ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
In infants with hydrocephalus, the early signs of ventricular shunt malfunction are:
Correct Answer: B
Rationale: Hydrocephalus involves increased intracranial pressure due to cerebrospinal fluid accumulation. A malfunctioning ventricular shunt in infants (with open fontanelles) typically presents with a tense or bulging fontanelle, vomiting, and irritability due to pressure on brain structures. Option A includes a high-pitched cry, which may occur later, but colic is unrelated. Option C’s symptoms are vague and less specific. Option D is more typical in older children with closed fontanelles.
Question 2 of 5
While caring for a Laotian child who is hospitalized for acute gastroenteritis and dehydration, the pediatric nurse notes the parent keeping packets of herbs by the child's bedside. Suspecting that the parent may be administering the herbs to the child, the nurse's first action is to:
Correct Answer: A
Rationale: Asking nonjudgmentally (Option A) builds trust and assesses herb use for potential interactions. Option B is premature. Option C assumes risks without data. Option D escalates unnecessarily.
Question 3 of 5
Which of the following is a sign of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Neonatal abstinence syndrome (NAS) from opioid withdrawal causes hyperactive signs like sneezing, tremors, and irritability. Lethargy (A) and hyporeflexia (C) suggest sedation. Constipation (D) is unrelated.
Question 4 of 5
When teaching parents about the child’s readiness for toilet training, which of the following signs should the nurse instruct them to watch for in the toddler?
Correct Answer: D
Rationale: Verbalizing bathroom desire indicates cognitive/physical readiness (18–36 months). Dryness (A) is an outcome. Sitting/walking (B) are earlier milestones. A sibling (C) is irrelevant.
Question 5 of 5
Nursing care of child with typhoid fever should be include all the following EXCEPT:
Correct Answer: C
Rationale: Typhoid fever (Salmonella typhi) requires bed rest (A), monitoring for complications like intestinal bleeding (B), and hygiene (D). High roughage diets (C) are contraindicated due to perforation risk; a low-residue diet is preferred.