ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
The required temperature to maintain the potency of the vaccines is between
Correct Answer: B
Rationale: Vaccines are stored at +2°C to +8°C (WHO), ensuring stability.
Question 2 of 5
Intestinal schistosomiasis is caused by the following EXCEPT
Correct Answer: D
Rationale: S. Haematobium causes urinary, not intestinal schistosomiasis (WHO); others affect intestines.
Question 3 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in this scenario to provide immunity against tetanus, especially if the client’s vaccination status is unknown or outdated.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 4 of 5
In infants with hydrocephalus, the early signs of ventricular shunt malfunction are:
Correct Answer: B
Rationale: Hydrocephalus involves increased intracranial pressure due to cerebrospinal fluid accumulation. A malfunctioning ventricular shunt in infants (with open fontanelles) typically presents with a tense or bulging fontanelle, vomiting, and irritability due to pressure on brain structures. Option A includes a high-pitched cry, which may occur later, but colic is unrelated. Option C’s symptoms are vague and less specific. Option D is more typical in older children with closed fontanelles.
Question 5 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.