While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?

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Pediatric Immunization NCLEX Questions Quizlet Questions

Question 1 of 5

While assessing a newborn with cleft lip, the nurse would be alert that which of the following will most likely be compromised?

Correct Answer: A

Rationale: Cleft lip disrupts the sucking seal, impacting feeding. Respiratory status (B) is more affected by cleft palate. Locomotion (C) and GI function (D) are unrelated.

Question 2 of 5

Community acquired infection means infection acquired after admission to the hospital

Correct Answer: B

Rationale: Community-acquired infections occur outside healthcare settings, not after admission (which is hospital-acquired). Option B (False) is correct.

Question 3 of 5

A 16-year-old boy... decreasing performance in school... more irritable and irresponsible... Which of the following disorders is the most likely cause?

Correct Answer: E

Rationale: Substance use explains irritability, irresponsibility, and declining grades with a friend group change, common in adolescence. Bipolar (A) and depression (C) may affect mood but lack social shift specificity. Conduct (B) involves aggression, not necessarily grades.

Question 4 of 5

Which vaccine is given as a series of 3 doses?

Correct Answer: A

Rationale: The hepatitis B vaccine is administered as a 3-dose series (typically at 0, 1, and 6 months) for full immunization in infants, children, and adults. Choice B (MMR) is a 2-dose series (at 11-12 months and 4-6 years). Choice C (Hepatitis A) is a 2-dose series (6 months apart). Choice D (HPV) can be a 2- or 3-dose series depending on age at initiation (2 doses if started before age 15, 3 doses if started at 15 or older), but hepatitis B is the most consistently recognized 3-dose series among these options.

Question 5 of 5

Following immunization, an anaphylactic response would usually occur within:

Correct Answer: C

Rationale: Anaphylaxis is a rapid-onset allergic reaction, typically occurring within 5-30 minutes after vaccination, though it can rarely extend to an hour. This is due to the immediate release of mediators like histamine following IgE-mediated hypersensitivity. Choice A (12-24 hours) and D (2-4 hours) are far too delayed for anaphylaxis, which is an acute emergency. Choice B (60-90 minutes) may capture some late-onset cases but exceeds the usual timeframe for most reactions.

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