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Practice Question

A nurse is caring for an infant in an outpatient pediatrician's office.

Answer Choices:

Rationale:

🔶 Lymphadenopathy (particularly postauricular and suboccipital) is a hallmark of rubella (German measles).

🔶It often presents before or during the appearance of a fine pink rash and is a distinguishing feature among pediatric viral exanthems.

🔶 A red rash on the face is shared across fifth disease, measles, and rubella.

🔶 In fifth disease, it's described as a “slapped cheek” appearance. In measles, the rash begins on the face and spreads downward. In rubella, it is typically lighter and shorter in duration.

🔶 Fever is most consistently elevated in measles (rubeola), often spiking to over 104°F, and is part of the prodrome that includes cough, coryza, and conjunctivitis.

🔶 White spots on the buccal mucosa are known as Koplik spots, which are pathognomonic for measles.

🔶They typically appear 1–2 days before the skin rash and are located near the molars.

🔶 This pattern of findings—fever, lethargy, Koplik spots, rash—strongly aligns with measles, while some features like rash and lymphadenopathy also cross into rubella and fifth disease.

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This question is from RN ATI Capstone Proctored Post-Assessment-2025 which contains 83 questions.

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Answer Choices:

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From Exam
RN ATI Capstone Proctored Post-Assessment-2025

83 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Capstone Exam(s)
  • Answer Choices: 0
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