CEA advanced Nursing Practice EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
Terms in this set (41)
When evaluating a 78-year-old Examine the patient's ear canals
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
,A 35-year-old man diagnosed with Explore the reason for not having had a physical in so long
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
In observing the appearance of the Watch and wait
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
, Which of the following best The examiner palpates in the right upper abdominal quadrant below the costal
represent the physical exam margin while the patient breathes in. The test is positive if the
maneuver known as examiner observes pain during inhalation.
Murphy's sign?
Acute cholecystitis
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.
What does the Murphy sign assess Cholecystitis
for
(elaborated) WITH COMPLETE SOLUTIONS
Terms in this set (41)
When evaluating a 78-year-old Examine the patient's ear canals
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
,A 35-year-old man diagnosed with Explore the reason for not having had a physical in so long
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
In observing the appearance of the Watch and wait
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
, Which of the following best The examiner palpates in the right upper abdominal quadrant below the costal
represent the physical exam margin while the patient breathes in. The test is positive if the
maneuver known as examiner observes pain during inhalation.
Murphy's sign?
Acute cholecystitis
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.
What does the Murphy sign assess Cholecystitis
for
