ATI LPN
Pediatric Immunity NCLEX Questions Questions
Question 1 of 5
A 6-month-old child has just received the 6 month scheduled immunizations. Which type of immunity does this process best describe?
Correct Answer: A
Rationale: Active artificial immunity occurs when a person’s immune system produces antibodies in response to a vaccine, which contains weakened or inactivated pathogens. A 6-month-old receiving scheduled immunizations (e.g., DTaP, Hib, PCV) triggers this process, providing long-term protection. Natural immunity results from disease exposure, not vaccination. Passive immunity involves receiving pre-formed antibodies (e.g., via breast milk or immunoglobulin), not applicable here. Acquired immunity is a broader term encompassing active and passive, but 'active artificial' is the most specific and correct.
Question 2 of 5
To meet the emotional needs of a 10-year old child who is dying, the most appropriate nursing action is to:
Correct Answer: B
Rationale: Minimizing interruptions (Option B) ensures a calm, supportive environment for a dying child. Option A is incomplete. Option C may not suit all emotionally. Option D depends on the child’s condition and energy.
Question 3 of 5
Which initial question directed to the parent assists the pediatric nurse in obtaining a patient’s health history?
Correct Answer: C
Rationale: ‘What brings you here today?’ is open-ended, eliciting the chief complaint and context for a comprehensive history. Options A and B are specific follow-ups. Option D is direct but less broad.
Question 4 of 5
According to Piaget’s theories of cognitive development, a 29-month-old boy who crawls under the couch to retrieve a ball demonstrates:
Correct Answer: A
Rationale: Object permanence (sensorimotor stage, 0–2 years) is understanding objects exist when out of sight, shown by retrieving the ball. Basic trust (B) is Erikson’s. Object constancy (C) is unrelated. Sensorimotor (D) is the stage, not the behavior.
Question 5 of 5
A 9-year-old is admitted with suspected rheumatic fever. Which finding is suggested of polymigratory arthritis?
Correct Answer: D
Rationale: Polymigratory arthritis in rheumatic fever involves painful swelling, inflammation, and effusion in multiple joints, shifting over time. Option A is chorea. Option B is painless (incorrect). Option C is erythema marginatum.