NR 668 CEA Final Exam Prep Test Bank with 430
Latest Exam Questions and Correct Answers with
Rationales / NR 668 FINAL Exam Prep 2025-2026/
CEA – Clinical Evaluation and Assessment
In regards to the Consensus Model, which of the following best describes the
APRN role?
a. Psychopharmacology guidelines according to CMS and state guidelines
b. Vulnerable population with a focus on the biopsychosocial paradigm
c. APRNs will be trained and licensed according to their role and population focus
d. Policy, procedure and role development within NP role expansion - ANSWER-
c. APRNs will be trained and licensed according to their role and population focus
A state's Nurse Practice Act specifies all of the following except:
a. Provide oversight for service and benefits provided to patients
b. Restriction of the nurse practitioner's practice
c. What a nurse practitioner can do
d. Who may use the title nurse practitioner - ANSWER-a. Provide oversight for
service and benefits provided to patients
In the field of quality improvement, the key question "Why" leads to understanding
and the prevention of the recurrence of an error or event. Which of the following
utilizes the question of "Why" to help identify the underlying cause of error?
a. Bottom up approach
b. Kaizen
c. Plan-Do-Study-Act
d. Root cause analysis - ANSWER-d. Root cause analysis
pg. 1
,Root cause analysis involves preventing future harm and asking the key question
"why" did it happen? This leads to the root cause of the error or event.
What is the purpose of the "Just Culture" concept in nursing?
a. Reduce discrimination in nursing
b. Implement system wide practices to improve awareness of diverse cultures and
backgrounds
c. Improve empathy for persons with a mental health disorder
d. Improve patient safety - ANSWER-d. Improve patient safety
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. A mole that is not elevated
b. A dark mole
c. A mole that is 5 mm in size
d. All of the above - ANSWER-d. All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
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?
a. Reaction formation
b. Regression
c. Denial
d. Dissociation - ANSWER-c. Denial
pg. 2
,A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the consulting
PMHNP order given these symptoms?
a. Urinary porphobilinogen
b. Acetaminophen level
c. Urinalysis
d. Blood alcohol level - ANSWER-a. Urinary porphobilinogen
In patients with active Lupus, the erythrocyte sedimentation rate is likely?
a. 0.5 - 1.1
b. Between 11 and 20
c. Elevated
d. Markedly low - ANSWER-c. Elevated
The ESR or red blood cell sedimentation rate is elevated in conditions with
inflammation. This is because of higher amounts of fibrinogen and antibodies
found in conditions like Lupus, Temporal arteritis, etc.
A patient presents with atypical symptoms of psychosis that include inconsistent
auditory hallucinations without disorganization. What is the best definition of an
EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a detailed image of
the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the surface of the brain
c. A neuropsychological test to distinguish psychosis from a psychosomatic illness
pg. 3
, d. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters - ANSWER-b. Electrophysiologic test that depicts electrical
activity on the surface of the brain
A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when sleeping,
and often will wake up drenched in sweat. The patient has no prior psychiatric
history and denies substance abuse. Which of the following is the most likely cause
of her symptoms?
a. Airway obstruction
b. Narcolepsy
c. Perimenopause
d. Major depression - ANSWER-a. Airway obstruction
A middle-school girl who is timid to take any risks, prefers solitary activities, and
does not ask questions of her teachers for fear that she is bothering them likely did
not master which developmental stage?
a. Initiative versus Guilt
b. Trust versus mistrust
c. Industry versus inferiority
d. Autonomy versus shame and doubt - ANSWER-a. Initiative versus Guilt
Which of the following is characteristic of the leadership competency for APRNs?
a. Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
c. Developing an age-appropriate treatment plan
pg. 4
Latest Exam Questions and Correct Answers with
Rationales / NR 668 FINAL Exam Prep 2025-2026/
CEA – Clinical Evaluation and Assessment
In regards to the Consensus Model, which of the following best describes the
APRN role?
