ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
A one-month-old female infant, who has developmental dysplasia of the hip, is placed in a hip spica cast. The infant's mother expresses the desire to continue breast-feeding. The pediatric nurse's best response is:
Correct Answer: D
Rationale: The ‘football hold’ (Option D) accommodates the hip spica cast, supporting the infant under the arm with legs extended back, enabling breastfeeding. Option A’s upright position is impractical. Option B discourages breastfeeding unnecessarily. Option C introduces formula without need.
Question 2 of 5
Which of the following is a sign of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Neonatal abstinence syndrome (NAS) from opioid withdrawal causes hyperactive signs like sneezing, tremors, and irritability. Lethargy (A) and hyporeflexia (C) suggest sedation. Constipation (D) is unrelated.
Question 3 of 5
When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
Correct Answer: D
Rationale: Verbalizing bathroom desire indicates cognitive/physical readiness (18–36 months). Dryness (A) is an outcome. Sitting/walking (B) are earlier milestones. A sibling (C) is irrelevant.
Question 4 of 5
Nursing care of child with typhoid fever should be include all the following EXCEPT:
Correct Answer: C
Rationale: Typhoid fever (Salmonella typhi) requires bed rest (A), monitoring for complications like intestinal bleeding (B), and hygiene (D). High roughage diets (C) are contraindicated due to perforation risk; a low-residue diet is preferred.
Question 5 of 5
Substitutive milk is used when milk supply by breast is inadequate.
Correct Answer: A
Rationale: Substitutive milk (formula) supplements or replaces breast milk when supply is inadequate, making Option A true.