Your 56 year old patient was seen with complaints of toe pain. On exam, you noted what appeared to be a developing wound. An MRI and angiogram were negative, leading to a diagnosis of thromboanginitis (aka Buerger Disease). You know that your education to the patient about this diagnosis will be: 

Which of these percussion findings would the APP expect to find in a patient with a large amount of ascites?

The advanced practice nurse is listening to the breath sounds of a patient with severe asthma. Adventitious sounds in severe asthma…

Jane is a healthy, asymptomatic 20 year old college student who presents to the Student Health Clinic at her University.  She said she came in today to find out if she needed a pelvic exam and a pap smear.  She had her first sexual encounter 2 months ago and figures that means it is time for her first well woman exam.  She is using condoms.  The advanced practice nurse replies,

Your patient is 8 months pregnant. How do you instruct your medical assistant to position the patient in preparation for a physical exam?

While auscultating heart sounds on a 7-year-old child for a routine physical, the APRN hears a midsystolic grade 2 musical murmur at the left midsternal border, which becomes louder as the child lies down. Which of these would be a correct interpretation of these findings?

The Mini-Mental State Examination is the best known screening test for: 

Mental health screening is recommended

During the physical examination, the nurse practitioner notices that a patient has an inverted left nipple. Which statement regarding this is most accurate?

The advanced practice provider is examining a 1-month-old infant and notices tiny white, rounded cysts along the posterior midline of the hard palate.   The advanced practice provider explains to the parent: