ATI LPN
NP Practice Questions Pediatric Immunizations Questions
Question 1 of 5
The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the DTaP vaccine. The mother, who is pregnant, tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is 'not that serious' in older children. Which of the following is correct?
Correct Answer: B
Rationale: Pertussis is highly contagious and severe in newborns, who lack immunity. If the 4-year-old contracts it (e.g., at daycare), they could transmit it to the newborn (Choice B). Choice A is false—vaccinating the mother (Tdap recommended at 27-36 weeks) protects her and the baby, not vice versa. Choice C is irrelevant (mother’s pregnancy doesn’t affect child’s vaccination), and Choice D is incorrect (active immunity in the child doesn’t confer passive immunity to the fetus).
Question 2 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 3 of 5
The nurse is preparing to administer oral medication to a toddler. What action should the nurse take to ensure proper administration?
Correct Answer: A
Rationale: Crushing medication (if safe) and mixing with a small amount of food aids administration in toddlers (1-3 years), who resist pills (pediatric nursing practice). Choices B, C, and D are less practical for this age.
Question 4 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 Restraining (Choice A) or tongue blades (Choice C) are outdated and harmful; positioning (Choice B) is secondary.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 5 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.