Metoprolol
Lorazepam
Metformin
Furosemide - CORRECT ANSWER-Furosemide
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?
Bilateral carotid Doppler study
Transthoracic echocardiogram
EEG
Brain MRI with and without contrast - CORRECT ANSWER-Brain MRI with and without
contrast
, 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?
Amylase, lipase, liver function test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG - CORRECT ANSWER-Hemoglobin A1C, lipid
profile, EKG
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?
Regression
Dissociation
Reaction formation
Denial - CORRECT ANSWER-Denial
A 72-year-old female presents to the emergency department for altered mental status.
Her urine analysis is negative, and her labs are normal. She has been referred to
psychiatry for dementia. The patient's husband reports increasing forgetfulness over the
last 6 months, walking as if her feet are stuck to the ground, and most recently episodes
of urinary incontinence. Based on the signs and symptoms which of the following
diagnostic tests should the PMHNP order to rule out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas - CORRECT ANSWER-Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant depression about
electroconvulsive therapy (ECT), you tell the patient that the most common adverse
effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi - CORRECT ANSWER-Amnesia
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 - CORRECT ANSWER-Generativity versus Stagnation
