A 2-year-old girl presents with fever and a generalized rash. Exam shows posterior auricular lymphadenopathy. Most likely diagnosis is:

Questions 56

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Pediatric Dosing Practice Questions Questions

Question 1 of 9

A 2-year-old girl presents with fever and a generalized rash. Exam shows posterior auricular lymphadenopathy. Most likely diagnosis is:

Correct Answer: B

Rationale: Rubella features fever, rash, and posterior auricular nodes, per CDC. A, C-E differ.

Question 2 of 9

Most common cause of death in patients with cystic fibrosis is:

Correct Answer: B

Rationale: Respiratory failure is the leading cause of death in cystic fibrosis, from chronic lung damage, per CFF. A, C-E are less common.

Question 3 of 9

A child with a tracheostomy should be monitored for

Correct Answer: D

Rationale: All D are critical tracheostomy risks, per document p29, 1.

Question 4 of 9

A 2-month-old infant presents with projectile vomiting. Labs show hypokalemic alkalosis. Most likely diagnosis is:

Correct Answer: B

Rationale: Pyloric stenosis causes vomiting and hypokalemic alkalosis, per AAP. A, C-E differ.

Question 5 of 9

The nurse should suspect intussusception if a child has

Correct Answer: D

Rationale: All D are intussusception signs, per document p54, 2.

Question 6 of 9

A first-time father is changing the diaper of his 1-day-old daughter. He asks the nurse, 'What is this black, sticky stuff in her diaper?' The nurse’s best response

Correct Answer: B

Rationale: Meconium B is the normal first stool, per document 8.

Question 7 of 9

Most common cause of precocious puberty in girls is:

Correct Answer: C

Rationale: Idiopathic is the most common cause of precocious puberty in girls, per AAP (doc p148, Q562).

Question 8 of 9

Most frequent humoral immunologic abnormality in patients with ataxia-telangiectasia is:

Correct Answer: B

Rationale: Selective IgA deficiency is most common in ataxia-telangiectasia, impairing mucosal immunity (NORD). Other options (A, C-E) are less typical.

Question 9 of 9

What does the 'A' stand for in HEADSS?

Correct Answer: C

Rationale: HEADSS assesses adolescent psychosocial risks: Home, Education, Activities, Drugs, Sex, Suicide/Depression. ‘A’ stands for Activities (Choice C), exploring hobbies, sports, or social engagement to build rapport. Academic achievement (Choice A), Accommodation (Choice B), and Affect (Choice D) aren’t part of HEADSS. Activities is correct.

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