ATI RN
NCLEX Questions Pediatric Infectious Diseases Questions
Question 1 of 5
A possible differentiating symptom between osteosarcoma and Ewing sarcoma is
Correct Answer: C
Rationale: Fever is more characteristic of Ewing sarcoma, while osteosarcoma typically presents with pain and swelling.
Question 2 of 5
A 5-month-old baby boy who is a known case of reflux nephropathy presented with high grade fever, toxicity, tachypnea, and increased work of breathing. O2 saturation in room air was 83%. You started O2 flow by face mask with Fio2 of 0.30 (30% fractional inspired O2) and admitted the baby to PICU. His CBC shows shift to left with increased acute phase reactant. Arterialized capillary blood gas analysis shows PaOâ‚‚ 65 mmhg and PCOâ‚‚ 38 mmhg; chest X-ray shows increased vascular markings and his blood culture is awaited. Of the followings, the MOST likely diagnosis is
Correct Answer: A
Rationale: Urosepsis (A) from reflux nephropathy explains fever, toxicity, and pulmonary signs (increased markings) via systemic spread, per pediatric sepsis patterns.
Question 3 of 5
Of the following, the investigation that is useful in all types of shock is
Correct Answer: B
Rationale: ABGs and lactate (B) assess tissue perfusion and acidosis in all shock types, per critical care diagnostics.
Question 4 of 5
An 18-month-old boy brought to emergency department, suffering from nonfatal drowning. Mother describes the episode as he was swimming with his sibs at home when they suddenly shouted for help. Sooner she arrived and removed him from swimming pool; he was unconscious when she started resuscitation. He responded well within few minutes and regain consciousness. Now he is alert with normal vitals. Of the following the MOST appropriate next action is to
Correct Answer: C
Rationale: Nonfatal drowning with recovery requires 6-12 hours observation (C) for delayed complications like pulmonary edema, per guidelines.
Question 5 of 5
A 20-month-old toddler with suspected poisoning, his blood gas analysis shows high anion gap metabolic acidosis and hyperosmolar load. All the following are possible causes of this poisoning EXCEPT
Correct Answer: D
Rationale: Iron (D) causes metabolic acidosis but not hyperosmolarity, unlike metformin (A), ethylene glycol (B), phenformin (C), and salicylate (E), per toxicology.