The nurse practitioner is completing a well-child visit on a 2-week infant. On physical examination, the NP notes the infant has short fingers, a single palmar crease, and a prominent space between the first and second toes.  What determination would the NP most likely make? 

Which client-specific indication would be an indication for a genetic evaluation? 

The nurse practitioner is evaluating a 15-month old in the clinic whose mother reports is coughing up “thick, sticky mucus”. The child in the 10th percentile for height and weight and has been seen in the clinic for repeated chest infections over the last six months. What condition should the nurse practitioner be concerned about? 

The nurse practitioner is evaluating a 40-year-old female with a known history of obsessive-compulsive disorder. Which symptom(s) characterize this disorder?

The nurse practitioner is evaluating a 28-year old female with a complaint of unilateral abdominal pain with associated dizziness, near syncope, and a small amount of bright red vaginal bleeding. The client reports her last menstrual period was over 8 weeks ago. On physical examination, the client has abdominal tenderness, cervical motion tenderness, and there is tissue present in the vaginal vault. The client appears ill and has orthostatic hypotension.  The NP suspects ectopic pregnancy. Which lab finding would be highly indicative and warrant additional diagnostics? 

The nurse practitioner is evaluating a client with a known history of sickle cell anemia. Which complaint reported by the client does the NP recognize as the cardinal subjective symptom of sickle cell crisis?

The nurse practitioner is seeing a client with a recent diagnosis of obsessive-compulsive disorder. The client has been in behavioral therapy but at today’s visit requests pharmacological treatment for the condition.  Which medication is indicated for the treatment of obsessive-compulsive disorder?

The nurse practitioner is evaluating a client in a family practice clinic for the chief complaint of “change in my urine color”.  In order to establish a list of differential diagnoses, which question would be important for the NP to ask the client? 

Which early clinical signs and/or symptoms would be an expected finding in a client with testicular torsion? 

The nurse practitioner is examining a routine urine specimen of a pregnant client. The client reports “increased urinary frequency” but denies symptoms of dysuria or hematuria.  What condition does the NP recognize could be most likely associated with the cloudy appearance of this client’s urine specimen and requires further evaluation?