ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is assessing a child with suspected dehydration. Which finding indicates severe dehydration?
Correct Answer: A
Rationale: A sunken fontanelle indicates severe dehydration (10%+ loss) in infants (AAP). Pink membranes (Choice B), normal refill (Choice C), and adequate urine (Choice D) suggest hydration.
Question 5 of 5
When caring for an infant with a cleft lip, which position should the nurse use during feeding to promote optimal sucking?
Correct Answer: D
Rationale: Upright positioning aids swallowing and reduces aspiration risk in cleft lip infants (AAP). Other positions increase choking risk.