ATI RN
Pediatric Infectious Disease NCLEX Questions Questions
Question 1 of 5
A 5-year- old girl presented with prolonged fever, progressive pallor, arthralgia, and skin ecchymoses. Of the following, the MOST likely diagnosis is
Correct Answer: C
Rationale: Leukemia (e.g., ALL) matches with fever, pallor, arthralgia, and ecchymoses from bone marrow suppression.
Question 2 of 5
Minimal myelosuppression is reported with which agent?
Correct Answer: A
Rationale: Vincristine has minimal bone marrow toxicity compared to the other agents listed.
Question 3 of 5
The MOST common type of leukemia in childhood is
Correct Answer: A
Rationale: Acute lymphoblastic leukemia (ALL) accounts for about 75% of childhood leukemias.
Question 4 of 5
A 10-day-old newborn presented with pallor, poor oral intake and abdominal distension, physical examination revealed stigmata of trisomy 21, hepatosplenomegaly, and his peripheral blood film showed low hemoglobin, high white cell count, low platelets and many blasts cells. Of the following, the MOST likely diagnosis at this stage is
Correct Answer: B
Rationale: Transient myeloproliferative syndrome is common in neonates with Down syndrome (trisomy 21) and resolves spontaneously in most cases.
Question 5 of 5
The MOST common site of relapse of acute lymphoblastic leukemia is
Correct Answer: C
Rationale: Bone marrow is the most frequent site of ALL relapse due to its primary involvement.