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During an assessment of a 22-year-old woman in a coma, who suffered a head injury from a car accident 4 hours ago, the APRN notices the following change: pupils were equal, but now the right pupil is fully dilated and nonreactive, left pupil is 4 mm and reacts to light. What does finding this suggest?

The ABI, ankle-brachial index, is used to screen for what?

A 20-year-old patient comes to the clinic with complaints of RLQ pain. Which one of the following tests should the APP perform to better assess this patient for appendicitis?    

Your patient is 20 weeks pregnant. She is complaining of sharp pain in her lower abdomen with movement and position change that has developed in the past 2-4 weeks. Your patient denies spotting, cramping, contractions, dysuria, dyspareunia. On exam, the fetal movement is detactable and fetal heartbeat is strong and steady, between 144 and 150. What should you tell your patient?

The advanced practice nurse is listening to the breath sounds of a patient with severe asthma. Adventitious sounds in severe asthma…

Your patient is 8 months pregnant. How do you instruct your medical assistant to position the patient in preparation for a physical exam?

A 70-year-old patient is being seen in the clinic for severe exacerbation of their heart failure. Which of these findings is the APRN most likely to observe in this situation?

Your patient has exam findings concerning for a strangulated hernia. What leads you to this conclusion and what is your next step?

After a well woman exam, a woman has just been diagnosed with high-risk HPV. The APRN should counsel her to receive regular examinations because this virus makes her at a higher risk for _____ cancer.

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: