A 40-year-old man has come into the clinic with complaints of “extreme tenderness in my right big toe.” The APP finds that his toe is swollen, reddened, and warm to the touch and consistent with which finding?
A mother is concerned because her 18-month-old child has 12…
A mother is concerned because her 18-month-old child has 12 teeth. She is wondering if this is normal for a child of this age. The advanced practice provider’s best response would be:
A 25-year-old woman comes to the emergency department with a…
A 25-year-old woman comes to the emergency department with a sudden fever of 101° F and abdominal pain. Upon examination, the APRN notices that she has rigid, board like lower abdominal musculature. When the APRN tries to perform a vaginal examination, the patient has severe pain when the uterus and cervix are moved. The APRN knows that these signs and symptoms are suggestive of:
Which of the following are reasons to ask the older adult di…
Which of the following are reasons to ask the older adult direct questions in order to avoid delaying a diagnosis?
A 65-year-old female patient with diabetes presents with upp…
A 65-year-old female patient with diabetes presents with upper back and neck pain, nausea, and fatigue that is getting worse. She is now short of breath. The APRN should be MOST concerned about:
When assessing a patient’s pulse, the APRN notes the amplitu…
When assessing a patient’s pulse, the APRN notes the amplitude varies and is weaker during inspiration and stronger during expiration. When the provider measures the blood pressure, the systolic blood pressure decreases 20 mm Hg during inspiration. This patient is experiencing
A 13 year-old patient comes into the clinic for a routine we…
A 13 year-old patient comes into the clinic for a routine well check. The advanced practice nurse observes a depression in the lower portion of the sternum and notices a murmur on auscultation of the heart. What deformity of the thorax does this patient have?
When assessing a patient for carpal tunnel syndrome using Ti…
When assessing a patient for carpal tunnel syndrome using Tinel and Phalen signs, the APP is assessing for shooting pain, numbness, and/or tingling in which digits?
The APRN examines a 6-month-old infant and places the infant…
The APRN examines a 6-month-old infant and places the infant’s feet flat on the table with his knee flexed and sacrum flat on the table. The APRN notes that the right knee is significantly lower than the left. Which of these statements is true of this finding?
During a vaginal examination of a 38-year-old woman, the APR…
During a vaginal examination of a 38-year-old woman, the APRN notices that the vulva and vagina are erythematous and edematous with thick, white, curd like discharge adhering to the vaginal walls. The woman reports intense pruritus and thick white discharge from her vagina. The APRN knows that these history and physical examination findings are most consistent with which of these conditions?