A 3-year-old boy presents with fever and petechiae. Blood culture grows Neisseria meningitidis. The best treatment is:

Questions 56

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PN VATI Pediatric Nursing Quiz Questions

Question 1 of 9

A 3-year-old boy presents with fever and petechiae. Blood culture grows Neisseria meningitidis. The best treatment is:

Correct Answer: B

Rationale: Ceftriaxone treats meningococcemia, per CDC. A, C-E are inadequate.

Question 2 of 9

A child appears apathetic and weak. His growth is below normal for his age. There is white streak in the child's hair. The nurse recognizes these signs as characteristic of:

Correct Answer: D

Rationale: Kwashiorkor (D), protein malnutrition, causes apathy, weakness, stunted growth, and white hair streaks from melanin loss. Rickets (A) affects bones, scurvy (B) gums, GERD (C) reflux. Document: 'The earliest sign… is a white streak in the hair… apathetic and weak.'

Question 3 of 9

A child with a seizure should be

Correct Answer: B

Rationale: Lowering to floor B ensures safety, per document p32, 3.

Question 4 of 9

The most common complication of otitis media is

Correct Answer: C

Rationale: Mastoiditis C is a frequent complication, per document p52, .

Question 5 of 9

A 6-year-old boy presents with fatigue and pallor. Labs show hemoglobin of 7 g/dL and Howell-Jolly bodies. Most likely diagnosis is:

Correct Answer: B

Rationale: Sickle cell disease shows Howell-Jolly bodies, per ASH. A, C-E differ.

Question 6 of 9

A 4-month-old infant presents with a heart rate of 220 bpm and poor feeding. ECG shows narrow QRS tachycardia. Most likely diagnosis is:

Correct Answer: B

Rationale: SVT is common in infants with narrow QRS tachycardia, per AHA. A, C-E have different ECG findings.

Question 7 of 9

The most critical factor post-cleft lip repair is

Correct Answer: C

Rationale: Patent airway C prevents respiratory distress, per document p13, 3.

Question 8 of 9

A 6-year-old boy presents with fatigue and bone pain. Labs show blasts on peripheral smear. Most likely diagnosis is:

Correct Answer: C

Rationale: ALL shows fatigue and blasts, per NCI. A, B, D, E differ.

Question 9 of 9

The most common cause of diarrhea in children is

Correct Answer: D

Rationale: Viral infection D is most common, per document p59, 8.

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