A 5-year-old girl presents with fever and a swollen knee. Aspiration shows gram-positive cocci. Most likely diagnosis is:

Questions 56

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Pediatric Gi Nclex Practice Questions Questions

Question 1 of 9

A 5-year-old girl presents with fever and a swollen knee. Aspiration shows gram-positive cocci. Most likely diagnosis is:

Correct Answer: A

Rationale: Septic arthritis fits fever and gram-positive cocci, per AAP. B-E lack infection.

Question 2 of 9

A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the

Correct Answer: C

Rationale: First period of reactivity C is when newborns are alert and breastfeeding is effective, per document p5, 0.

Question 3 of 9

Best diagnostic test to detect central precocious puberty is:

Correct Answer: C

Rationale: GnRH stimulation test confirms central precocious puberty, per AAP (doc p148, Q564).

Question 4 of 9

What is the quickest most common method to obtain neonatal blood for glucose screening 1 hour after birth?

Correct Answer: D

Rationale: Puncture the lateral pad of the heel D is the standard, least invasive method for neonatal blood sampling, per document 2.

Question 5 of 9

A 5-year-old girl presents with fever and a vesicular rash on the scalp. Most likely diagnosis is:

Correct Answer: C

Rationale: Herpes zoster presents with a vesicular rash in a dermatome (e.g., scalp), per CDC. A, B, D, E differ in distribution.

Question 6 of 9

A 12-year-old with rheumatoid arthritis finds aromatherapy helpful for relieving her joint discomfort. The essential oil useful for children with chronic pain is:

Correct Answer: A

Rationale: Lavender (A) relieves chronic pain via relaxation. Ephedra (B), ginseng (C), and kava-kava (D) are stimulants or anxiolytics, not pain-specific. Document: 'Lavender… [is] useful in aromatherapy for children with chronic pain.'

Question 7 of 9

Low set ears in children could be associated with: Select ONE that does not apply:

Correct Answer: D

Rationale: Low-set ears link to kidney disorders (A), intellectual (B), and developmental disabilities (C) in syndromes like Down’s. Ventilation (D) and postictal (E) are unrelated. Document: 'Associated with kidney disorders, and intellectual or developmental disabilities.'

Question 8 of 9

A 3-year-old with pneumonia should receive

Correct Answer: D

Rationale: All D treat pneumonia, per document p30, 3.

Question 9 of 9

A child with a fractured femur in traction should be monitored for

Correct Answer: D

Rationale: All *E* are critical in traction care, per document p23, 0.

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