ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
The nurse is preparing to administer immunizations to a 6-month-old infant. Which vaccine is contraindicated for this age?
Correct Answer: A
Rationale: MMR, a live vaccine, is given at 12-15 months (CDC), not 6 months, due to maternal antibody interference. Hib, DTaP, and IPV are routine at 6 months.
Question 2 of 5
Which vaccination is recommended for all infants shortly after birth to provide protection against hepatitis B?
Correct Answer: D
Rationale: Hepatitis B vaccine is given within 24 hours of birth (CDC) to prevent perinatal transmission, unlike other vaccines listed.
Question 3 of 5
A child is admitted with acute gastroenteritis and dehydration. Which clinical finding is an early sign of dehydration in children?
Correct Answer: A
Rationale: Decreased urine output is an early dehydration sign (AAP), reflecting reduced fluid volume, before sunken fontanelle (severe sign).
Question 4 of 5
A toddler is admitted with acute asthma exacerbation. Which nursing intervention is a priority during the acute phase of an asthma attack?
Correct Answer: B
Rationale: Monitoring oxygen saturation ensures adequate oxygenation during an asthma attack (NHLBI), the priority over other supportive measures.
Question 5 of 5
The nurse is assessing a 4-year-old child with suspected acute otitis media. Which symptom is commonly associated with this condition?
Correct Answer: D
Rationale: Ear pain (otalgia) is the most common symptom of acute otitis media (AAP), due to middle ear inflammation.