a. Psychopharmacology guidelines according to CMS and state guidelines
b. Vulnerable population with a focus on the biopsychosocial paradigm
c. APRNs will be trained and licensed according to their role and population focus
d. Policy, procedure and role development within NP role expansion - ANSWER-
c. APRNs will be trained and licensed according to their role and population focus
A state's Nurse Practice Act specifies all of the following except:
a. Provide oversight for service and benefits provided to patients
b. Restriction of the nurse practitioner's practice
c. What a nurse practitioner can do
d. Who may use the title nurse practitioner - ANSWER-a. Provide oversight for
service and benefits provided to patients
In the field of quality improvement, the key question "Why" leads to understanding
and the prevention of the recurrence of an error or event. Which of the following
utilizes the question of "Why" to help identify the underlying cause of error?
a. Bottom up approach
b. Kaizen
c. Plan-Do-Study-Act
d. Root cause analysis - ANSWER-d. Root cause analysis
pg. 1
,Root cause analysis involves preventing future harm and asking the key question
"why" did it happen? This leads to the root cause of the error or event.
What is the purpose of the "Just Culture" concept in nursing?
a. Reduce discrimination in nursing
b. Implement system wide practices to improve awareness of diverse cultures and
backgrounds
c. Improve empathy for persons with a mental health disorder
d. Improve patient safety - ANSWER-d. Improve patient safety
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. A mole that is not elevated
b. A dark mole
c. A mole that is 5 mm in size
d. All of the above - ANSWER-d. All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular
borders, have color variation, a diameter > 6mm and elevated moles.
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?
a. Reaction formation
b. Regression
c. Denial
d. Dissociation - ANSWER-c. Denial
pg. 2
,A 21-year-old man had his first drink at his birthday party with friends last night.
He presented the following morning to the emergency department with
psychomotor agitation, cognitive impairment, depressed mood, flat affect, and
anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of
abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry
for evaluation of mood disorder. Which of the following tests should the consulting
PMHNP order given these symptoms?
a. Urinary porphobilinogen
b. Acetaminophen level
c. Urinalysis
d. Blood alcohol level - ANSWER-a. Urinary porphobilinogen
In patients with active Lupus, the erythrocyte sedimentation rate is likely?
a. 0.5 - 1.1
b. Between 11 and 20
c. Elevated
d. Markedly low - ANSWER-c. Elevated
The ESR or red blood cell sedimentation rate is elevated in conditions with
inflammation. This is because of higher amounts of fibrinogen and antibodies
found in conditions like Lupus, Temporal arteritis, etc.
A patient presents with atypical symptoms of psychosis that include inconsistent
auditory hallucinations without disorganization. What is the best definition of an
EEG and its utility?
a. Radiologic test utilizing magnets and radio waves to provide a detailed image of
the structures of the brain
b. Electrophysiologic test that depicts electrical activity on the surface of the brain
c. A neuropsychological test to distinguish psychosis from a psychosomatic illness
pg. 3
, d. A serum test to indicate nutritional deficiencies that inhibit the formation of
neurotransmitters - ANSWER-b. Electrophysiologic test that depicts electrical
activity on the surface of the brain
A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when sleeping,
and often will wake up drenched in sweat. The patient has no prior psychiatric
history and denies substance abuse. Which of the following is the most likely cause
of her symptoms?
a. Airway obstruction
b. Narcolepsy
c. Perimenopause
d. Major depression - ANSWER-a. Airway obstruction
A middle-school girl who is timid to take any risks, prefers solitary activities, and
does not ask questions of her teachers for fear that she is bothering them likely did
not master which developmental stage?
a. Initiative versus Guilt
b. Trust versus mistrust
c. Industry versus inferiority
d. Autonomy versus shame and doubt - ANSWER-a. Initiative versus Guilt
Which of the following is characteristic of the leadership competency for APRNs?
a. Participating in a community-focused program that promotes mental health and
reduces the risk of mental health problems
b. Modifying the treatment plan based on the patient's needs
c. Developing an age-appropriate treatment plan
pg. 4
