CEA advanced Nursing Practice Quiz
A 21-year-vintage man had his first drink at his birthday celebration with pals last night. He
provided the subsequent morning to the emergency branch with psychomotor agitation,
cognitive impairment, depressed temper, flat affect, and anhedonia. His coronary heart fee is
a hundred and ten, his blood pressure is 90/60, and he complains of belly pain. He acquired
2 L of everyday saline IV and is stated psychiatry for evaluation of temper disease. Which of
the subsequent checks ought to the consulting PMHNP order given these signs?
Urinalysis
Blood alcohol stage
Urinary porphobilinogen
Acetaminophen level - ANS-Urinary porphobilinogen
A 26-12 months-vintage girl is recognized with psychosis now not in any other case special
(NOS) and substance use disorder. Which of the subsequent lab checks must be ordered
prior to starting antipsychotic medicines?
Amylase, lipase, liver characteristic test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG - ANS-Hemoglobin A1C, lipid profile, EKG
A 26-yr-old man has been on an antipsychotic. He requires in addition titration for control of
signs and symptoms. Which of the following checks ought to be repeated?
EKG
Head CT test
Liver function take a look at
Urinalysis - ANS-EKG
A 30-yr-antique guy with records of alcohol use sickness is being evaluated for altered
mental reputation. He has a bad blood alcohol degree, aspartate transaminase 100, alanine
transaminase 90, hemoglobin 10, hematocrit 30, poor stool for occult blood, poor head CT
experiment. What similarly tests need to the PMHNP order earlier than diagnosing psychosis
not otherwise specified?
EKG
Serum ceruloplasmin
Lipid profile
Hemoglobin A1C - ANS-Serum ceruloplasmin
A 35-year-antique guy identified with bipolar sickness mentions to his PMHNP that he had
felt a lump on his left testicle. He is worried he has not had a bodily exam in 10 years. What
is the nice action by using the PMHNP?
Explore the reason for now not having had a bodily in goodbye
Refer him to his primary care issuer
Perform a urogenital examination and order an ultrasound
, Refer him to urology - ANS-Explore the reason for not having had a physical in see you later
A 42-12 months-vintage female recollects a quick episode of chest tightness without a
radiation or chest wall damage at some point of her new taekwondo martial arts elegance.
This pain subsided at some stage in "the calm down period" of her class. Which of the
following is maximum in all likelihood given her presentation?
Acute myocardial infarction
Hiatal hernia
Angina pectoris
Pericarditis - ANS-Angina pectoris
A forty three-yr-old guy changed into concerned in a motor automobile collision in which he
turned into determined to have a blood alcohol attention of zero.200. He became determined
wandering across the crash site, slurring his phrases, and unable to provide a clean records.
Emergency Medical Services added him to the emergency branch. The nurse triaged him to
psychiatry for acute alcohol intoxication. What is the first priority for the PMHNP?
IV hydration
Explore the client's willingness to go into rehab
Ask the patient while he has his closing drink
C-spine stabilization and head imaging - ANS-C-spine stabilization and head imaging
A forty eight-12 months-antique obese female reports immoderate daylight sleepiness,
fatigue, anhedonia, and apathy. Her husband reviews that she snores loudly whilst dozing,
and often will wake up sopping wet in sweat. The patient has no previous psychiatric records
and denies substance abuse. Which of the following is the maximum probably purpose of
her signs?
Airway obstruction
Narcolepsy
Perimenopause
Major despair - ANS-Airway obstruction
A 52-12 months-antique overweight man with kind 2 diabetes reports sleeping off even as
riding, watching TV, or reading, with accelerated apathy and fatigue. The PMHNP ordered a
nap have a look at, which discovered 10 episodes of apnea lasting 15 to twenty seconds
every in line with hour of sleep. Based on those findings, what must the PMHNP prescribe
for his situation?
Referral to otolaryngology for uvuloplasty
Referral to otolaryngology for rhinoplasty
Continuous superb airway strain
Antidepressant medications - ANS-CPAP
A sixty two-12 months-old lady previously hired as a receptionist reviews revolutionary
word-finding issue over the last 6 months that prompted her so much tension she stop her
activity. Her daughter has come to be increasingly more impatient watching for her to
complete her sentences but she has now turn out to be depressed due to the relational
stress. She denies any other behavioral issues. Which of the following diagnostic tests could
be maximum suitable?
