Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
18. A nurse assesses a child diagnosed with measles. Which symptom is the nurse least likely to observe in a child diagnosed with measles?
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
18. A nurse assesses a child diagnosed with measles. Which symptom is the nurse least likely to observe in a child diagnosed with measles?
. Slapped cheek appearance.
. Fever and general malaise.
. Rash on face, trunk, and limbs.
. White and red spots on buccal mucosa.
Test-Taking Tip
Answers 2 and 3 are common to many pediatric infectious diseases and can be eliminated since they would not be "least likely" findings. Of the remaining options, recall that Koplik's spots are a hallmark of only one communicable disease (measles) while slapped cheek appearance is common to more than one. Choose the option that is specific to one communicable disease.
Content Area: Child Health, Infectious Disease; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Pathophysiology
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is correct because the child with measles is likely to exhibit all of the symptoms listed except for a slapped cheek appearance. The slapped cheek appearance is associated with both fifth disease (erythema infectiosum) and scarlet fever. Answer 2 is incorrect since the child with measles may first experience a fever and malaise. Answer 3 is incorrect because, on or about the third day of infection, the child experiences a generalized rash that spreads from the face to the trunk and limbs. Answer 4 is incorrect because the child with measles may develop red spots with bluish white centers in the buccal mucosa, known as Koplik's spots.