CHAMBERLAIN
PMHNP.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR668 CEA Final
PMHNP Practice Question Bank
Clinical Examination Assessment · 73 Questions with Rationales
E X A M I N AT I O N F O C U S :
Physical Assessment, Diagnostics, Psychotherapy
& Psychopharmacology
Edition 1 · July 2026
EXAM FOCUSED DETAILED HIGH-YIELD CONFIDENCE
RATIONALES CONTENT BUILDER
Questions aligned with
NR668 CEA standards Clear explanations for Focus on tested PMHNP Practice smarter and pass
every answer clinical concepts with confidence
P r e pa r e · P r a c t i c e · Pa s s
Excellence in Psychiatric-Mental Health Nursing
,NR668 CEA FINAL · CHAMBERLAIN UNIVERSITY TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Questions 1–73 — PMHNP Clinical Examination Assessment 3
3. Seller Appreciation 9
NR668 · Chamberlain University College of Nursing Page 2
,NR668 CEA FINAL GUIDE INSTRUCTIONS & PRACTICE QUESTIONS 1–73
How to Use This Guide
Read each stem, select your answer, then review the rationale. Correct answers are distributed
across all four letter positions. Covers physical assessment, diagnostic testing,
psychopharmacology, psychotherapy modalities, developmental theories, and PMHNP clinical
decision-making for the NR668 CEA Final.
Questions 1–37: Physical Assessment, Diagnostics & Psychopharmacology
1 A 21-year-old man had his first drink, presenting with psychomotor
agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. HR 110, BP 90/60, abdominal pain. Which test should the
PMHNP order?
A Urinary porphobilinogen
B Acetaminophen level
C Urinalysis
D Blood alcohol level
Correct Answer: A. Acute intermittent porphyria presents with neuropsychiatric
symptoms (agitation, depression, psychosis), autonomic instability (tachycardia,
hypotension), and abdominal pain — urinary porphobilinogen is diagnostic.
Rationale: B, C, D do not explain the full symptom constellation. Porphyria can be
triggered by alcohol and presents with psychiatric and abdominal symptoms
together.
, 2 In patients with active Lupus, the erythrocyte sedimentation rate is likely:
A Elevated
B 0.5 – 1.1
C Between 11 and 20
D Markedly low
Correct Answer: A. ESR is elevated in inflammatory conditions like Lupus due to
increased fibrinogen and antibodies. Active SLE typically shows markedly elevated
ESR.
Rationale: B is a normal range. C is mildly elevated. D is the opposite.
Inflammatory markers like ESR and CRP are key monitoring tools in autoimmune
conditions.
3 A patient has atypical psychosis with inconsistent auditory
hallucinations. What best defines an EEG and its utility?
A Electrophysiologic test depicting electrical activity on the surface of the
brain
B Radiologic test utilizing magnets and radio waves for brain imaging
C A neuropsychological test to distinguish psychosis from psychosomatic
illness
D A serum test to indicate nutritional deficiencies
Correct Answer: A. EEG records electrical activity via scalp electrodes — useful for
detecting seizure activity that can present as atypical psychosis, especially with
inconsistent symptoms.
Rationale: B describes MRI. C is neuropsychological testing. D is laboratory work.
EEG is indicated when temporal lobe epilepsy or other seizure disorders are in the
differential.
PMHNP.
CHAMBERLAIN UNIVERSITY · COLLEGE OF NURSING
NR668 CEA Final
PMHNP Practice Question Bank
Clinical Examination Assessment · 73 Questions with Rationales
E X A M I N AT I O N F O C U S :
Physical Assessment, Diagnostics, Psychotherapy
& Psychopharmacology
Edition 1 · July 2026
EXAM FOCUSED DETAILED HIGH-YIELD CONFIDENCE
RATIONALES CONTENT BUILDER
Questions aligned with
NR668 CEA standards Clear explanations for Focus on tested PMHNP Practice smarter and pass
every answer clinical concepts with confidence
P r e pa r e · P r a c t i c e · Pa s s
Excellence in Psychiatric-Mental Health Nursing
,NR668 CEA FINAL · CHAMBERLAIN UNIVERSITY TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Questions 1–73 — PMHNP Clinical Examination Assessment 3
3. Seller Appreciation 9
NR668 · Chamberlain University College of Nursing Page 2
,NR668 CEA FINAL GUIDE INSTRUCTIONS & PRACTICE QUESTIONS 1–73
How to Use This Guide
Read each stem, select your answer, then review the rationale. Correct answers are distributed
across all four letter positions. Covers physical assessment, diagnostic testing,
psychopharmacology, psychotherapy modalities, developmental theories, and PMHNP clinical
decision-making for the NR668 CEA Final.
Questions 1–37: Physical Assessment, Diagnostics & Psychopharmacology
1 A 21-year-old man had his first drink, presenting with psychomotor
agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. HR 110, BP 90/60, abdominal pain. Which test should the
PMHNP order?
A Urinary porphobilinogen
B Acetaminophen level
C Urinalysis
D Blood alcohol level
Correct Answer: A. Acute intermittent porphyria presents with neuropsychiatric
symptoms (agitation, depression, psychosis), autonomic instability (tachycardia,
hypotension), and abdominal pain — urinary porphobilinogen is diagnostic.
Rationale: B, C, D do not explain the full symptom constellation. Porphyria can be
triggered by alcohol and presents with psychiatric and abdominal symptoms
together.
, 2 In patients with active Lupus, the erythrocyte sedimentation rate is likely:
A Elevated
B 0.5 – 1.1
C Between 11 and 20
D Markedly low
Correct Answer: A. ESR is elevated in inflammatory conditions like Lupus due to
increased fibrinogen and antibodies. Active SLE typically shows markedly elevated
ESR.
Rationale: B is a normal range. C is mildly elevated. D is the opposite.
Inflammatory markers like ESR and CRP are key monitoring tools in autoimmune
conditions.
3 A patient has atypical psychosis with inconsistent auditory
hallucinations. What best defines an EEG and its utility?
A Electrophysiologic test depicting electrical activity on the surface of the
brain
B Radiologic test utilizing magnets and radio waves for brain imaging
C A neuropsychological test to distinguish psychosis from psychosomatic
illness
D A serum test to indicate nutritional deficiencies
Correct Answer: A. EEG records electrical activity via scalp electrodes — useful for
detecting seizure activity that can present as atypical psychosis, especially with
inconsistent symptoms.
Rationale: B describes MRI. C is neuropsychological testing. D is laboratory work.
EEG is indicated when temporal lobe epilepsy or other seizure disorders are in the
differential.
