ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
A provider has ordered Gardasil to be given to a prepubertal 9-year-old female. This vaccine should not be postponed until the child is in high school for which reason
Correct Answer: B
Rationale: Gardasil (HPV vaccine) is most effective before sexual activity begins (Choice B), as it prevents HPV infection, which is sexually transmitted. Vaccination at 9-12 years (per CDC) targets this pre-exposure window. Choice A is false—efficacy doesn’t decrease with age if unexposed. Choices C and D lack evidence linking efficacy to puberty or menses.
Question 2 of 5
What is the primary nursing intervention for a child with fever?
Correct Answer: D
Rationale: Monitoring and supportive care (e.g., hydration) is primary to assess fever cause (AAP). Antibiotics (Choice A) are for infections, antipyretics (Choice B) are secondary, and cold baths (Choice C) are outdated.
Question 3 of 5
The nurse is preparing to administer immunizations to a 6-month-old infant. Which vaccine is contraindicated for this age?
Correct Answer: A
Rationale: MMR, a live vaccine, is given at 12-15 months (CDC), not 6 months, due to maternal antibody interference. Hib, DTaP, and IPV are routine at 6 months.
Question 4 of 5
A school-age child with diabetes is experiencing hypoglycemia. What should the nurse administer to treat this condition?
Correct Answer: C
Rationale: Glucagon raises blood glucose in severe hypoglycemia (ADA). Insulin (Choices A, B) worsens it; metformin (Choice D) is for type 2 diabetes.
Question 5 of 5
Which vaccination is recommended for all infants shortly after birth to provide protection against hepatitis B?
Correct Answer: D
Rationale: Hepatitis B vaccine is given within 24 hours of birth (CDC) to prevent perinatal transmission, unlike other vaccines listed.