Pediatrics Question #30


Which assessment by the nurse of a child diagnosed with tonsillitis is most critical?


  1. Foul odor to breath.
    • Rationale:
  2. Deviation of uvula to one side.
    • Rationale:
  3. Hoarse voice.
    • Rationale:
  4. Sandpaper-like rash.
    • Rationale:



The correct answer is B. Deviation of the uvula to one side can be an indication of severe swelling or a peritonsillar abscess that can block the throat possibly making it difficult to breath. The breath of a child diagnosed with tonsillitis is likely to be foul smelling from accumulation of sulfur-producing bacteria and debris that becomes lodged in the tonsils. A hoarse voice can be a normal sign and is not a need for additional concern beyond care for tonsillitis. A sandpaper-like rash can appear 12-48 hours after symptoms of tonsillitis begin. This is known as scarlet fever (a strep rash).

Learning Outcomes

Test Taking Tip

Video Rationale