Proportions are used for categorical measures when defining a confidence interval.

The nurse practitioner is examining a 2-year-old child and auscultates a wide fixed split S. The child is thin and small and has a history of frequent URIs. What condition may this finding represent?

A 3 week old has a 2 day history of projectile vomiting, weight loss, and dehydration.  He has just vomited while in your office. What finding on exam would lead you to a diagnosis of pyloric stenosis?

Which of the following solutions will have the lowest pH? Hint: This is not a calculation problem. Consider the type of acid/ base (strong vs. weak acid and base).

A 7-year-old child who has a history of a repaired congenital heart defect (CHD) has many dental caries along with gingival erythema and irritation and a temperature of 102.5°F.  The child is noted to have a Janeway lesion on his hand. What will the nurse practitioner do next?

Wade is a call center shift leader at an insurance company. This company employs all its employees on an at-will basis. He manages a team of five employees consisting of both males and females. Unfortunately for his team, Wade has significant anger issues and often berates all of the employees on his team, calls them “idiots,” “extremely dumb,” and “morons,” and Wade throws chairs, computer monitors, and reams of paper at the employees whenever they do not meet or exceed his unrealistic and physically impossible productivity goals. This pattern of behavior has been going on for almost nine months and occurs at least twice a week. The employees on his team have, several times, respectfully asked Wade to stop this behavior, but he either threatens to fire them or ignores them and laughs at them. Renee, a female employee of Wade’s team, believes that she may have a Title VII claim. Which of the following statements best describes this scenario?

A toddler is seen in the clinic after a 2-day history of intermittent vomiting and diarrhea. An assessment reveals an irritable child with dry mucous membranes, 3-second capillary refill, 2- second recoil of skin, mild tachycardia and tachypnea, and cool hands and feet. The child has had two wet diapers in the past 24 hours. What will the nurse practitioner recommend?

A school-age child who uses a short-acting beta2-agonist (SABA) and an inhaled corticosteroid medication is seen in the clinic for an acute asthma exacerbation.  The patient has taken  4 puffs of an inhaled short-acting B2-agonist (SABA) every 20 minutes for three treatments.  What assessment would warrant immediate action? 

A 5-year-old child who had a repair for transposition of the great arteries shortly after birth is growing normally and has been asymptomatic since the surgery. The nurse practitioner notes mild shortness of breath with exertion and, upon questioning, learns that the child has recently had a syncopal episode. What will the nurse practitioner do?  

An 8 yo child who has been diagnosed with asthma for several years has been using a short-acting B2-agonist (SABA) to control symptoms. The nurse practitioner learns that the child has recently begun using the SABA two or three times each week to treat wheezing and shortness of breath. The child currently has clear breath sounds and an FEV1 of 75% of personal best. What will the nurse practitioner do next?