ATI LPN
Pediatric Immunity NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A child with IQ 50-70% is considered a severe form of mental retardation.
Correct Answer: B
Rationale: IQ 50–70 is mild mental retardation per DSM-5; severe is IQ 20–35. The ‘%’ may be a typo, but assuming 50–70, Option B (False) is correct.
Question 3 of 5
A 14-year-old girl... polycystic ovarian syndrome... hirsutism, amenorrhea, and virilization... These findings are most likely due to which of the following agents?
Correct Answer: D
Rationale: PCOS involves elevated androgens (testosterone), causing hirsutism, amenorrhea, and virilization. Estrogen (A) opposes these. FSH (B) and LH (C) are dysregulated but not the direct cause.
Question 4 of 5
The measles, mumps, rubella and varicella (MMRV) is given to children at what age?
Correct Answer: C
Rationale: The MMRV vaccine, which combines measles, mumps, rubella, and varicella vaccines, is recommended for children at 12-15 months for the first dose, with a second dose at 4-6 years, per CDC guidelines. It is not given before 12 months because maternal antibodies may interfere with the live vaccine’s efficacy. Choice A (6 months), B (2 months), and D (4 months) are too early for MMRV; other vaccines (e.g., rotavirus, DTaP) are given at those ages instead.
Question 5 of 5
The use of epinephrine is contraindicated in clients who:
Correct Answer: B
Rationale: Epinephrine has no absolute contraindications in the context of anaphylaxis, as it is a life-saving intervention. The benefits outweigh risks in all populations, including pregnant women (Choice A), immunocompromised individuals (Choice C), and those over 65 (Choice D). Relative cautions (e.g., cardiac disease) may apply in non-emergent settings, but in anaphylaxis, epinephrine is universally indicated regardless of patient status, making Choice B correct.