A school-age child has fever of 104°F, sore throat, vomiting and malaise. The primary care pediatric nurse practitioner observes that the tonsils, oropharynx, and palate are erythematous and covered with exudate; the tongue is coated and red; and there is a red, sandpaper-like rash on the child’s neck, trunk, and extremities. A rapid strep test is positive. What will the nurse practitioner do to manage this child’s illness?

An adolescent presents for a well visit. He is starting a new job which requires a urine drug screen. He went to a party about 3 weeks ago and drank alcohol and used “some drugs”. He wants to know if he will be able to “pass” his drug test. Which substance may be identified in the urine drug screen?

A child presents with a superficial head wound. The nurse practitioner may refer for head imaging. What form of laceration repair should NOT be used in this patient?

Current recommendations for the treatment of acute otitis media (AOM) indicate that all children should receive antibiotic treatment, regardless of age, illness severity, and certainty of diagnosis.

A child has a 1-cm laceration on the forehead proximal to the hairline after running into a pole while playing sports. To minimize the risk of infection, the primary care pediatric nurse practitioner will irrigate the wound and

When reviewing a white blood cell (WBC) count with differential, the primary care pediatric nurse practitioner suspects a bacterial infection when which WBC element is elevated?

A three-month old presents with signs of abusive head trauma. What additional findings may be present? (Select all that apply.)

A child is brought to the clinic with a fever, headache, malaise, and a red, annular macule surrounded by an area of clearing and a larger, erythematous annular ring. The child complains of itching at the site. What will the primary care pediatric nurse practitioner do to determine the diagnosis?

During a well baby examination of a 6-week-old infant, the primary care pediatric nurse practitioner notes poor weight gain, acrocyanosis of the hands and feet, thready peripheral pulses, and a respiratory rate of 60 breaths per minute. Oxygen saturation on room air is 93%. The remainder of the exam is unremarkable. Which action is correct?

An adolescent female reports facial pain and frequent popping of her jaw. An exam reveals unilateral tender facial muscles and a deviation of the mandible to the affected side with opening of the mouth. What will the primary care pediatric nurse practitioner do?