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Mrs. B. has brought 5 year old John to the clinic.  She repo…

Mrs. B. has brought 5 year old John to the clinic.  She reports that he has been lethargic and has been running a low grade fever for about two weeks.  Physical examination reveals no significant finding other than pallor and lymphadenopathy.  A complete blood count reveals a decreased hematocrit, neutropenia, and thrombocytopenia.  The practitioner’s next action should be to:

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A clinical finding that is often seen in patients with the d…

A clinical finding that is often seen in patients with the diagnosis of Kawasaki Syndrome but does not occur until phase II of the illness is:

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A 13-year-old boy receives his first HPV vaccine today. He i…

A 13-year-old boy receives his first HPV vaccine today. He is healthy with no underlying conditions. According to CDC guidelines, when should he receive his second dose?

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During a well-child visit, a 13-year-old with obesity report…

During a well-child visit, a 13-year-old with obesity reports being teased at school and avoiding group activities. Which of the following is the most appropriate initial intervention by the nurse practitioner?

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Laboratory findings that would be consistent with a diagnosi…

Laboratory findings that would be consistent with a diagnosis of Kawasaki Syndrome would be: 

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A patient reports to your clinic with intense fatigue and fe…

A patient reports to your clinic with intense fatigue and fever.  Suspecting infectious mononucelosis, you begin a physical exam.  Which of the following signs is NOT consistent with the common presentation of this condition?

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After treating a 2 year old for iron deficiency anemia, labo…

After treating a 2 year old for iron deficiency anemia, laboratory tests show that his hemoglobin level has returned to normal.  Which of the following actions is appropriate?

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A 14 year old patient presents with mild to moderate acne wh…

A 14 year old patient presents with mild to moderate acne which has received no previous therapy.  Your most appropriate first approach would be:

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You are examining a child who has fever, coryza, cough, conj…

You are examining a child who has fever, coryza, cough, conjunctivitis, malaise, and anorexia.  During the oral examination, you observe red eruptions with white centers on the buccal mucosa.  What are these eruptions called?

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The PNP is teaching high school students about prevention of…

The PNP is teaching high school students about prevention of iron deficiency anemia.  To teach prevention of the most common cause of iron deficiency in this age group, it is important to emphasize:

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