ATI RN
Nursing Practice Questions for Pediatric Infectious Disease Questions
Question 1 of 5
A 16-year-old female presents with signs and symptoms of appendicitis. Her past medical history is significant only for sexual activity and placement of an IUD 1 year previously. She undergoes an appendectomy, in which her appendix is found to be normal. One month postoperatively, she has local pain and has an irregular, hard mass in her ileocecal area. The most likely diagnosis is
Correct Answer: D
Rationale: Pelvic actinomycosis is associated with IUD use and can mimic appendicitis with subsequent mass formation.
Question 2 of 5
Nodular lymphangitis in a child bitten by a cat is most likely caused by
Correct Answer: B
Rationale: Sporothrix schenckii causes nodular lymphangitis (rose gardener’s disease) following cat bites or scratches.
Question 3 of 5
A 15-year-old male presents to your office with complaint of fever, malaise, headache, cough, and shortness of breath. A chest radiograph reveals left upper and lower lobe infiltrates. His WBC count is elevated. He states that he recently received a pet cockatiel that became ill and died. What is the most likely diagnosis?
Correct Answer: C
Rationale: Psittacosis (Chlamydia psittaci) is linked to bird exposure, causing pneumonia with systemic symptoms.
Question 4 of 5
All of the following have been shown to be routes of transmission for tularemia EXCEPT
Correct Answer: D
Rationale: Tularemia is not transmitted person-to-person; it’s zoonotic via ticks, aerosols, or water.
Question 5 of 5
Which of the following vaccines should NOT be given to children with severe combined immunodeficiency syndrome?
Correct Answer: B
Rationale: Live vaccines like measles are contraindicated in SCID due to severe immune deficiency.