A NP working in the student health clinic has a patient who is 19 weeks gestation. The patient is a nursing student who needs vaccines for school. The patient requests an influenza and MMR vaccine. The NP responds:

A 1-year-old child has an eye examination in evaluation of suspected strabismus. Which of the following is the preferred to evaluate this condition?

An 18-year-old female presents to the emergency department with lower abdominal pain and vaginal spotting. Her LMP was 2 months ago. The urine pregnancy test is positive.The NP understands the next best step to confirm a diagnosis is:

Macular degeneration is manifested by:

A 32-year-old pregnant female is in her second trimester. She calls the clinic’s triage line and reports bright red and painless vaginal bleeding. The NP considers the top differential:

The most concerning symptom in an obstetric patient includes:

The NP is caring for an adult patient, who has no underlying risk factors, with nonsevere community acquired pneumonia. The NP considers ordering any the following first line medications per the 2019 Pneumonia guidelines except:

The parents of an 18-month-old report a difference in appearance between the eyes of their child. Ophthalmoscopy reveals a white pupillary reflex. Which of the following is the most likely diagnosis?

Common screening tests for an average risk female during the first trimester of pregnancy include all the following except:

A 67-year-old man complains of clear rhinorrhea. The review of systems is negative for nasal congestion, itching of the nose or eyes, postnasal drip, or sneezing. His symptoms have been recurring for the last month and only while the patient is eating, particularly spicy foods. Which of the following is the most likely diagnosis?