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During the examination of a patient’s heart and blood vessels the nurse practitioner notes a mid systolic murmur with a medium pitch. The sound radiates along the left sternal border to the carotid with a palpable thrill. The nurse practitioner notes that the apical thrust shifts down and left. Which heart murmur should the nurse practitioner suspect most?

The nurse practitioner should expect to feel tactile fremitus the best: 

Pulmonary function tests

The examiner percusses for diaphragmatic excursion along the:

When auscultating the heart the nurse practitioner should listen…

During an assessment of a thin adult, the nurse practitioner hears a louder, low pitch tone. This tone should be described as:

The nurse practitioner is examining an adult patient. They feel a palpable rushing vibration over the base of the heart at the second intercostal space. The nurse practitioner should correctly note this as a 

When palpating a patient’s carotid arteries the nurse practitioner should…

During the examination of an 18-year-old patient, the nurse notes on inspection the patient is tachypneic, has nasal flaring and intercostal retractions. Upon auscultation the nurse practitioner notes that the patient has prolonged expiration, wheezing and diminished lung sounds. The nurse practitioner should suspect which common respiratory condition?

A 79-year-old with diabetes presents to the clinic with the complaint of claudication. Which of the following physical findings is consistent with the diagnosis of arterial insufficiency?