ATI RN
NCLEX Pediatric Immunization Questions Questions
Question 1 of 5
Rhesus D hemolytic disease of the newborn is classified as...?
Correct Answer: B
Rationale: Rhesus D hemolytic disease is a Type II hypersensitivity reaction, involving antibody-mediated destruction of red blood cells.
Question 2 of 5
A 5-year-old boy presents with his third episode of painful cervical lymphadenitis. Each was treated with incision and drainage and grew Staphylococcus aureus. At the age of 2 years, he required surgical aspiration of a liver abscess. The most important laboratory test is
Correct Answer: B
Rationale: The nitroblue tetrazolium (NBT) test assesses the ability of neutrophils to produce a respiratory burst, which is defective in chronic granulomatous disease (CGD). The history of recurrent Staphylococcus aureus infections and a liver abscess strongly suggests CGD, making the NBT test the most important diagnostic tool.
Question 3 of 5
Matching: Immunodeficiency - Splenomegaly
Correct Answer: C
Rationale: Common variable immunodeficiency (CVID) often presents with splenomegaly due to lymphoid hyperplasia or chronic infections. Bruton and Hyper IgM can also have splenomegaly, but CVID is more commonly associated.
Question 4 of 5
Evaluations of immune function should be initiated for otherwise healthy children with which of the following infections?
Correct Answer: B
Rationale: Life-threatening bacterial infections (e.g., sepsis, meningitis) warrant immune evaluation due to their severity and potential to indicate underlying immunodeficiency, unlike common colds or isolated serious infections.
Question 5 of 5
Which of the following is not typically associated with an eosinophilic response and eosinophilia?
Correct Answer: D
Rationale: Pinworms typically cause local irritation without significant eosinophilia, unlike allergies, drug reactions, or parasitic infections like trichinosis.