ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client who stepped on a rusty nail. The client does not want to receive medications if possible. The nurse educates the client on which of the following important medications to receive?
Correct Answer: A
Rationale: Stepping on a rusty nail poses a significant risk of tetanus, a potentially fatal condition caused by *Clostridium tetani*. The Tdap vaccine (Tetanus, Diphtheria, and Pertussis) is critical in this scenario to provide immunity against tetanus, especially if the client’s vaccination status is unknown or outdated. Morphine is a painkiller and not preventive for infection. Bacitracin is a topical antibiotic ineffective against tetanus, which is a systemic condition. Vancomycin is a strong antibiotic used for bacterial infections like MRSA, but it does not address tetanus prophylaxis. Tdap is the standard recommendation in such cases per CDC guidelines.
Question 2 of 5
A one-month-old female infant, who has developmental dysplasia of the hip, is placed in a hip spica cast. The infant's mother expresses the desire to continue breast-feeding. The pediatric nurse's best response is:
Correct Answer: D
Rationale: The ‘football hold’ (Option D) accommodates the hip spica cast, supporting the infant under the arm with legs extended back, enabling breastfeeding. Option A’s upright position is impractical. Option B discourages breastfeeding unnecessarily. Option C introduces formula without need.
Question 3 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 4 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 5 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.