A 5-year-old girl with altered mental status and CSF findings of high WBCs (80% neutrophils), low sugar, and high protein likely has:

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Pediatric Nursing Test Bank Questions

Question 1 of 5

A 5-year-old girl with altered mental status and CSF findings of high WBCs (80% neutrophils), low sugar, and high protein likely has:

Correct Answer: B

Rationale: Bacterial meningitis presents with neutrophilic pleocytosis, low glucose, high protein, and positive Gram stain, requiring urgent antibiotic therapy.

Question 2 of 5

Systemic lupus erythematosus can be caused by

Correct Answer: A

Rationale: Isoniazid is a known cause of drug-induced systemic lupus erythematosus.

Question 3 of 5

Timing of an innocent murmur is usually:

Correct Answer: A

Rationale: Innocent murmurs are typically ejection systolic murmurs due to normal blood flow turbulence in a structurally normal heart. They are soft, vibratory, and heard best over the left sternal border, increasing with fever or excitement.

Question 4 of 5

Patient with Mycoplasma pneumonia can have:

Correct Answer: A

Rationale: Mycoplasma pneumonia often presents with severe symptoms but minimal auscultatory findings, leading to an overestimation of disease severity based on symptoms alone. It is known for gradual onset and mild clinical signs.

Question 5 of 5

Schizophrenia generally presents in adolescence or early adulthood. However, it may appear in children. Which of the following is true regarding childhood-onset schizophrenia?

Correct Answer: D

Rationale: Negative symptoms, such as reduced emotional expression and motivation, are more common in childhood-onset schizophrenia.

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