ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 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 2 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 3 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.
Question 4 of 5
Which vaccine is given soon after birth?
Correct Answer: B
Rationale: The hepatitis B vaccine (HepB) is recommended by the CDC to be given within 24 hours of birth (dose 1), especially to prevent perinatal transmission from infected mothers. Polio (IPV) starts at 2 months, MMR at 12-15 months, and Varicella at 12-15 months, making Choice B the only vaccine administered soon after birth.
Question 5 of 5
What is the normal respiratory rate for a newborn?
Correct Answer: B
Rationale: Newborns have a resting respiratory rate of 20-40 breaths/minute (Nelson’s Pediatrics), though 20-30 (Choice B) is a commonly cited range for calm states. Choices A, C, and D deviate from this norm.