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:

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?

The advanced practice nurse is evaluating a patient’s breasts during an examination. They are found to have an abnormality upon inspection. Which of the following findings is abnormal?

The advanced practice provider is preparing to do an otoscopic examination on a 4-year-old child. Which of these reflects the correct procedure?