ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 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 2 of 5
Which communicable disease is not vaccine preventable?
Correct Answer: A
Rationale: Tuberculosis (TB) is not fully vaccine-preventable with a universally effective vaccine. The BCG vaccine offers partial protection against severe TB in children (e.g., miliary TB), but it is not effective against pulmonary TB in adults and is not routinely used in many countries like the US. Hepatitis B, pneumococcal disease, and diphtheria have highly effective vaccines (e.g., HepB, PCV13/PPSV23, DTaP/Tdap), making Choice A the correct answer.
Question 3 of 5
Clients must receive a copy of their immunization record.
Correct Answer: B
Rationale: There is no universal legal requirement that clients *must* receive a copy of their immunization record after every vaccination, though it’s good practice to provide one upon request or as part of standard care (e.g., CDC recommends access). Records are maintained by providers or immunization information systems (IIS), and clients can access them, but ‘must receive’ implies an obligation not typically mandated, making Choice B (False) correct.
Question 4 of 5
An unexpected and undesirable response after an immunization is:
Correct Answer: B
Rationale: An adverse event is a broad term for any unexpected or undesirable health occurrence following immunization, which may or may not be causally related to the vaccine (e.g., fever, anaphylaxis). Choice A (side effect) refers to common, expected reactions (e.g., soreness). Choice C (allergy) and D (hypersensitivity) are specific immune-mediated reactions, subsets of adverse events, but not as encompassing as Choice B, which aligns with public health reporting (e.g., VAERS).
Question 5 of 5
A 10-year-old child has just received his first immunization of influenza vaccine. His lips begin to swell, and he states, 'It feels like my throat is closing shut and my chest is tight when I breathe.' The nurse recognizes these as signs of which of the following?
Correct Answer: B
Rationale: Swelling lips, throat closure sensation, and chest tightness are classic signs of anaphylaxis, a life-threatening allergic reaction (Choice B). This requires immediate epinephrine. Choice A (anxiety) may cause hyperventilation but not swelling. Choice C (local reaction) is limited to the injection site (e.g., redness), and Choice D (common systemic reaction) implies milder, typical responses (e.g., fever), not anaphylaxis.