ATI RN
Pediatric Immunization NCLEX Questions Ricci Questions
Question 1 of 5
Which of the following vaccines should not be administered to severely immunocompromised patients...?
Correct Answer: C
Rationale: The MMR vaccine is live attenuated and contraindicated in severely immunocompromised patients due to the risk of vaccine-derived infection.
Question 2 of 5
Neutropenia is noted in children in all of the following conditions EXCEPT
Correct Answer: D
Rationale: Hunter syndrome (MPS II) is a lysosomal storage disorder not typically associated with neutropenia. Kostmann disease (severe congenital neutropenia), viral infections, and maternal preeclampsia can all cause neutropenia through various mechanisms affecting neutrophil production or survival.
Question 3 of 5
Matching: Immunodeficiency - May be confused with AIDS
Correct Answer: D
Rationale: CD8 lymphocytopenia can mimic AIDS due to low CD8 T-cell counts, leading to opportunistic infections similar to HIV.
Question 4 of 5
A child is found to have a normal WBC count but serum concentrations of IgG, IgA, IgM, and IgE below the 95% lower limits for age. Which is the most likely diagnosis?
Correct Answer: D
Rationale: Common variable immunodeficiency (CVID) is characterized by low levels of multiple immunoglobulin classes (IgG, IgA, IgM) with normal WBC, often presenting later in childhood.
Question 5 of 5
A 4-month-old female presents with diarrhea and malabsorption, and on initial laboratory testing has a WBC count of 900/mm³. Which of the following is the most likely diagnosis?
Correct Answer: D
Rationale: Severe combined immunodeficiency (SCID) presents with severe lymphopenia (WBC 900) and early infections or failure to thrive, like diarrhea, due to absent T and B cell function.