CEA ADVANCED NURSING PRACTICE
QUIZ
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=tha
t=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=frustra
tion=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=-=ans-
✔✔Examine=the=patient's=ear=canals
A=35-year-
old=man=diagnosed=with=bipolar=disorder=mentions=to=his=PMHNP=that=he=had=felt=a=l
ump=on=his=left=testicle.=He=is=concerned=he=has=not=had=a=physical=exam=in=10=year
s.=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=-=ans-
✔✔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=border
s,=and=consistent=texture.=The=PMHNP=should:
Refer=the=patient=to=oncology
Watch=and=wait
Refer=the=patient=to=rheumatology
Refer=the=patient=to=dermatology=-=ans-✔✔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=margi
n=while=the=patient=breathes=in.=The=test=is=positive=if=the=examiner=observes=pain=dur
ing=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.=-=ans-
✔✔The=examiner=palpates=in=the=right=upper=abdominal=quadrant=below=the=costal=m
argin=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=-=ans-✔✔Cholecystitis
A=26-year-
old=man=has=been=on=an=antipsychotic.=He=requires=further=titration=for=control=of=sym
ptoms.=Which=of=the=following=tests=should=be=repeated?
EKG
Head=CT=scan
Liver=function=test
Urinalysis=-=ans-✔✔EKG
Your=client=Jamie=asks=you=about=a=mole=of=her=forearm.=You=refer=her=to=dermatolo
gy.=As=an=APRN,=you=recognize=that=cancerous=moles=can=be=detected=on=exam.=Wh
ich=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=-=ans-✔✔All=of=the=above
Recall=the=ABCDE=acronym.=Concerning=moles=-=ans-
✔✔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
QUIZ
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=tha
t=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=frustra
tion=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=-=ans-
✔✔Examine=the=patient's=ear=canals
A=35-year-
old=man=diagnosed=with=bipolar=disorder=mentions=to=his=PMHNP=that=he=had=felt=a=l
ump=on=his=left=testicle.=He=is=concerned=he=has=not=had=a=physical=exam=in=10=year
s.=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=-=ans-
✔✔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=border
s,=and=consistent=texture.=The=PMHNP=should:
Refer=the=patient=to=oncology
Watch=and=wait
Refer=the=patient=to=rheumatology
Refer=the=patient=to=dermatology=-=ans-✔✔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=margi
n=while=the=patient=breathes=in.=The=test=is=positive=if=the=examiner=observes=pain=dur
ing=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.=-=ans-
✔✔The=examiner=palpates=in=the=right=upper=abdominal=quadrant=below=the=costal=m
argin=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=-=ans-✔✔Cholecystitis
A=26-year-
old=man=has=been=on=an=antipsychotic.=He=requires=further=titration=for=control=of=sym
ptoms.=Which=of=the=following=tests=should=be=repeated?
EKG
Head=CT=scan
Liver=function=test
Urinalysis=-=ans-✔✔EKG
Your=client=Jamie=asks=you=about=a=mole=of=her=forearm.=You=refer=her=to=dermatolo
gy.=As=an=APRN,=you=recognize=that=cancerous=moles=can=be=detected=on=exam.=Wh
ich=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=-=ans-✔✔All=of=the=above
Recall=the=ABCDE=acronym.=Concerning=moles=-=ans-
✔✔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
