ATI RN
Pediatric Infectious Disease NCLEX Questions Questions
Question 1 of 5
Multiple-dose activated charcoal is considered in patient has ingested a lifethreatening amount of
Correct Answer: A
Rationale: Multiple-dose charcoal is indicated for theophylline (A) due to enterohepatic circulation, per enhanced elimination protocols.
Question 2 of 5
An 8-year-old-girl complains from morning stiffness and pain of 4 joints in the last 6 months with uveitis. On physical examination, signs of inflammation are present, including joint tenderness, erythema, and effusion, but no fever or weight loss. Laboratory result was: ANA positive, rheumatoid factor negative. Of the following, the MOST commonly involved joint is
Correct Answer: A
Rationale: In oligoarticular JIA (as described), the knee is the most commonly involved joint, especially in ANA-positive girls with uveitis risk.
Question 3 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 4 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 5 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.