A child whose family has been camping in a region with endemic Lyme disease suffered several tick bites. The parents report removing the ticks but are not able to verify the type or the length of time the ticks were attached. The child is asymptomatic. What is the best course of action?

A 14-year-old presents to the clinic complaining of an earache. The patient states that they have been away at camp for the past week and swam daily in the lake. Otoscopic examination reveals this in both ears and the tympanic membrane is not visible. Considering the diagnosis, what should the nurse practitioner prescribe?

The parent of an 18-month-old calls the on-call nurse practitioner after hours. The parent reports that the toddler has a temperature of 105ºF. The parent sounds frantic on the phone. After the nurse practitioner calms the parent down, they ascertains that the child is eating and sleeping well and acting as if they are not ill. The child is happily running and playing according to the parent. What should the nurse practitioner ask the mother to do in order to make sure the temperature is accurate?

A 9-month-old infant who has had three (3) prior acute ear infections and returns to the clinic today with irritability and a temperature of 102.20F with upper respiratory symptoms. The nurse practitioner notes erythema and bulging of the right and left tympanic membranes. The nurse practitioner correctly prescribes systemic antibiotics for the child. The next step in the management of this child’s ear infections should be:

A 17-year-old presents in the clinic stating that they had severe ear pain yesterday. The patient states that about 2am the pain “magically” went away and has not returned. The patient only came to the clinic because their mom “made them”. The otoscopic evaluation reveals: What is the most appropriate treatment plan for this patient?

A three-week-old infant presents to the clinic with a rectal temperature of 101.2oF. The baby is not dressed warmly and appears fussy and to not feel well. The parent reveals that the baby is not nursing as long or often as they usually do. What should the nurse practitioner do for this patient?

The nurse practitioner has been treating a 13-year-old for iron deficient anemia for the past 2 months. After ordering a hematology panel, the nurse practitioner notes that the hemoglobin has normalized. How much longer should the patient take iron supplements to replace the depleted stores?

An 8-year-old presents to the clinic crying and holding their right ear. They states that the pain is a 7 out of 10, even after 400mg of ibuprofen about 1 hour ago. The child has had a temperature up to 102.40F for 2 days along with a runny nose and cough for 7 days. The nurse practitioner’s otoscopic assessment of the right ear reveals this: The left ear is normal. What should the nurse practitioner’s diagnosis and treatment plan be for this patient?

A patient presents to the clinic with possibly conjunctivitis. How would you determine the difference between allergic, bacterial and viral conjunctivitis?

An 8-year-old child presents to the clinic complaining of a warm, tender, swollen axillary lymph nodes on the left side. The nurse practitioner notes induration and erythema of these nodes as well as small scratches on the left arm. What should the nurse practitioner ask the patient?