ATI LPN
NP Practice Questions Pediatric Immunizations Questions
Question 1 of 5
In the combined DTP vaccine used in the past, which of the 3 vaccine components reportedly caused severe reactions?
Correct Answer: B
Rationale: The older DTP vaccine (with whole-cell pertussis) was associated with severe reactions (e.g., high fever, seizures) primarily due to the pertussis component, leading to the switch to acellular pertussis (DTaP) in the 1990s. Diphtheria and tetanus toxoids (Choices A, C) rarely caused such issues, and severe reactions weren’t from the combination alone (Choice D), but specifically the whole-cell pertussis (Choice B), per historical CDC data.
Question 2 of 5
Which action should the nurse take first when caring for a child experiencing a seizure?
Correct Answer: D
Rationale: Clearing the area prevents injury during a seizure (AAP), the first priority. Restraining (Choice A) or tongue blades (Choice C) are outdated and harmful; positioning (Choice B) is secondary.
Question 3 of 5
The nurse is assessing a child with suspected meningitis. Which sign or symptom is most indicative of this condition?
Correct Answer: A
Rationale: Photophobia (light sensitivity) is a classic meningitis sign (AAP), due to meningeal irritation, more specific than other options.
Question 4 of 5
A child with asthma is experiencing difficulty breathing. Which medication should the nurse administer for immediate relief?
Correct Answer: B
Rationale: Albuterol, a bronchodilator, provides immediate relief in asthma (NHLBI). Other options treat pain or inflammation, not acute breathing issues.
Question 5 of 5
The nurse is caring for an infant with a congenital heart defect. Which position should the nurse use to promote optimal cardiac output in the infant?
Correct Answer: D
Rationale: Semi-Fowler’s (elevated head) reduces cardiac workload and aids breathing in congenital heart defects (AAP), unlike flat positions.