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Pediatric Immunization NCLEX Questions Quizlet Questions
Question 1 of 5
Community acquired infection means infection acquired after admission to the hospital
Correct Answer: B
Rationale: Community-acquired infections occur outside healthcare settings, not after admission (which is hospital-acquired). Option B (False) is correct.
Question 2 of 5
Which vaccine is given as a series of 3 doses?
Correct Answer: A
Rationale: The hepatitis B vaccine is administered as a 3-dose series (typically at 0, 1, and 6 months) for full immunization in infants, children, and adults. Choice B (MMR) is a 2-dose series (at 11-12 months and 4-6 years). Choice C (Hepatitis A) is a 2-dose series (6 months apart). Choice D (HPV) can be a 2- or 3-dose series depending on age at initiation (2 doses if started before age 15, 3 doses if started at 15 or older), but hepatitis B is the most consistently recognized 3-dose series among these options.
Question 3 of 5
Following immunization, an anaphylactic response would usually occur within:
Correct Answer: C
Rationale: Anaphylaxis is a rapid-onset allergic reaction, typically occurring within 5-30 minutes after vaccination, though it can rarely extend to an hour. This is due to the immediate release of mediators like histamine following IgE-mediated hypersensitivity. Choice A (12-24 hours) and D (2-4 hours) are far too delayed for anaphylaxis, which is an acute emergency. Choice B (60-90 minutes) may capture some late-onset cases but exceeds the usual timeframe for most reactions.
Question 4 of 5
The temperature of vaccine refrigerators must be checked and logged:
Correct Answer: B
Rationale: CDC guidelines mandate that vaccine refrigerator temperatures be checked and logged twice daily (morning and evening) to ensure they remain within 2°C-8°C. This frequent monitoring detects excursions promptly, preventing vaccine spoilage. Choice A (once a week) and D (twice a week) are insufficient, and Choice C (once daily) misses potential overnight fluctuations, making Choice B the standard practice.
Question 5 of 5
Informed consent must be validated as per the:
Correct Answer: B
Rationale: Informed consent is a fundamental patient right, often enshrined in documents like the U.S. Patients’ Bill of Rights (Choice B), which outlines autonomy, information disclosure, and decision-making capacity. Choice A (Minister of Health) and C (Chief Medical Officer) are roles, not legal frameworks, and Choice D (Public Health Act) may govern public health measures but not specifically validate consent processes, which are rooted in patient rights.