CEA advanced Nursing Practice EXAM
|QUESTIONS | WITH COMPLETE
ANSWERS!!
When evaluating a 78-year-old man, the PMHNP notices the patient frequently leans in with
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the right side of his head and frequently asks for things to be repeated. His daughter is very
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worried that he has dementia or depression because he has also become increasingly isolated,
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as well as increasingly irritable as he believes people are yelling at him out of frustration of
h h h h h h h h h h h h h h h h h
not being heard. The daughter is tearful, anxious, and frustrated. What should the PMHNP do
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first?
h
Order a CT scan of the head
h h h h h h
Separate the patient from the daughter and interview him alone
h h h h h h h h h
Examine the patient's ear canals
h h h h
Provide anticipatory guidance regarding aging parents to the daughter - ANS-Examine the
h h h h h h h h h h h
patient's ear canals
h h h
, A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a
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lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What is
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the best action by the PMHNP?
h h h h h h
Explore the reason for not having had a physical in so long
h h h h h h h h h h h
Refer him to his primary care provider
h h h h h h
Perform a urogenital exam and order an ultrasound
h h h h h h h
Refer him to urology - ANS-Explore the reason for not having had a physical in so long
h h h h h h h h h h h h h h h h
In observing the appearance of the patient with depression and a history of systemic lupus
h h h h h h h h h h h h h h
erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a
h h h h h h h h h h h h h h h h h
pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent
h h h h h h h h h h h h h
texture. The PMHNP should:
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Refer the patient to oncology
h h h h
Watch and wait h h
Refer the patient to rheumatology
h h h h
Refer the patient to dermatology - ANS-Watch and wait
h h h h h h h h
Which of the following best represent the physical exam maneuver known as Murphy's sign?
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While supine, ask the patient to grasp her knee while tucking 1 leg up to the chest. A positive
h h h h h h h h h h h h h h h h h h
test occurs when pain prohibits elevation of the ipsilateral leg.
h h h h h h h h h h
The examiner palpates in the right upper abdominal quadrant below the costal margin while
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the patient breathes in. The test is positive if the examiner observes pain during inhalation.
h h h h h h h h h h h h h h h
Press and palpate deeply into the abdomen and release quickly observing for pain.
h h h h h h h h h h h h
|QUESTIONS | WITH COMPLETE
ANSWERS!!
When evaluating a 78-year-old man, the PMHNP notices the patient frequently leans in with
h h h h h h h h h h h h h
the right side of his head and frequently asks for things to be repeated. His daughter is very
h h h h h h h h h h h h h h h h h h
worried that he has dementia or depression because he has also become increasingly isolated,
h h h h h h h h h h h h h h
as well as increasingly irritable as he believes people are yelling at him out of frustration of
h h h h h h h h h h h h h h h h h
not being heard. The daughter is tearful, anxious, and frustrated. What should the PMHNP do
h h h h h h h h h h h h h h h
first?
h
Order a CT scan of the head
h h h h h h
Separate the patient from the daughter and interview him alone
h h h h h h h h h
Examine the patient's ear canals
h h h h
Provide anticipatory guidance regarding aging parents to the daughter - ANS-Examine the
h h h h h h h h h h h
patient's ear canals
h h h
, A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a
h h h h h h h h h h h h h h h
lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What is
h h h h h h h h h h h h h h h h h h h h
the best action by the PMHNP?
h h h h h h
Explore the reason for not having had a physical in so long
h h h h h h h h h h h
Refer him to his primary care provider
h h h h h h
Perform a urogenital exam and order an ultrasound
h h h h h h h
Refer him to urology - ANS-Explore the reason for not having had a physical in so long
h h h h h h h h h h h h h h h h
In observing the appearance of the patient with depression and a history of systemic lupus
h h h h h h h h h h h h h h
erythematosus, the PMHNP notices a lesion on the neck of the patient about the size of a
h h h h h h h h h h h h h h h h h
pencil eraser, flush with the skin, uniformly colored, with discrete borders, and consistent
h h h h h h h h h h h h h
texture. The PMHNP should:
h h h h
Refer the patient to oncology
h h h h
Watch and wait h h
Refer the patient to rheumatology
h h h h
Refer the patient to dermatology - ANS-Watch and wait
h h h h h h h h
Which of the following best represent the physical exam maneuver known as Murphy's sign?
h h h h h h h h h h h h h
While supine, ask the patient to grasp her knee while tucking 1 leg up to the chest. A positive
h h h h h h h h h h h h h h h h h h
test occurs when pain prohibits elevation of the ipsilateral leg.
h h h h h h h h h h
The examiner palpates in the right upper abdominal quadrant below the costal margin while
h h h h h h h h h h h h h
the patient breathes in. The test is positive if the examiner observes pain during inhalation.
h h h h h h h h h h h h h h h
Press and palpate deeply into the abdomen and release quickly observing for pain.
h h h h h h h h h h h h
