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When auscultating for breath sounds, what pattern is best practice?

A 70-year-old patient has suspected chronic obstructive pulmonary disease. The clinician instructs the patient to take a deep breath in, and then with his mouth open, breathe out as fast and completely as he can. For what is the clinician checking?

Sabrina is a 25 year old female who presents to your office for her yearly physical exam and reports she recently felt a “small lump” in her left breast. Upon examination you note a single small lump that is approximately 1 cm in size to her left breast. the lump is round and almost disc-like. It is non tender, very mobile, and there are no other abnormalities notes to her breast or surrounding structure. You know this lump warrants further investigation, but the most likely diagnosis is:

On Inspection of the abdomen, the nurse practitioner documents “protuberant”. Which of the following can be an etiology of a protuberant abdomen?

A late sign of a pneumothorax is tracheal deviation.  As a nurse practitioner you know that tracheal deviation would be:  

When preparing to examine a patient who has been complaining of right lower quadrant abdominal pain, which of the following techniques is correct?

An NP is percussing the lungs of a patient with chronic obstructive pulmonary disease (COPD) for resonance. Which of the following is an example of a good percussion technique?

Which of the following techniques should be used when assessing a patient with suspected cholecystitis?

The nurse practitioner student is preparing to perform a physical exam on a patient with a CC of “chest wall pain”. The nurse practitioner student knows that:                                     

Hattie is a 60-year-old female with PMH significant for HTN, DM II, and ongoing tobacco abuse who was recently found to have a 48 mm ascending thoracic aortic aneurysm by echocardiogram. You have reviewed Hattie’s echo with the cardiothoracic service, and there is no surgical intervention indicated at this time, and serial follow-up/monitoring has been recommended. As Hattie’s nurse practitioner, what is the most important treatment measure you will recommend to Hattie?