ATI LPN
NP Practice Questions Pediatric Immunizations Questions
Question 1 of 5
A mother has brought her 5-year-old son into the healthcare clinic for a physical to prepare for kindergarten. The nurse is reviewing the child's immunization history and notes that the child has had one prior MMR vaccine. Which response from the nurse is most appropriate?
Correct Answer: C
Rationale: The CDC recommends two doses of the MMR (measles, mumps, rubella) vaccine: the first at 11–12 months and the second at 4–6 years of age. A 5-year-old with only one prior MMR dose is due for the second dose before starting kindergarten, as it’s typically required for school entry. Option A is incorrect because the second dose should occur now, not at age 12. Option B is wrong as the child is not fully up to date. Option D overstates the situation, as only the MMR second dose is immediately needed, not a full catch-up schedule.
Question 2 of 5
A clean-catch urine culture for an eight-year-old female patient with urinary frequency, urgency, and dysuria contains over 100,000 colonies of Escherichia coli per mL of urine. After instructing the family to safely administer the prescribed antibiotic, the pediatric nurse recommends having the patient:
Correct Answer: B
Rationale: A UTI (>100,000 E. coli colonies) requires follow-up to confirm resolution and prevent recurrence or complications. Option A is too infrequent. Option C (nylon) increases moisture, worsening risk. Option D is incorrect hygiene; front-to-back is standard.
Question 3 of 5
A pediatric nurse is caring for a patient who received chemotherapy 10 days ago. Which laboratory value requires the nurse’s intervention?
Correct Answer: C
Rationale: Chemotherapy causes thrombocytopenia; 18,000/µL platelets (normal: 150,000–450,000) is critically low, risking bleeding and requiring intervention (e.g., transfusion). Options A and D are normal. Option B is low but less urgent.
Question 4 of 5
The nurse answers a call bell and finds a frightened mother whose child is having a seizure. Which of these actions should the nurse take?
Correct Answer: D
Rationale: During a seizure, safety is priority: clear hazards and position the child (e.g., on side) to protect airway and prevent injury. Option A risks harm. Option B (restraint) can injure. Option C delays immediate action.
Question 5 of 5
Treatment plan for child with sickle cell anemia will include:
Correct Answer: D
Rationale: Sickle cell anemia requires IV fluids to prevent vaso-occlusion, narcotics for pain crises, and transfusions for severe anemia. All (A, B, C) are standard, making D correct.