$$|N - q| = \begin{cases}
N-q, & N \geq q \\
q - N, & N < q\text{.}
\end{cases}$$
Hence,
$$\begin{align}
\mathbb{E}[|N-q|] &= \sum_{k=0}^{q-1}(q-k)\cdot \dfrac{e^{-\lambda}\lambda^{k}}{k!} + \sum_{k=q}^{\infty}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!} \\
&= \sum_{k=0}^{\infty}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!}+\sum_{k=0}^{q-1}(q-k)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!}-\sum_{k=0}^{q-1}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!} \\
&= \mathbb{E}[N-q]-2\sum_{k=0}^{q-1}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!} \\
&= \lambda-q-2\sum_{k=0}^{q-1}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!}
\end{align}$$
I am not sure if this can be simplified further.
Edited: WolframAlpha says that
$$\sum_{k=0}^{q-1}(k-q)\cdot\dfrac{e^{-\lambda}\lambda^{k}}{k!} = \dfrac{\lambda\left[\Gamma(q+1, \lambda)-e^{-\lambda}\lambda^{q}\right]}{\Gamma(q+1)} - \dfrac{\Gamma(q+1, \lambda)}{\Gamma(q)}$$
where $\Gamma(\cdot, \cdot)$ is the incomplete Gamma function.