The nurse practitioner understands the following about hyperresonance in percussion of the lungs:

The NP upon examination notes a bilateral gray ring around the irises of the 80yo patient. The patient denies visual changes or pain. What does she document?

All of the following tests require the patient’s voice to perform correctly except?

When auscultating for vocal resonance in a client with possible consolidation of lung tissue, the nurse practitioner hears “a-a-a” when the client says “e-e-e.” This is called:

The 55 year old client tells you that she has smoked 2 packs of cigarettes per daysince she was 14 years old. How many pack-years should be recorded in the client’s history?

59-year-old man with a known history of COPD presents with worsening dyspnea. On examination he is afebrile. His breath sounds are decreased bilaterally. He is noted to have jugular venous distension (JVD) and 2+ pitting edema of the lower extremities. Which of the following is the most likely cause of his increasing dyspnea?

When performing a clinical breast examination, you remember to inspect the lymph nodes because …

What technique should be used to best auscultate the second heart sound?

As you assess your patient you document Oslers nodes. You realize this could be a sign of .

A 30 yr old female is in the office c/o palpitations and some light-headedness for the past 6 months. These are random episodes, no definable pattern. The NP notices a mid-systolic click w/a late systolic murmur heard best in the apical area during auscultation of the chest. You would suspect: