Advanced Nursing Practice &
Assessment Quiz Review
What is a contraindication for future influenza vaccination? ANS: A history of Guillain Barre 4 weeks
after a previous influenza injection.
Who should obtain the influenza vaccine? ANS: Anyone 6 months of age or older.
What should be avoided before receiving the influenza vaccine? ANS: Cold-like symptoms with a
temperature of 101.6.
What further test should be ordered for a 30-year-old man with altered mental status and a negative
blood alcohol level? ANS: EKG.
What is the most common adverse effect of electroconvulsive therapy (ECT)? ANS: Amnesia.
What condition is indicated by a sleep study revealing 10 episodes of apnea lasting 15 to 20 seconds
each per hour? ANS: Obstructive sleep apnea.
What should be prescribed for a patient with obstructive sleep apnea? ANS: Continuous positive airway
pressure (CPAP).
What defense mechanism is a mother using when she blames her son's mental illness on genetics
instead of substance use? ANS: Denial.
What is the best action for a PMHNP when a patient with bipolar disorder mentions a lump on his
testicle? ANS: Explore the reason for not having had a physical in so long.
,What lung sound is most likely heard in a patient in acute respiratory distress after choking? ANS:
Stridor.
What condition is characterized by the inability to discriminate between objects based on touch? ANS:
Astereognosis.
What does rebound tenderness most likely suggest on physical exam? ANS: Acute appendicitis.
What is a systematic inquiry that elaborates on the chief complaint and elicits pertinent factors from
history? ANS: Review of systems.
What is the role of the mental status exam? ANS: To classify observations associated with a psychiatric
disorder.
What does the physical exam focus on? ANS: Gathering objective data from the patient's body regions
and organ systems.
What is the significance of voluntary guarding in a physical exam? ANS: It suggests acute abdominal
pain.
What is the purpose of a diagnostic formulation? ANS: To summarize and assess the patient's condition
based on gathered data.
What are pertinent positive and negative factors in a review of systems? ANS: Factors that support or
rule out specific diagnoses.
What is the typical presentation of acute cholecystitis? ANS: Right upper quadrant pain, often with
rebound tenderness.
,What is the relationship between substance use disorder and mental illness in the context of denial?
ANS: Denial leads to failure to acknowledge the impact of substance use on mental health.
What is the importance of a sleep study in diagnosing sleep disorders? ANS: It helps quantify episodes
of apnea and assess severity.
What is the typical management for a patient diagnosed with obstructive sleep apnea? ANS: Lifestyle
changes and CPAP therapy.
What is the significance of a negative stool for occult blood in a patient with altered mental status?
ANS: It helps rule out gastrointestinal bleeding as a cause.
What is a diagnostic formulation in psychiatry? ANS: An articulate summary of biopsychosocial findings
that account for the patient's chief complaint.
What diagnostic test should be ordered for a 72-year-old female with altered mental status and urinary
incontinence? ANS: Non-contrast head CT scan.
What test should be repeated for a 26-year-old man on antipsychotics requiring titration for symptom
control? ANS: Liver function test.
What symptoms did the 21-year-old man present with after his first alcohol consumption? ANS:
Psychomotor agitation, cognitive impairment, depressed mood, flat affect, and anhedonia.
What vital signs were abnormal for the 21-year-old man after alcohol consumption? ANS: Heart rate of
110 and blood pressure of 90/60.
What diagnostic test should be ordered for the 21-year-old man with abdominal pain and psychiatric
symptoms? ANS: Blood alcohol level.
, What is urinary porphobilinogen used to screen for? ANS: Acute intermittent porphyria.
What should the PMHNP do first for a 70-year-old female with agitation and poor intake after
hospitalization? ANS: Perform physical exam and diagnostic tests (complete blood count, basic
metabolic profile, and urinalysis).
Why is it important to rule out delirium in the 70-year-old female patient? ANS: Her history, age, and
clinical presentation suggest a need to address potential underlying causes.
What is the best definition of an EEG? ANS: An electrophysiologic test that depicts electrical activity on
the surface of the brain.
What may an EEG indicate in terms of neurological symptoms? ANS: It may indicate an ectopic stimulus
responsible for neurological symptoms.
What should be considered before diagnosing a psychiatric disorder? ANS: Ruling out an underlying
medical cause, substance-induced cause, malingering, and factitious disorder.
What is the significance of the phrase 'all psychiatric diagnoses are diagnoses of exclusion'? ANS: It
emphasizes the need to rule out other causes before confirming a psychiatric diagnosis.
What are common symptoms associated with acute intermittent porphyria? ANS: Manic or psychotic
symptoms, abdominal pain, nausea, vomiting, muscle pain, numbness, tingling, hallucinations, and
paranoia.
What is the first step in addressing a patient's acute problem of delirium? ANS: Conduct a physical exam
and diagnostic tests.
