ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
According to the Centers for Disease Control and Prevention, which of the following best describes the recommended ages to administer the measles, mumps, and rubella vaccine?
Correct Answer: D
Rationale: The CDC’s Advisory Committee on Immunization Practices (ACIP) recommends the MMR vaccine be administered in two doses: the first at 11–12 months (often rounded to 12 months) and the second at 4–6 years. This schedule ensures optimal immunity against measles, mumps, and rubella. Options A, B, and C list incorrect ages; the MMR vaccine is not given at birth, 3 months, 6 months, or 9 months under standard schedules, making D the correct choice.
Question 2 of 5
A female adolescent, who has pelvic inflammatory disease (PID), inquires about the effects of the disease on her ability to bear children. Which is the pediatric nurse's best response?
Correct Answer: B
Rationale: PID scars fallopian tubes, raising ectopic pregnancy and infertility risks. Option A (spontaneous abortion) is less directly linked. Only two options are given; B is accurate.
Question 3 of 5
What is the MOST common long term sequela of bacterial meningitis in a child?
Correct Answer: C
Rationale: Bacterial meningitis often damages the cochlear nerve, causing sensorineural hearing loss, the most frequent sequela. Seizures (A) and intellectual disability (B) are less common. Hemiparesis (D) is rare unless stroke occurs.
Question 4 of 5
Which of the following is characteristic of a preschooler with mild mental retardation?
Correct Answer: A
Rationale: Mild mental retardation (IQ 50–70) involves delays in adaptive skills like self-feeding, which is slower but achievable. Lack of speech (B) and motor delays (C) suggest moderate/severe cases. Gait disability (D) is physical.
Question 5 of 5
When assessing a 12-year-old child with Wilm’s tumor, the nurse should keep in mind that it most important to avoid which of the following?
Correct Answer: B
Rationale: Wilm’s tumor (nephroblastoma) risks rupture or metastasis with abdominal palpation. Options A, C, and D are safe and unrelated to tumor risk.