Of the following, the LEAST common cause of neonatal bacterial meningitis is

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Pediatric Infectious Disease NCLEX Questions Questions

Question 1 of 5

Of the following, the LEAST common cause of neonatal bacterial meningitis is

Correct Answer: A

Rationale: Neonatal meningitis is most often due to E. coli (C), GBS (D), and Listeria (E). Klebsiella (A) is the least common among these, per neonatal sepsis studies.

Question 2 of 5

The first-line therapy of sinusitis in children is

Correct Answer: D

Rationale: Amoxicillin-clavulanate (E) is first-line for pediatric sinusitis, covering common pathogens, per AAP guidelines.

Question 3 of 5

The MOST common cause of laryngotracheobronchitis (croup) is

Correct Answer: B

Rationale: Parainfluenza viruses (B) are the leading cause of croup, per virology data.

Question 4 of 5

A 4-year-old child admitted to hospital with history of high fever, cough, and tachypnea; chest radiograph reveals lobar pneumonia treated with I.V. ceftriaxone with partial response; 7 days later, the fever recurs with toxicity, new chest radiograph reveals cavitary lesion with an air-fluid level. Of the following, the BEST management is

Correct Answer: D

Rationale: Necrotizing pneumonia with cavitation suggests S. aureus or anaerobes; adding clindamycin (D) targets these, per IDSA guidelines.

Question 5 of 5

One of the mechanisms of infectious diarrhea is increasing cyclic adenosine monophosphate levels which mainly occurred by

Correct Answer: D

Rationale: Vibrio cholerae (D) increases cAMP, causing secretory diarrhea, per pathophysiology.

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