ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
Clients must receive a copy of their immunization record.
Correct Answer: B
Rationale: There is no universal legal requirement that clients *must* receive a copy of their immunization record after every vaccination, though it’s good practice to provide one upon request or as part of standard care (e.g., CDC recommends access). Records are maintained by providers or immunization information systems (IIS), and clients can access them, but ‘must receive’ implies an obligation not typically mandated, making Choice B (False) correct.
Question 2 of 5
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to swell, and he states, 'It feels like my throat is closing shut and my chest is tight when I breathe.' The nurse recognizes these as signs of which of the following?
Correct Answer: B
Rationale: Swelling lips, throat closure sensation, and chest tightness are classic signs of anaphylaxis, a life-threatening allergic reaction (Choice B). This requires immediate epinephrine. Choice A (anxiety) may cause hyperventilation but not swelling. Choice C (local reaction) is limited to the injection site (e.g., redness), and Choice D (common systemic reaction) implies milder, typical responses (e.g., fever), not anaphylaxis.
Question 3 of 5
An 18 year old patient is in the clinic to receive a tetanus vaccine after sustaining a laceration injury. The nurse learns that the patient, who works in a day care center, has not had any vaccines for more than 10 years. Which vaccine will the nurse expect to administer?
Correct Answer: D
Rationale: For an 18-year-old with a laceration and no vaccines for over 10 years, Tdap is recommended. It updates tetanus (Td) and adds pertussis protection, critical for daycare workers due to pertussis risk to infants. Td (Choice C) lacks pertussis, DT/DTaP (Choices A, B) are for children <7 years.
Question 4 of 5
Bacterial meningitis strikes babies more often than any other age group. Which vaccine will help prevent one previously common type of meningitis?
Correct Answer: B
Rationale: The Hib vaccine protects against *Haemophilus influenzae* type b, a major cause of bacterial meningitis in infants before widespread vaccination. Tetanus (Choice A) prevents lockjaw, HIV (Choice C) is a virus with no vaccine, and Varicella (Choice D) prevents chickenpox, none of which cause meningitis. Hib (Choice B) is correct per CDC.
Question 5 of 5
Which vaccination is commonly given to infants to prevent tuberculosis?
Correct Answer: B
Rationale: The BCG vaccine prevents severe TB (e.g., miliary TB) in infants in high-risk areas (WHO), though not routine in the U.S. Measles, polio, and mumps vaccines target other diseases, making Choice B correct.