Assessment Quiz Review
What is a contraindication for future influenza vaccination? ANS: A history of Guillain Barre 4 weeks
after a previous influenza injection.
Who should obtain the influenza vaccine? ANS: Anyone 6 months of age or older.
What should be avoided before receiving the influenza vaccine? ANS: Cold-like symptoms with a
temperature of 101.6.
What further test should be ordered for a 30-year-old man with altered mental status and a negative
blood alcohol level? ANS: EKG.
What is the most common adverse effect of electroconvulsive therapy (ECT)? ANS: Amnesia.
What condition is indicated by a sleep study revealing 10 episodes of apnea lasting 15 to 20 seconds
each per hour? ANS: Obstructive sleep apnea.
What should be prescribed for a patient with obstructive sleep apnea? ANS: Continuous positive airway
pressure (CPAP).
What defense mechanism is a mother using when she blames her son's mental illness on genetics
instead of substance use? ANS: Denial.
What is the best action for a PMHNP when a patient with bipolar disorder mentions a lump on his
testicle? ANS: Explore the reason for not having had a physical in so long.
,What lung sound is most likely heard in a patient in acute respiratory distress after choking? ANS:
Stridor.
What condition is characterized by the inability to discriminate between objects based on touch? ANS:
Astereognosis.
What does rebound tenderness most likely suggest on physical exam? ANS: Acute appendicitis.
What is a systematic inquiry that elaborates on the chief complaint and elicits pertinent factors from
history? ANS: Review of systems.
What is the role of the mental status exam? ANS: To classify observations associated with a psychiatric
disorder.
What does the physical exam focus on? ANS: Gathering objective data from the patient's body regions
and organ systems.
What is the significance of voluntary guarding in a physical exam? ANS: It suggests acute abdominal
pain.
What is the purpose of a diagnostic formulation? ANS: To summarize and assess the patient's condition
based on gathered data.
What are pertinent positive and negative factors in a review of systems? ANS: Factors that support or
rule out specific diagnoses.
What is the typical presentation of acute cholecystitis? ANS: Right upper quadrant pain, often with
rebound tenderness.
,What is the relationship between substance use disorder and mental illness in the context of denial?
ANS: Denial leads to failure to acknowledge the impact of substance use on mental health.
What is the importance of a sleep study in diagnosing sleep disorders? ANS: It helps quantify episodes
of apnea and assess severity.
What is the typical management for a patient diagnosed with obstructive sleep apnea? ANS: Lifestyle
changes and CPAP therapy.
What is the significance of a negative stool for occult blood in a patient with altered mental status?
ANS: It helps rule out gastrointestinal bleeding as a cause.
What is a diagnostic formulation in psychiatry? ANS: An articulate summary of biopsychosocial findings
that account for the patient's chief complaint.
What diagnostic test should be ordered for a 72-year-old female with altered mental status and urinary
incontinence? ANS: Non-contrast head CT scan.
What test should be repeated for a 26-year-old man on antipsychotics requiring titration for symptom
control? ANS: Liver function test.
What symptoms did the 21-year-old man present with after his first alcohol consumption? ANS:
Psychomotor agitation, cognitive impairment, depressed mood, flat affect, and anhedonia.
What vital signs were abnormal for the 21-year-old man after alcohol consumption? ANS: Heart rate of
110 and blood pressure of 90/60.
What diagnostic test should be ordered for the 21-year-old man with abdominal pain and psychiatric
symptoms? ANS: Blood alcohol level.
, What is urinary porphobilinogen used to screen for? ANS: Acute intermittent porphyria.
What should the PMHNP do first for a 70-year-old female with agitation and poor intake after
hospitalization? ANS: Perform physical exam and diagnostic tests (complete blood count, basic
metabolic profile, and urinalysis).
Why is it important to rule out delirium in the 70-year-old female patient? ANS: Her history, age, and
clinical presentation suggest a need to address potential underlying causes.
What is the best definition of an EEG? ANS: An electrophysiologic test that depicts electrical activity on
the surface of the brain.
What may an EEG indicate in terms of neurological symptoms? ANS: It may indicate an ectopic stimulus
responsible for neurological symptoms.
What should be considered before diagnosing a psychiatric disorder? ANS: Ruling out an underlying
medical cause, substance-induced cause, malingering, and factitious disorder.
What is the significance of the phrase 'all psychiatric diagnoses are diagnoses of exclusion'? ANS: It
emphasizes the need to rule out other causes before confirming a psychiatric diagnosis.
What are common symptoms associated with acute intermittent porphyria? ANS: Manic or psychotic
symptoms, abdominal pain, nausea, vomiting, muscle pain, numbness, tingling, hallucinations, and
paranoia.
What is the first step in addressing a patient's acute problem of delirium? ANS: Conduct a physical exam
and diagnostic tests.
