CEA advanced Nursing Practice Quiz
Question and answers 100% correct
2025/2026
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 - correct 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 - correct 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 - correct 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.
Press and palpate deeply into the abdomen and release quickly observing for pain.
Ask the patient to bend at the knees while holding onto a rail, observe for a loss of balance. - correct
answer ✔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.
Acute cholecystitis
What does the Murphy sign assess for - correct answer ✔Cholecystitis
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?
EKG
Head CT scan
Question and answers 100% correct
2025/2026
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 - correct 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 - correct 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 - correct 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.
Press and palpate deeply into the abdomen and release quickly observing for pain.
Ask the patient to bend at the knees while holding onto a rail, observe for a loss of balance. - correct
answer ✔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.
Acute cholecystitis
What does the Murphy sign assess for - correct answer ✔Cholecystitis
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?
EKG
Head CT scan
