Author: Anonymous

A 7-month-old has had 6 hours of sudden episodes of intense crying with his legs drawn up, about every 15 minutes. Between episodes he is pale and quiet. The APRN feels a sausage-shaped mass in the right upper abdomen, and the right lower quadrant feels empty. His stool has been normal so far. Which diagnosis is most likely?

A 16-year-old with sickle cell trait will start two-a-day football practices in August. His parents ask what precautions he needs. Which advice is most appropriate?

A 3-month-old has a bright red, raised lesion on her lower lip that has grown quickly over 6 weeks, ulcerates, and bleeds when she feeds. Which treatment is first-line?

At a 15-month well visit, a mother has no developmental concerns. The APRN plans the developmental assessment. Which approach is most appropriate?

A 3-week-old first-born boy has been vomiting after feeds. Over the past week the vomiting has become forceful and non-bilious, and he is hungry again right after he vomits. His weight is below his birth weight. Which diagnosis is most likely?

A mother who speaks little English brings her 5-year-old for a well-child visit. The clinic has a contracted interpreter service. Her 13-year-old son, who is fluent in English, offers to interpret, and she says she is comfortable with that. What should the APRN do?

A healthy 6-year-old has had a soft, painless umbilical hernia since infancy. It still reduces easily and has not changed. Which plan is most appropriate?

A term 11-month-old has stiff legs that cross when she is lifted and cannot sit without support. Examination shows increased tone. Which referral plan is most appropriate?

A 14-year-old soccer player has had a fever of 101.5°F, sore throat, and fatigue for 2 days. Her coach wants clearance for tomorrow’s tournament. Which recommendation is best?

A 3-day-old girl was born at 36 weeks of gestation and discharged at 30 hours of age. She is breastfed, and her father thinks she looks yellow. Her weight is 11% below birth weight, she has had 2 wet diapers in the past day, and the yellow color reaches her abdomen. Serum bilirubin results are pending. Which management is most appropriate now?