ATI RN
Pediatric Infectious Disease NCLEX Questions Questions
Question 1 of 5
Erythema marginatum is seen in which of the following pediatric arthritis syndromes?
Correct Answer: A
Rationale: Erythema marginatum is a specific cutaneous manifestation of rheumatic fever, a major Jones criterion.
Question 2 of 5
Determination of physical growth and development of puberty in adolescent girls is dependent on the rating of
Correct Answer: D
Rationale: Thelarche (breast development) and menarche (D) are key Tanner staging markers for pubertal progression in girls, more comprehensive than adrenarche (A), menarche alone (B), pubarche (C), or ovarian maturation (E, not directly observable).
Question 3 of 5
A 12-year-old introverted boy complaining of gynecomastia, he informs you that he feels embarrassed because of his breast size in front of his beers. You find a 5 cm, round, freely mobile, mildly tender, and firm mass immediately beneath the areola. His sexual maturity rating was stage III. Of the following the MOST appropriate action is to
Correct Answer: B
Rationale: Pubertal gynecomastia (5 cm, tender, SMR III) is common and self-limiting in boys, resolving within 1-2 years, justifying reassurance (B). Psychiatry (A), drugs (C), surgery (D), or Botox (E) are excessive.
Question 4 of 5
Which of the following is a T-lymphocyte independent vaccine?
Correct Answer: C
Rationale: Pneumococcal polysaccharide vaccines are T-cell independent, eliciting a B-cell response without T-cell help.
Question 5 of 5
Serious reactions to IVIG include all the following EXCEPT
Correct Answer: D
Rationale: Carditis is not a commonly recognized serious reaction to IVIG therapy.