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…

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?