ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
Vision is highly developed sense in newborn
Correct Answer: B
Rationale: Newborn vision is underdeveloped (20/400), improving over months. Hearing and touch are more acute at birth. Option B (False) is correct.
Question 2 of 5
Which vaccine should be given with precautions during pregnancy?
Correct Answer: A
Rationale: The inactivated influenza vaccine (IIV) is recommended for all pregnant women during any trimester to protect against influenza, which poses significant risks during pregnancy. However, it should be given with precautions, meaning healthcare providers should assess the patient's condition and ensure no contraindications (e.g., severe allergic reactions to vaccine components) exist. Choice B (MMR) is a live vaccine contraindicated in pregnancy due to theoretical fetal risk. Choice C (HPV) is not routinely recommended during pregnancy due to insufficient safety data, though it’s not contraindicated. Choice D (Hepatitis A) is inactivated and can be given if indicated (e.g., travel risk), but it’s not routinely recommended with precautions like influenza.
Question 3 of 5
Which needle gauge should be used for IM vaccine administration?
Correct Answer: A
Rationale: For intramuscular (IM) vaccine administration, the recommended needle gauge is typically 22-25, depending on the patient’s age, size, and muscle mass (e.g., 22-25 for adults, 23-25 for children). This range ensures adequate penetration into the muscle while minimizing discomfort. Choice B (23-25) is a subset but excludes 22, which is commonly used for adults. Choice C (20-23) and D (18-21) involve larger gauges more suited for thicker fluids (e.g., blood draws) rather than vaccines, which are typically aqueous.
Question 4 of 5
Which communicable disease is not vaccine preventable?
Correct Answer: A
Rationale: Tuberculosis (TB) is not fully vaccine-preventable with a universally effective vaccine. The BCG vaccine offers partial protection against severe TB in children (e.g., miliary TB), but it is not effective against pulmonary TB in adults and is not routinely used in many countries like the US. Hepatitis B, pneumococcal disease, and diphtheria have highly effective vaccines (e.g., HepB, PCV13/PPSV23, DTaP/Tdap), making Choice A the correct answer.
Question 5 of 5
Clients must receive a copy of their immunization record.
Correct Answer: B
Rationale: There is no universal legal requirement that clients *must* receive a copy of their immunization record after every vaccination, though it’s good practice to provide one upon request or as part of standard care (e.g., CDC recommends access). Records are maintained by providers or immunization information systems (IIS), and clients can access them, but ‘must receive’ implies an obligation not typically mandated, making Choice B (False) correct.