ATI LPN
NP Practice Questions Pediatric Immunizations Questions
Question 1 of 5
What is the age for the first dose of measles?
Correct Answer: D
Rationale: Measles vaccine is given at 9 months in many schedules (WHO), or 11-12 months (CDC).
Question 2 of 5
Among the problems faced by adolescents, which one of the following is least important to consider?
Correct Answer: D
Rationale: Marriage/relationships are less immediate health risks (WHO) compared to drug abuse or pregnancy.
Question 3 of 5
A mother has brought her 5-year-old son into the healthcare clinic for a physical to prepare for kindergarten. The nurse is reviewing the child's immunization history and notes that the child has had one prior MMR vaccine. Which response from the nurse is most appropriate?
Correct Answer: C
Rationale: The CDC recommends two doses of the MMR (measles, mumps, rubella) vaccine: the first at 11–12 months and the second at 4–6 years of age. A 5-year-old with only one prior MMR dose is due for the second dose before starting kindergarten, as it’s typically required for school entry. Option A is incorrect because the second dose should occur now, not at age 12. Option B is wrong as the child is not fully up to date. Option D overstates the situation, as only the MMR second dose is immediately needed, not a full catch-up schedule.
Question 4 of 5
The pediatric nurse advises a father how to best convey the circumstances surrounding the sudden death of his infant son to his four-year-old daughter. The nurse anticipates that the daughter:
Correct Answer: A
Rationale: Four-year-olds (Piaget’s preoperational stage) have a limited grasp of death’s permanence and may feel guilty, believing their thoughts or actions caused it. Option B (mistrust) requires deception, not typical here. Option C is incorrect; they don’t fully understand finality. No fourth option exists, but A aligns with developmental norms.
Question 5 of 5
A clean-catch urine culture for an eight-year-old female patient with urinary frequency, urgency, and dysuria contains over 100,000 colonies of Escherichia coli per mL of urine. After instructing the family to safely administer the prescribed antibiotic, the pediatric nurse recommends having the patient:
Correct Answer: B
Rationale: A UTI (>100,000 E. coli colonies) requires follow-up to confirm resolution and prevent recurrence or complications. Option A is too infrequent. Option C (nylon) increases moisture, worsening risk. Option D is incorrect hygiene; front-to-back is standard.