ATI LPN
Pediatric Immunizations NCLEX Questions Questions
Question 1 of 5
You are caring for a 14-year-old adolescent boy with trisomy 21. Which of the following tests is MOST appropriate to order on an annual basis, as part of the regular health supervision for this adolescent?
Correct Answer: B
Rationale: Down syndrome (trisomy 21) increases hypothyroidism risk; annual thyroid function tests (TSH, T4) are recommended by the AAP. ECG (A) is baseline. Sleep oximetry (C) screens sleep apnea if indicated. Cervical X-rays (D) assess instability, not routine annually.
Question 2 of 5
Craniotabes is a clinical sign of:
Correct Answer: C
Rationale: Craniotabes (soft skull bones) results from vitamin D deficiency in rickets, affecting bone mineralization. Kwashiorkor (A) and Marasmus (B) are malnutrition-related. Scurvy (D) affects collagen, not skull softening.
Question 3 of 5
Vision is highly developed sense in newborn
Correct Answer: B
Rationale: Newborn vision is underdeveloped (20/400), improving over months. Hearing and touch are more acute at birth. Option B (False) is correct.
Question 4 of 5
A 4-year-old boy... has a grouping of pustules in the right parietal region... boggy and very tender, and annular hair loss... Which of the following is the most likely diagnosis?
Correct Answer: D
Rationale: Kerion is a fungal infection (tinea capitis) causing pustules, boggy scalp, and hair loss, matching the description. Alopecia areata (A) is non-inflammatory. Atopic dermatitis (B) lacks pustules. Herpes (C) doesn’t cause boggy scalp.
Question 5 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.