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NCLEX-PN Exam Questions - Part 26
1. In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?
A) measles, polio, pertussis, hepatitis B
B) diptheria, pertussis, polio, tetanus
C) rubella, polio, pertussis, hepatitis A
D) measles, mumps, rubella, polio
2. As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
A) builds towers with several blocks
B) tries to color within the lines
C) says 'Mine!' when playing with toys
D) tries to jump rope
3. Vaccines provide what type of immunity?
A) active
B) passive
C) transplacental
D) active and passive
4. A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
A) pneumococcal vaccine
B) hepatitis A vaccine
C) Lyme disease vaccine
D) typhoid vaccine
5. Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?
A) exercising vigorously for 20 minutes each night beginning at 9:30 p.m.
B) taking a cool shower and drinking a hot cup of tea
C) watching TV nightly until midnight
D) getting a back rub and drinking a glass of warm milk
A) measles, polio, pertussis, hepatitis B
B) diptheria, pertussis, polio, tetanus
C) rubella, polio, pertussis, hepatitis A
D) measles, mumps, rubella, polio
2. As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
A) builds towers with several blocks
B) tries to color within the lines
C) says 'Mine!' when playing with toys
D) tries to jump rope
3. Vaccines provide what type of immunity?
A) active
B) passive
C) transplacental
D) active and passive
4. A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
A) pneumococcal vaccine
B) hepatitis A vaccine
C) Lyme disease vaccine
D) typhoid vaccine
5. Ms. Petty is having difficulty falling asleep. Which of the following measures promote sleep?
A) exercising vigorously for 20 minutes each night beginning at 9:30 p.m.
B) taking a cool shower and drinking a hot cup of tea
C) watching TV nightly until midnight
D) getting a back rub and drinking a glass of warm milk
1. Right Answer: B
Explanation: By 12 months of age, the child should have had DtaP and polio. MMR is not administered until a child is 12 months of age. Health Promotion and Maintenance
2. Right Answer: C
Explanation: Toddlers are possessive and struggle for independence. The other play activities are too advanced for a 2-year-old child. Health Promotion and Maintenance
3. Right Answer: A
Explanation: Vaccines provide active immunity. Passive immunity comes from antibodies produced in another human or host. Transplacental immunity comes from passive immunity transferred from mother to infant. Health Promotion and Maintenance
4. Right Answer: A
Explanation: Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and 70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in microbiology laboratories who frequently work with Salmonella typhi. Health Promotion and Maintenance
5. Right Answer: D
Explanation: These are appropriate measure to promote sleep. Choices 1, 2, and 3 are all stimulation actions that increase arousal and wakefulness. Basic Care and Comfort
Explanation: By 12 months of age, the child should have had DtaP and polio. MMR is not administered until a child is 12 months of age. Health Promotion and Maintenance
2. Right Answer: C
Explanation: Toddlers are possessive and struggle for independence. The other play activities are too advanced for a 2-year-old child. Health Promotion and Maintenance
3. Right Answer: A
Explanation: Vaccines provide active immunity. Passive immunity comes from antibodies produced in another human or host. Transplacental immunity comes from passive immunity transferred from mother to infant. Health Promotion and Maintenance
4. Right Answer: A
Explanation: Pneumococcal vaccine should be administered as a supplemental vaccine. Hepatitis A vaccine is for travelers and individuals with chronic liver disease. The Lyme disease vaccine is for people between the ages of 15 and 70 who are at risk for Lyme disease (transmitted by ticks primarily). The typhoid vaccine is for workers in microbiology laboratories who frequently work with Salmonella typhi. Health Promotion and Maintenance
5. Right Answer: D
Explanation: These are appropriate measure to promote sleep. Choices 1, 2, and 3 are all stimulation actions that increase arousal and wakefulness. Basic Care and Comfort
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