A patient with a history of Type 2 DM presents with the chief complaint of leg pain associated with walking. On examination, decreased pedal pulses bilaterally are noted. The patient’s Ankle Brachial Index (ABI) is 0.8. What would be the most appropriate action?

Which of the following clinical manifestations is most consistent with peripheral arterial disease?

A 79 year female patient returns for routine check ups every 6 month. The APRN notes the presence of a new grade 2/6 diastolic murmur. What is the appropriate response from the APRN?

A 20-year-old female patient presents in the emergency department with the chief complaint of “severe lower abdominal pain.” Patient has a + pregnancy test. You suspect a ruptured ectopic pregnancy. Which finding would support this diagnosis?

A patient you are seeing in the emergency department for chest pain is believed to be having a myocardial infarction. During the health history interview of his family history, he relates that his father had died of “heart trouble.” The most important follow-up question you should pose is which of the following?

When evaluating the abdomen, the APRN asks the patient to raise his head and shoulders off the table. What is the purpose of this maneuver?

Which are risk factors for varicose veins? (Select all that apply.)

A 75-year-old male patient presents with the chief complaint of a dry wound on his left great toe. Physical findings reveal a pale, cool foot, leg with little hair; skin is thin and shiny, + 1 pedal pulses. What do these these findings suggest to the APRN?

A 19-year-old male patient present to the emergency room with blunt force trauma to the abdomen during a lacrosse game. Assessment of the spleen is included in the abdominal examination. Which area would be best for palpation of the spleen? 

Chris is a 20-year-old college student who has had abdominal pain for 3 days. It started at his umbilicus and was associated with nausea and vomiting. He has been unable to find a comfortable position. This morning, the pain became more severe and constant.  He now hesitates to walk because any motion makes the pain worse. The pain is localized to the right lower quadrant just  below and anterior to the iliac crest. What is the most likely reason for his pain?