ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
In the life cycle of the dracunculus mendinesis, when water containing the Cyclopes is drunk, which substance acts on it to release larvae in the stomach?
Correct Answer: B
Rationale: Gastric juice digests Cyclops, releasing guinea worm larvae (CDC), in the stomach.
Question 2 of 5
The nurse is administering a pneumococcal conjugate vaccine to a client. Which of the following is true regarding this type of vaccine? Select ONE that does not apply.
Correct Answer: B
Rationale: The pneumococcal conjugate vaccine (PCV, e.g., PCV13 or PCV15) prevents infections caused by *Streptococcus pneumoniae*, including pneumonia. A: Side effects like erythema, swelling, and pain at the injection site are well-documented. B: PCV is given in a series (typically 4 doses at 2, 4, 6, and 12–15 months), not once with an adulthood booster; boosters like PPSV23 may apply later for high-risk groups, but this is incorrect for PCV’s standard schedule. C: It’s primarily for infants and children per CDC guidelines. D: PCV has no egg-related contraindications (unlike some influenza vaccines). E: It prevents pneumococcal diseases, including pneumonia. Thus, A, C, and E are true.
Question 3 of 5
After receiving an immunization for diphtheria, tetanus, and pertussis, a child develops swelling and tenderness at the injection site, a low-grade fever, and malaise. The pediatric nurse informs the child's parents that:
Correct Answer: C
Rationale: Swelling, tenderness, low-grade fever, and malaise are mild, common DTaP vaccine reactions, indicating immune activation. The nurse should educate on management (e.g., acetaminophen, cool compresses). Option A overreacts; these aren’t severe. Option B is unnecessary; it’s not allergic. Option D lacks education.
Question 4 of 5
The major pharmacologic action of albuterol (Proventil) is:
Correct Answer: D
Rationale: Albuterol, a beta-2 agonist, relaxes bronchial smooth muscle, dilating airways in asthma. Option A is vague. Option B applies to corticosteroids. Option C relates to mucolytics.
Question 5 of 5
You are caring for a 14-year-old adolescent boy with trisomy 21. Which of the following tests is MOST appropriate to order on an annual basis, as part of the regular health supervision for this adolescent?
Correct Answer: B
Rationale: Down syndrome (trisomy 21) increases hypothyroidism risk; annual thyroid function tests (TSH, T4) are recommended by the AAP. ECG (A) is baseline. Sleep oximetry (C) screens sleep apnea if indicated. Cervical X-rays (D) assess instability, not routine annually.