ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
After administering a vaccine, clients should remain present for a minimum of:
Correct Answer: C
Rationale: The CDC and ACIP recommend that patients remain under observation for at least 15 minutes after vaccination to monitor for immediate adverse reactions, such as anaphylaxis, which is rare but can occur. This duration balances safety with practicality, as most serious reactions manifest within this timeframe. Choice A (60 minutes) and B (45 minutes) are excessively long for routine monitoring, while Choice D (10 minutes) is insufficient to catch all potential early reactions.
Question 2 of 5
If a client refuses a recommended vaccination what should you do?
Correct Answer: B
Rationale: Clients have the right to refuse medical treatment, including vaccines, based on autonomy and bodily integrity (e.g., U.S. Patients’ Bill of Rights). However, healthcare providers should document the refusal in the client’s chart (Choice B) to record the discussion, education provided, and decision for legal and clinical continuity. Choice A is insufficient as it omits documentation, Choice C is inappropriate unless mandated by public health (e.g., outbreak), and Choice D, while part of education, is not the primary action.
Question 3 of 5
The component of our white blood cells that produces antibodies which attack antigens are:
Correct Answer: A
Rationale: B-Lymphocytes (B cells) are the white blood cells responsible for producing antibodies that bind to and neutralize antigens. Upon activation by antigens and helper T cells, B cells differentiate into plasma cells that secrete antibodies. Macrophages (Choice B) engulf pathogens, T-Lymphocytes (Choice C) include helper and cytotoxic types but don’t produce antibodies, and 'Cytotoxics' (Choice D) likely refers to cytotoxic T cells (CD8+), which kill infected cells, not produce antibodies.
Question 4 of 5
The mother of a child who is immunosuppressed asks about continuation of the childhood vaccines. Which immunization is not recommended to be given to the child during immunosuppression?
Correct Answer: C
Rationale: Live vaccines like rotavirus (RV) are contraindicated in immunosuppressed children due to the risk of vaccine-derived infection, as the weakened virus can replicate uncontrollably. Hib, HepB, and DT are inactivated vaccines, safe for immunocompromised patients. Choice C is the only live vaccine listed.
Question 5 of 5
A 48-month-old child is scheduled to receive the following vaccines: MMR, Varivax, IPV, and DTaP. The child's parents want the child to receive two vaccines today and the other two in 1 week. To accommodate the parents' wishes, the nurse will administer
Correct Answer: D
Rationale: Live vaccines (MMR, Varivax) must be given simultaneously or separated by 28 days to avoid immune interference. Splitting them by 1 week (Choices A, B, C) violates this rule. Choice D administers MMR and Varivax today (both live) and DTaP and IPV (both inactivated) in 1 week, adhering to CDC spacing guidelines while meeting the parents’ request.