ATI LPN
Pediatric Immunization NCLEX Questions Questions
Question 1 of 5
Which of the following is a sign of neonatal abstinence syndrome?
Correct Answer: B
Rationale: Neonatal abstinence syndrome (NAS) from opioid withdrawal causes hyperactive signs like sneezing, tremors, and irritability. Lethargy (A) and hyporeflexia (C) suggest sedation. Constipation (D) is unrelated.
Question 2 of 5
Nursing care of child with typhoid fever should be include all the following EXCEPT:
Correct Answer: C
Rationale: Typhoid fever (Salmonella typhi) requires bed rest (A), monitoring for complications like intestinal bleeding (B), and hygiene (D). High roughage diets (C) are contraindicated due to perforation risk; a low-residue diet is preferred.
Question 3 of 5
Substitutive milk is used when milk supply by breast is inadequate.
Correct Answer: A
Rationale: Substitutive milk (formula) supplements or replaces breast milk when supply is inadequate, making Option A true.
Question 4 of 5
A 5-day-old neonate... had sudden onset of irritability, diaphoresis, and profound dyspnea... systolic ejection murmur... liver enlargement...
Correct Answer: A
Rationale: Coarctation of the aorta causes a murmur, poor lower-body perfusion, and heart failure signs (dyspnea, hepatomegaly) in neonates. Diaphragmatic hernia (B) affects breathing differently. Sepsis (C) lacks murmur specificity. PDA (D) has a continuous murmur, not ejection.
Question 5 of 5
Which of the following is a live vaccine?
Correct Answer: A
Rationale: The rotavirus vaccine (e.g., RotaTeq or Rotarix) is a live attenuated vaccine administered orally to infants to prevent rotavirus gastroenteritis. Choice B (Hepatitis B) is a recombinant subunit vaccine (inactivated), Choice C (Rabies) is an inactivated vaccine, and Choice D (Pneumococcal, e.g., PCV13 or PPSV23) is also inactivated. Only rotavirus among these is a live vaccine.