ESSENTIALS OF PEDIATRIC NURSING
CHAPTER 15 COMPREHENSIVE IN-DEPTH
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+ 2026
1
,A nurse is assessing a neonate with sepsis. The nurse understands that most
commonly the cause involves:
Enterovirus
Protozoa
Herpes virus
Bacteria ANSWER >> Bacteria
Neonatal sepsis can be caused by viruses such as herpes simplex or enteroviruses and
by protozoa (e.g., Toxoplasma gondii). However, bacteria are typically the culprits.
A nurse is assessing a child with a tick-borne disease. What finding would indicate to
the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted
fever?
Fever
Absence of rash
2
,Malaise
Headache ANSWER >> Absence of rash
Both Rocky Mountain spotted fever and ehrlichiosis are manifested by fever, headache,
and malaise. However, there is rarely a rash with ehrlichiosis, which helps to
differentiate it from Rocky Mountain spotted fever.
An adolescent girl and her caregiver present at the pediatrician's office. The adolescent
reports severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is
made. The nurse notes in the child's chart that this is the third time she has been
treated for PID. Which action by the nurse would be most appropriate?
Take the child to a private room and interview her regarding her sexual history and
partners.
Contact the necessary authorities to report a suspected case of sexual abuse.
Take the caregiver to a private room and tell her that the child's diagnosis can only
come from sexual activity.
Talk to the child and caregiver together and explain that the condition is often a result of
a sexually transmitted infection and discuss the importance of safe sex practices.
ANSWER >> Take the child to a private room and interview her regarding her sexual
history and partners.
3
, Adolescents must be made aware of the seriousness of PID, a common result of a
chlamydial infection. Pelvic inflammatory disease can cause sterility in the female,
primarily by causing scarring in the fallopian tubes that prohibits the passage of the
fertilized ovum into the uterus. A tubal pregnancy may be the consequence of a
chlamydial infection. In the male, sterility may result from epididymitis caused by a
chlamydial infection. All sexual partners must be treated.
The nurse is caring for an adolescent diagnosed with genital herpes. The drug of choice
for treating genital herpes is:
Ceftriaxone
Penicillin
Griseofluvin
Acyclovir ANSWER >> Acyclovir
The drug acyclovir is useful in relieving or suppressing the symptoms of genital herpes.
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse
finds a swollen parotid gland. The nurse suspects which infectious disease?
Whooping cough
4
CHAPTER 15 COMPREHENSIVE IN-DEPTH
QUESTIONS WITH VERIFIED ANSWERS
GRADED A+ 2026
1
,A nurse is assessing a neonate with sepsis. The nurse understands that most
commonly the cause involves:
Enterovirus
Protozoa
Herpes virus
Bacteria ANSWER >> Bacteria
Neonatal sepsis can be caused by viruses such as herpes simplex or enteroviruses and
by protozoa (e.g., Toxoplasma gondii). However, bacteria are typically the culprits.
A nurse is assessing a child with a tick-borne disease. What finding would indicate to
the nurse that the child has developed ehrlichiosis and not Rocky Mountain spotted
fever?
Fever
Absence of rash
2
,Malaise
Headache ANSWER >> Absence of rash
Both Rocky Mountain spotted fever and ehrlichiosis are manifested by fever, headache,
and malaise. However, there is rarely a rash with ehrlichiosis, which helps to
differentiate it from Rocky Mountain spotted fever.
An adolescent girl and her caregiver present at the pediatrician's office. The adolescent
reports severe abdominal pain. A diagnosis of pelvic inflammatory disease (PID) is
made. The nurse notes in the child's chart that this is the third time she has been
treated for PID. Which action by the nurse would be most appropriate?
Take the child to a private room and interview her regarding her sexual history and
partners.
Contact the necessary authorities to report a suspected case of sexual abuse.
Take the caregiver to a private room and tell her that the child's diagnosis can only
come from sexual activity.
Talk to the child and caregiver together and explain that the condition is often a result of
a sexually transmitted infection and discuss the importance of safe sex practices.
ANSWER >> Take the child to a private room and interview her regarding her sexual
history and partners.
3
, Adolescents must be made aware of the seriousness of PID, a common result of a
chlamydial infection. Pelvic inflammatory disease can cause sterility in the female,
primarily by causing scarring in the fallopian tubes that prohibits the passage of the
fertilized ovum into the uterus. A tubal pregnancy may be the consequence of a
chlamydial infection. In the male, sterility may result from epididymitis caused by a
chlamydial infection. All sexual partners must be treated.
The nurse is caring for an adolescent diagnosed with genital herpes. The drug of choice
for treating genital herpes is:
Ceftriaxone
Penicillin
Griseofluvin
Acyclovir ANSWER >> Acyclovir
The drug acyclovir is useful in relieving or suppressing the symptoms of genital herpes.
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse
finds a swollen parotid gland. The nurse suspects which infectious disease?
Whooping cough
4
