Your 27-year-old patient has had headaches, muscle aches, lo…

Your 27-year-old patient has had headaches, muscle aches, loss of pleasure, difficulty sleeping, and fatigue for the last 2 months.  You completed a thorough history, physical examination, and laboratory workup but did not find a cause.  What should your next action be?

A 22-year-old woman is being seen at the clinic for problems…

A 22-year-old woman is being seen at the clinic for problems with vulvar pain, dysuria, and fever. On physical examination, the APRN notices clusters of small, shallow vesicles with surrounding erythema on the labia. There is also inguinal lymphadenopathy present. The most likely cause of these lesions is:

An NP student is examining the neck of her patient during a…

An NP student is examining the neck of her patient during a routine physical exam.  The preceptor notices that she palpates the right carotid artery and the left carotid artery at the same time.   The preceptor should provide the following feedback to the student:  

When assessing a newborn infant’s genitalia, the APRN notice…

When assessing a newborn infant’s genitalia, the APRN notices that the genitalia are somewhat engorged. The labia majora are swollen, the clitoris looks large, and the hymen is thick. The vaginal opening is difficult to visualize. The infant’s mother states that she is worried about the labia being swollen. The APRN should reply:

A 45-year-old patient complains of seasonal clear rhinorrhea…

A 45-year-old patient complains of seasonal clear rhinorrhea, sneezing, itching of the nose and eyes. On examination, the advanced practice provider notices pale, swollen turbinates and clear rhinorrhea. Which of the following conditions is most likely the cause?

The nurse practitioner presses on the patient’s scapula with…

The nurse practitioner presses on the patient’s scapula with one hand and raises the patient’s arm on the same side, with the other hand. This move compresses the greater tuberosity of the humerus against the acromion process. The patient feels pain during this maneuver. The APRN charts this finding as