ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
When assessing a 12-year-old child with Wilm’s tumor, the nurse should keep in mind that it most important to avoid which of the following?
Correct Answer: B
Rationale: Wilm’s tumor (nephroblastoma) risks rupture or metastasis with abdominal palpation. Options A, C, and D are safe and unrelated to tumor risk.
Question 2 of 5
The patient is breast fed, and his mother follows a vegan diet... On the basis of this information, the patient is at greatest risk for deficiency of which of the following vitamins?
Correct Answer: C
Rationale: Breastfed infants of vegan mothers risk vitamin B12 deficiency, as B12 is primarily in animal products, potentially causing anemia and neurological issues. B1 (A), B5 (B), and C (D) are available in plant-based diets.
Question 3 of 5
A 3-year-old boy... sinus infections and pneumonia... loose, greasy, mucousy stools... Which of the following studies is most effective to determine the diagnosis?
Correct Answer: D
Rationale: Cystic fibrosis causes recurrent respiratory infections and malabsorptive, greasy stools due to pancreatic insufficiency. Sweat chloride test (D) diagnoses it. Bronchoscopy (A) is invasive and less specific.
Question 4 of 5
After administering a vaccine, clients should remain present for a minimum of:
Correct Answer: C
Rationale: The CDC and ACIP recommend that patients remain under observation for at least 15 minutes after vaccination to monitor for immediate adverse reactions, such as anaphylaxis, which is rare but can occur. This duration balances safety with practicality, as most serious reactions manifest within this timeframe. Choice A (60 minutes) and B (45 minutes) are excessively long for routine monitoring, while Choice D (10 minutes) is insufficient to catch all potential early reactions.
Question 5 of 5
Which is the most contagious communicable disease?
Correct Answer: D
Rationale: Measles is considered the most contagious vaccine-preventable disease, with a basic reproduction number (R0) of 12-18, meaning one infected person can infect 12-18 others in a susceptible population. It spreads via respiratory droplets and airborne transmission. Polio (R0 ~5-7), mumps (R0 ~4-7), and pertussis (R0 ~5-17) are also contagious but less so than measles, which has a higher attack rate and requires >90% vaccination coverage for herd immunity.