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:

You are assessing a neonate and note breast engorgement. You document this as an abnormality.

In assessing for asthma, you would expect to find a(n)_____________  tactile vocal fremitus .

Lilly age 3 months is being seen for a “cold” which physical finding is more common in the infant?

The client has been told that he has a heart murmur. He asks you “What exactly is a heart murmur?” What is your best response?

A positive clinical sign on the physical examination indicating pneumonia is:

When auscultating a client’s heart, you note a short , high-frequency click (opening snap) after S2 during the beginning of diastole. What could this indicate?

In assessing murmurs, it is important to be able to document your findings. You come across documentation that states the murmur was found in the 5th ICS, timing of diastole with radiation to axilla.You would interpret this information to be what type of murmur:

You hear a split S2 on auscultation of a 25-year-old client. What is your best action?

All of these are signs of abnormal breathing in the infant except: