ATI RN
Nursing Practice Questions for Pediatric Infectious Disease Questions
Question 1 of 5
A 14-year-old adolescent girl presented with palpable purpuric rash on the buttocks and lower extremities with arthritis of ankles and knees. Investigation as follow; erythrocyte sedimentation rate, C-reactive protein, and white blood cell count are elevated, the platelet count is normal, urinalysis show evidence of hematuria. Of the following, the MOST common immune complex associated with this disease is
Correct Answer: A
Rationale: Henoch-Schönlein purpura (HSP), as described, is an IgA-mediated vasculitis, with IgA immune complexes deposited in small vessels.
Question 2 of 5
You are evaluating sexual maturity rating (SMR) of the breast of an adolescent female; you find a small mound of the breast and papilla with enlargement of areolar diameter. The SMR of breast will be
Correct Answer: C
Rationale: A small mound with areolar enlargement is Tanner stage III (C), beyond pre-pubertal (A), budding (B), and before areolar elevation (D) or adult contour (E).
Question 3 of 5
A 16-year-old adolescent girl referred from dietician for further evaluation. She had increasing weight loss of about 30% of body weight in spite of management in the last 2 months. You find a well negotiating girl, accepting her weight, she was wearing an oversize multilayer cloths. There was lanugo-hair over the face, erosion of enamel of teeth, a well tolerated bradycardia and hypothermia in addition to cyanosis of hands and feet.
Correct Answer: C
Rationale: A) reassure, B) refer to psych, C) admit for medical stabilization, D) order labs, E) follow-up.] Severe weight loss (30%), lanugo, bradycardia, hypothermia, and cyanosis indicate advanced anorexia nervosa requiring urgent admission (C) for stabilization, beyond outpatient care or simple tests.
Question 4 of 5
The final dose of rotavirus vaccine must be administered no later than
Correct Answer: B
Rationale: The rotavirus vaccine series must be completed by 8 months of age per CDC guidelines.
Question 5 of 5
Hepatitis A vaccine, licensed for administration to children 12 mo of age and older. The 2 doses in the series should be separated by at least
Correct Answer: C
Rationale: The Hepatitis A vaccine doses should be separated by at least 6 months for optimal immunity.