A thirteen-year-old boy presents to the clinic with a history of multiple episodes of  “passing out” at church. He states after standing quietly for about 10 minutes, he feels warm and then his vision darkens from the periphery. He feels sweaty, his heart races, he feels dizzy, and then he passes out. When he “comes round”, he returns to normal. His EKG is normal. What is the most likely diagnosis? 

A 4-day-old full-term newborn presents today for routine follow-up after an uneventful 48-hour nursery course. Maternal history: negative for HIV, Hepatitis B, syphilis, Group B streptococcus. No maternal history of smoking, alcohol or drug use. Newborn screening panel was completed. The newborn passed the hearing and critical congenital heart disease screenings.  Hepatitis B vaccine #1, Vitamin K, and erythromycin ophthalmic ointment were administered after delivery.  The infant is nursing every 2 hours and has 10 wet diapers and 4 to 5 seedy yellow bowel movements per day.  The infant has lost 3% of birth weight. What should be included in the care of this newborn?

A 5-year-old child is brought to the clinic. The caregiver reports the child has been lethargic and has had a low-grade fever for about 2 weeks. Physical examination reveals no significant findings other than pallor and lymphadenopathy. A complete blood count reveals decreased hematocrit, neutropenia, and thrombocytopenia. What action should the nurse practitioner take next? 

A 13-year-old client presents to clinic for a follow-up on a head injury, occurring 3 days ago The child initially had a headache when the injury occurred, but it resolved. The child reports a her energy level is back to normal but is experiencing headaches, which are relieved by acetaminophen, about 20 minutes after her first class of the day. The headaches recur in the afternoon when she tries to do her homework. Her mother is concerned she is falling behind in school.  Which of the following is the next best step in this client’s management?

A 3-month-old infant presents with swelling of the right upper arm without history of trauma. On exam, the infant has tenderness of the arm without erythema, has right-sided scalp swelling, and multiple small bruises on the torso. Which of the following is the best next steps in management?

Which statement about Kawasaki Disease (KD) is true?

A 12-year-old female presents to the clinic with a history of heavy menses, episodes of epistaxis twice a month, and reports to bruise easily. What is the most likely diagnosis for this patient?

A 7-year-old child presents to clinic with a chief complaint of “rash” in the child’s left axilla. The caregiver states the lesions have been present for several weeks and are non-pruritic. She has tried over the counter steroid creams with no improvement. What is the most likely etiology and treatment of these lesions?

A murmur that is described as a grade II and is best auscultated at the left lower sternal border is likely a functional murmur.

How long should a child with sickle cell anemia receive prophylactic penicillin?