ATI RN
Nursing Practice Questions for Pediatric Infectious Disease Questions
Question 1 of 5
A 9-year-old child presented with history of fall from a height, he developed otorrhea and basilar skull fracture; 2 wk later he developed fever, headache, repeated vomiting, and nuchal rigidity; cerebrospinal fluid findings are (leukocytes 1600/μL with PMNs predominate), protein (140 mg/dL), and glucose (39 mg/dL); serum glucose (109 mg/dL). Of the following, the MOST common organism causing this condition is
Correct Answer: D
Rationale: Post-traumatic meningitis after basilar skull fracture with CSF leak is most often due to S. pneumoniae (E), from nasopharyngeal flora, per trauma-related infection data.
Question 2 of 5
The region of lymphadenopathy that's affected by tuberculosis and known as Ghon complex is
Correct Answer: A
Rationale: The Ghon complex involves hilar (A) lymph nodes and lung parenchyma in primary TB, per pathology.
Question 3 of 5
Treatment with erythromycin in the paroxysmal stage of pertussis
Correct Answer: A
Rationale: Erythromycin in pertussis’ paroxysmal stage (A) doesn’t alter course or spread, effective only in catarrhal stage, per guidelines.
Question 4 of 5
A 6-year-old child presented with high fever, cough, and chest pain. Frontal chest radiograph shows airspace consolidation, which obliterates the silhouette of the heart border on the left. Of the following, the recommended treatment is
Correct Answer: B
Rationale: Lobar pneumonia with silhouette sign suggests S. pneumoniae; ceftriaxone (B) is preferred for severe cases, per AAP.
Question 5 of 5
All the following matching are true EXCEPT
Correct Answer: B
Rationale: Shigella (A), C. diff (C), EHEC (D), and EPEC (E, infant diarrhea) match. Campylobacter (B) causes bloody diarrhea, not specifically traveler’s, unlike E. coli.