ATI LPN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
Which of the following is characteristic of a preschooler with mild mental retardation?
Correct Answer: A
Rationale: Mild mental retardation (IQ 50–70) involves delays in adaptive skills like self-feeding, which is slower but achievable. Lack of speech (B) and motor delays (C) suggest moderate/severe cases. Gait disability (D) is physical.
Question 2 of 5
Hemophilia A is the result of missing clotting factor IX and is also known as Christmas disease
Correct Answer: B
Rationale: Hemophilia A is due to missing factor VIII, not IX (which is Hemophilia B, aka Christmas disease). Option B (False) is correct.
Question 3 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 4 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 5 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.