ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
Which of the following assessment findings would lead the nurse to suspect Down’s syndrome in an infant?
Correct Answer: B
Rationale: Down syndrome features a transverse palmar crease (simian line). Small tongue (A) is incorrect; macroglossia is typical. Large nose (C) and restricted joints (D) are not characteristic.
Question 2 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 3 of 5
A 4-year-old boy... has a grouping of pustules in the right parietal region... boggy and very tender, and annular hair loss... Which of the following is the most likely diagnosis?
Correct Answer: D
Rationale: Kerion is a fungal infection (tinea capitis) causing pustules, boggy scalp, and hair loss, matching the description. Alopecia areata (A) is non-inflammatory. Atopic dermatitis (B) lacks pustules. Herpes (C) doesn’t cause boggy scalp.
Question 4 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 5 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.