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:

When you look at the tympanic membrane with the otoscope, which normal landmark is present?

The advanced practice provider is assessing a patient in the hospital who has received numerous antibiotics and notices that his tongue appears to be black and hairy. In response to his concern, what should the advanced practice provider say?

The advanced practice nurse is conducting a newborn exam and suspects the child has Down syndrome (trisomy 21). Which of the following physical characteristics should increase the advanced practice nurse’s suspicions?

During an assessment of a 22-year-old woman in a coma, who suffered a head injury from a car accident 4 hours ago, the APRN notices the following change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding this suggest?

Your patient has exam findings concerning for a strangulated hernia. What leads you to this conclusion and what is your next step?

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…