CEA ADVANCED NURSING PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
1) A 42-year-old female recalls a brief episode of chest tightness with no radiation
or chest wall injury during her new taekwondo martial arts class. This pain
subsided during "the cool down period" of her class. Which of the following is
most likely given her presentation?
A) Acute myocardial infarction
B) Hiatal hernia
C) Angina pectoris
D) Pericarditis -- Correct Answer ✔✔ Angina pectoris
2) The condition in which the patient is unable to discriminate between objects
based on touching is known as:
A) Astereognosis
B) Agraphesthesia
C) Choreiform
D) Dysdiadochokinesia -- Correct Answer ✔✔ Astereognosis
3) A 30-year-old man with history of alcohol use disorder is being evaluated for
altered mental status. He has a negative blood alcohol level, aspartate
transaminase 100, alanine transaminase 90, hemoglobin 10, hematocrit 30,
, negative stool for occult blood, negative head CT scan. What further tests should
the PMHNP order before diagnosing psychosis not otherwise specified?
A) EKG
B) Serum ceruloplasmin
C) Lipid profile
D) Hemoglobin A1C -- Correct Answer ✔✔ Serum ceruloplasmin
4) A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when
sleeping, and often will wake up drenched in sweat. The patient has no prior
psychiatric history and denies substance abuse. Which of the following is the
most likely cause of her symptoms?
A) Airway obstruction
B) Narcolepsy
C) Perimenopause
D) Major depression -- Correct Answer ✔✔ Airway obstruction
5) A systematic inquiry that elaborates on the chief complaint while eliciting
pertinent positive and pertinent negative factors from the history is known as:
A) The mental status exam
B) Review of systems
C) Physical exam
D) Diagnostic formulation -- Correct Answer ✔✔ ROS
6) A 68-year-old man with no past psychiatric history but with a history of poly
substance use disorder is admitted for psychosis (disorganized thoughts, rapid
pressured speech, persistent rumination, paranoid delusions, and apathy). Which
of the following tests would be most important in determining the etiology of his
new onset symptoms?
A) Urine toxicology screening
B) Urine culture
C) HIV testing
SOLUTIONS
1) A 42-year-old female recalls a brief episode of chest tightness with no radiation
or chest wall injury during her new taekwondo martial arts class. This pain
subsided during "the cool down period" of her class. Which of the following is
most likely given her presentation?
A) Acute myocardial infarction
B) Hiatal hernia
C) Angina pectoris
D) Pericarditis -- Correct Answer ✔✔ Angina pectoris
2) The condition in which the patient is unable to discriminate between objects
based on touching is known as:
A) Astereognosis
B) Agraphesthesia
C) Choreiform
D) Dysdiadochokinesia -- Correct Answer ✔✔ Astereognosis
3) A 30-year-old man with history of alcohol use disorder is being evaluated for
altered mental status. He has a negative blood alcohol level, aspartate
transaminase 100, alanine transaminase 90, hemoglobin 10, hematocrit 30,
, negative stool for occult blood, negative head CT scan. What further tests should
the PMHNP order before diagnosing psychosis not otherwise specified?
A) EKG
B) Serum ceruloplasmin
C) Lipid profile
D) Hemoglobin A1C -- Correct Answer ✔✔ Serum ceruloplasmin
4) A 48-year-old obese woman experiences excessive daytime sleepiness, fatigue,
anhedonia, and apathy. Her husband reports that she snores loudly when
sleeping, and often will wake up drenched in sweat. The patient has no prior
psychiatric history and denies substance abuse. Which of the following is the
most likely cause of her symptoms?
A) Airway obstruction
B) Narcolepsy
C) Perimenopause
D) Major depression -- Correct Answer ✔✔ Airway obstruction
5) A systematic inquiry that elaborates on the chief complaint while eliciting
pertinent positive and pertinent negative factors from the history is known as:
A) The mental status exam
B) Review of systems
C) Physical exam
D) Diagnostic formulation -- Correct Answer ✔✔ ROS
6) A 68-year-old man with no past psychiatric history but with a history of poly
substance use disorder is admitted for psychosis (disorganized thoughts, rapid
pressured speech, persistent rumination, paranoid delusions, and apathy). Which
of the following tests would be most important in determining the etiology of his
new onset symptoms?
A) Urine toxicology screening
B) Urine culture
C) HIV testing
