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, 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 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

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?

Which of the following are reasons to ask the older adult direct questions in order to avoid delaying a diagnosis?

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:

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 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 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 

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?