2025/2026 CEA WEEK
2 ADVANCED NURSING PRACTICE AND
ASSESSMENT EXAM WITH Q&A GRADED A+
TESTED AND APPROVEED
Which of the following would be considered a risk factor for melanoma?
Female gender
A history of melanoma
A mole with symmetrical borders
A dark covered mole approximately 5mm in size -- ANSWER--A history of
melanoma
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder
presents with mild shortness of breath, fine crackles in the right lower lobe with
auscultation and a nonproductive cough. She recently "ran out of pills". Which
medication omission most likely lead to her current presenting symptoms?
Metoprolol
Lorazepam
Metformin
Furosemide -- ANSWER--Furosemide
Page 1 of 34
,A 26-year-old female is diagnosed with psychosis not otherwise specified
(NOS) and substance use disorder. Which of the following lab tests should be
ordered prior to starting antipsychotic medications?
Amylase, lipase, liver function test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG -- ANSWER--Hemoglobin A1C, lipid
profile, EKG
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?
Regression
Dissociation
Reaction formation
Denial -- ANSWER--Denial
A 72-year-old female presents to the emergency department for altered mental
status. Her urine analysis is negative, and her labs are normal. She has been
referred to psychiatry for dementia. The patient's husband reports increasing
forgetfulness over the last 6 months, walking as if her feet are stuck to the
ground, and most recently episodes of urinary incontinence. Based on the signs
Page 2 of 34
,and symptoms which of the following diagnostic tests should the PMHNP order
to rule out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas -- ANSWER--Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant
depression about electroconvulsive therapy (ECT), you tell the patient that the
most common adverse effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi -- ANSWER--Amnesia
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.
Page 3 of 34
, 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. -- 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.
Acute cholecystitis
A 62-year-old woman formerly employed as a receptionist reports progressive
word-finding difficulty over the past 6 months that caused her so much anxiety
she quit her job. Her daughter has become increasingly impatient waiting for
her to finish her sentences but she has now become depressed due to the
relational strain. She denies any other behavioral problems. Which of the
following diagnostic tests would be most appropriate?
Bilateral carotid Doppler study
Transthoracic echocardiogram
EEG
Brain MRI with and without contrast -- ANSWER--Brain MRI with and
without contrast
A 66-year-old registered nurse, who retired from psychiatry 3 years ago, spends
much of her time watching television. She is easily irritated by those
interrupting her shows and has no desire to engage in any activities or identify
with a broader community. Which developmental stage did she fail to master?
Page 4 of 34
2 ADVANCED NURSING PRACTICE AND
ASSESSMENT EXAM WITH Q&A GRADED A+
TESTED AND APPROVEED
Which of the following would be considered a risk factor for melanoma?
Female gender
A history of melanoma
A mole with symmetrical borders
A dark covered mole approximately 5mm in size -- ANSWER--A history of
melanoma
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder
presents with mild shortness of breath, fine crackles in the right lower lobe with
auscultation and a nonproductive cough. She recently "ran out of pills". Which
medication omission most likely lead to her current presenting symptoms?
Metoprolol
Lorazepam
Metformin
Furosemide -- ANSWER--Furosemide
Page 1 of 34
,A 26-year-old female is diagnosed with psychosis not otherwise specified
(NOS) and substance use disorder. Which of the following lab tests should be
ordered prior to starting antipsychotic medications?
Amylase, lipase, liver function test
Urinalysis, urine pregnancy test
Cardiac enzymes, brain naturetic peptide
Hemoglobin A1C, lipid profile, EKG -- ANSWER--Hemoglobin A1C, lipid
profile, EKG
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?
Regression
Dissociation
Reaction formation
Denial -- ANSWER--Denial
A 72-year-old female presents to the emergency department for altered mental
status. Her urine analysis is negative, and her labs are normal. She has been
referred to psychiatry for dementia. The patient's husband reports increasing
forgetfulness over the last 6 months, walking as if her feet are stuck to the
ground, and most recently episodes of urinary incontinence. Based on the signs
Page 2 of 34
,and symptoms which of the following diagnostic tests should the PMHNP order
to rule out an underlying condition?
Lumbar puncture
Electroencephalogram
Noncontrast head CT scan
Arterial blood gas -- ANSWER--Noncontrast head CT scan
When providing psychoeducation to a patient with treatment-resistant
depression about electroconvulsive therapy (ECT), you tell the patient that the
most common adverse effect of treatment is which of the following?
Amnesia
Psychosis
Respiratory depression
Arrhythmi -- ANSWER--Amnesia
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.
Page 3 of 34
, 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. -- 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.
Acute cholecystitis
A 62-year-old woman formerly employed as a receptionist reports progressive
word-finding difficulty over the past 6 months that caused her so much anxiety
she quit her job. Her daughter has become increasingly impatient waiting for
her to finish her sentences but she has now become depressed due to the
relational strain. She denies any other behavioral problems. Which of the
following diagnostic tests would be most appropriate?
Bilateral carotid Doppler study
Transthoracic echocardiogram
EEG
Brain MRI with and without contrast -- ANSWER--Brain MRI with and
without contrast
A 66-year-old registered nurse, who retired from psychiatry 3 years ago, spends
much of her time watching television. She is easily irritated by those
interrupting her shows and has no desire to engage in any activities or identify
with a broader community. Which developmental stage did she fail to master?
Page 4 of 34
