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