1. What age do children usually begin receiving the HPV vaccine Answer- 11 years
old
2. When can a child stop using a booster seat in the car? Answer- when the child is
at least 4'9"
3. a 13-year-old client diagnosed with infectious mononucleosis 2 weeks ago is in
your office today complaints of abdominal pain to the upper left quadrant, is
febrile & tired. Based on the client's recent history, what is the best intervention?
Answer- Refer to emergency services
4. An established 14-year-old client who recently returned from camp presents to
the clinic c/o chills, severe headache, myalgias, malaise, GI upset/tenderness,
diarrhea, cough, conjunctival injection & a fever. On exam, the provider notes a
rash of faint pink spots on the wrists, forearms, ankles & the trunk. What is the
most likely diagnosis? Answer- rocky mountain spotted fever
5. A client w/ chickenpox who cannot stop itching presents to the clinic requesting
relief. What can the provider do to help this client? (SATA) Answer- Prescribe
calamine lotion
Prescribe oral antihistamines
Recommend oatmeal baths
6. An infant can complete hand-to-hand transfers at what age? Answer- 7 months
7. Which is the most appropriate anticipatory guidance for the child diagnosed w/
fracture through the growth plate? Answer- use crutches to ambulate until healed
8. The provider learns that the family of a client recently rescued a cat from the
outside. To prevent the risk of toxoplasmosis, which anticipatory guidance is
most appropriate? Answer- thoroughly wash hands after changing cat litter
9. A 9-day-old client presents to the clinic who is sluggish, has a temp of 97°F, HR
105, cool extremities & loss of appetite, presents to the clinic. What should the
provider do? Answer- Refer to ER to rule out sepsis
10. The provider understands that a client w/ a HX of hemolytic anemia & a recent
diagnosis of erythema infectiosum (5th disease), is at risk for which
complication? Answer- aplastic crisis
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