ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 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.
Question 2 of 5
A 5-day-old neonate... had sudden onset of irritability, diaphoresis, and profound dyspnea... systolic ejection murmur... liver enlargement...
Correct Answer: A
Rationale: Coarctation of the aorta causes a murmur, poor lower-body perfusion, and heart failure signs (dyspnea, hepatomegaly) in neonates. Diaphragmatic hernia (B) affects breathing differently. Sepsis (C) lacks murmur specificity. PDA (D) has a continuous murmur, not ejection.
Question 3 of 5
Which of the following is a live vaccine?
Correct Answer: A
Rationale: The rotavirus vaccine (e.g., RotaTeq or Rotarix) is a live attenuated vaccine administered orally to infants to prevent rotavirus gastroenteritis. Choice B (Hepatitis B) is a recombinant subunit vaccine (inactivated), Choice C (Rabies) is an inactivated vaccine, and Choice D (Pneumococcal, e.g., PCV13 or PPSV23) is also inactivated. Only rotavirus among these is a live vaccine.
Question 4 of 5
Which of the following is an early sign of anaphylaxis?
Correct Answer: C
Rationale: An itchy, raised rash (urticaria or hives) is an early cutaneous sign of anaphylaxis, often appearing within minutes of exposure to an allergen (e.g., vaccine component). It reflects histamine release from mast cells. Choice A (throat swelling) and B (wheezing) are also signs of anaphylaxis but typically develop later as the reaction progresses to airway involvement. Choice D (redness at injection site) is a common, benign local reaction, not indicative of anaphylaxis.
Question 5 of 5
Which childhood vaccine should everyone receive a booster for in adulthood?
Correct Answer: C
Rationale: Pertussis (whooping cough) requires a booster in adulthood via the Tdap vaccine, recommended at age 11-12, then every 10 years (or during pregnancy), due to waning immunity from the childhood DTaP series. Mumps and varicella (via MMR and varicella vaccines) typically confer lifelong immunity with two doses in childhood, and polio does not require routine adult boosters in the US since it’s eradicated there, though travelers may need one. Pertussis is the standard adult booster.