ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the child's parents that:
Correct Answer: C
Rationale: Swelling, tenderness, low-grade fever, and malaise are mild, common DTaP vaccine reactions, indicating immune activation. The nurse should educate on management (e.g., acetaminophen, cool compresses). Option A overreacts; these aren’t severe. Option B is unnecessary; it’s not allergic. Option D lacks education.
Question 2 of 5
You are caring for a 14-year-old adolescent boy with trisomy 21. Which of the following tests is MOST appropriate to order on an annual basis, as part of the regular health supervision for this adolescent?
Correct Answer: B
Rationale: Down syndrome (trisomy 21) increases hypothyroidism risk; annual thyroid function tests (TSH, T4) are recommended by the AAP. ECG (A) is baseline. Sleep oximetry (C) screens sleep apnea if indicated. Cervical X-rays (D) assess instability, not routine annually.
Question 3 of 5
Which of the following assessment findings would lead the nurse to suspect Down’s syndrome in an infant?
Correct Answer: B
Rationale: Down syndrome features a transverse palmar crease (simian line). Small tongue (A) is incorrect; macroglossia is typical. Large nose (C) and restricted joints (D) are not characteristic.
Question 4 of 5
Craniotabes is a clinical sign of:
Correct Answer: C
Rationale: Craniotabes (soft skull bones) results from vitamin D deficiency in rickets, affecting bone mineralization. Kwashiorkor (A) and Marasmus (B) are malnutrition-related. Scurvy (D) affects collagen, not skull softening.
Question 5 of 5
Vision is highly developed sense in newborn
Correct Answer: B
Rationale: Newborn vision is underdeveloped (20/400), improving over months. Hearing and touch are more acute at birth. Option B (False) is correct.