Bilateral carotid Doppler have a look at
A 21-year-vintage man had his first drink at his birthday celebration with pals last night. He
provided the subsequent morning to the emergency branch with psychomotor agitation,
cognitive impairment, depressed temper, flat affect, and anhedonia. His coronary heart fee is
a hundred and ten, his blood pressure is 90/60, and he complains of belly pain. He acquired
2 L of everyday saline IV and is stated psychiatry for evaluation of temper disease. Which of
the subsequent checks ought to the consulting PMHNP order given these signs?
Urinalysis
Blood alcohol stage
Urinary porphobilinogen
Acetaminophen level - ANS-Urinary porphobilinogen
A 26-12 months-vintage girl is recognized with psychosis now not in any other case special
(NOS) and substance use disorder. Which of the subsequent lab checks must be ordered
prior to starting antipsychotic medicines?
Amylase, lipase, liver characteristic test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG - ANS-Hemoglobin A1C, lipid profile, EKG
A 26-yr-old man has been on an antipsychotic. He requires in addition titration for control of
signs and symptoms. Which of the following checks ought to be repeated?
EKG
Head CT test
Liver function take a look at
Urinalysis - ANS-EKG
A 30-yr-antique guy with records of alcohol use sickness is being evaluated for altered
mental reputation. He has a bad blood alcohol degree, aspartate transaminase 100, alanine
transaminase 90, hemoglobin 10, hematocrit 30, poor stool for occult blood, poor head CT
experiment. What similarly tests need to the PMHNP order earlier than diagnosing psychosis
not otherwise specified?
EKG
Serum ceruloplasmin
Lipid profile
Hemoglobin A1C - ANS-Serum ceruloplasmin
A 35-year-antique guy identified with bipolar sickness mentions to his PMHNP that he had
felt a lump on his left testicle. He is worried he has not had a bodily exam in 10 years. What
is the nice action by using the PMHNP?
Explore the reason for now not having had a bodily in goodbye
Refer him to his primary care issuer
Perform a urogenital examination and order an ultrasound
, Refer him to urology - ANS-Explore the reason for not having had a physical in see you later
A 42-12 months-vintage female recollects a quick episode of chest tightness without a
radiation or chest wall damage at some point of her new taekwondo martial arts elegance.
This pain subsided at some stage in "the calm down period" of her class. Which of the
following is maximum in all likelihood given her presentation?
Acute myocardial infarction
Hiatal hernia
Angina pectoris
Pericarditis - ANS-Angina pectoris
A forty three-yr-old guy changed into concerned in a motor automobile collision in which he
turned into determined to have a blood alcohol attention of zero.200. He became determined
wandering across the crash site, slurring his phrases, and unable to provide a clean records.
Emergency Medical Services added him to the emergency branch. The nurse triaged him to
psychiatry for acute alcohol intoxication. What is the first priority for the PMHNP?
IV hydration
Explore the client's willingness to go into rehab
Ask the patient while he has his closing drink
C-spine stabilization and head imaging - ANS-C-spine stabilization and head imaging
A forty eight-12 months-antique obese female reports immoderate daylight sleepiness,
fatigue, anhedonia, and apathy. Her husband reviews that she snores loudly whilst dozing,
and often will wake up sopping wet in sweat. The patient has no previous psychiatric records
and denies substance abuse. Which of the following is the maximum probably purpose of
her signs?
Airway obstruction
Narcolepsy
Perimenopause
Major despair - ANS-Airway obstruction
A 52-12 months-antique overweight man with kind 2 diabetes reports sleeping off even as
riding, watching TV, or reading, with accelerated apathy and fatigue. The PMHNP ordered a
nap have a look at, which discovered 10 episodes of apnea lasting 15 to twenty seconds
every in line with hour of sleep. Based on those findings, what must the PMHNP prescribe
for his situation?
Referral to otolaryngology for uvuloplasty
Referral to otolaryngology for rhinoplasty
Continuous superb airway strain
Antidepressant medications - ANS-CPAP
A sixty two-12 months-old lady previously hired as a receptionist reviews revolutionary
word-finding issue over the last 6 months that prompted her so much tension she stop her
activity. Her daughter has come to be increasingly more impatient watching for her to
complete her sentences but she has now turn out to be depressed due to the relational
stress. She denies any other behavioral issues. Which of the following diagnostic tests could
be maximum suitable?
Bilateral carotid Doppler have a look at
