Test Prep NCLEX-PN Exam (page: 6)
Test Prep National Council Licensure Examination(NCLEX-PN)
Updated on: 09-Feb-2026

Viewing Page 6 of 204

In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?

  1. measles, polio, pertussis, hepatitis B
  2. diptheria, pertussis, polio, tetanus
  3. rubella, polio, pertussis, hepatitis A
  4. measles, mumps, rubella, polio

Answer(s): 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.



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?

  1. builds towers with several blocks
  2. tries to color within the lines
  3. says “Mine!” when playing with toys
  4. tries to jump rope

Answer(s): C

Explanation:

Toddlers are possessive and struggle for independence.
The other play activities are too advanced for a 2-year-old child.



Vaccines provide what type of immunity?

  1. active
  2. passive
  3. transplacental
  4. active and passive

Answer(s): 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.



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?

  1. pneumococcal vaccine
  2. hepatitis A vaccine
  3. Lyme disease vaccine
  4. typhoid vaccine

Answer(s): 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.



A concern regarding maternal and infant mortality and morbidity is that ______________.

  1. a segment of the population is not receiving prenatal care
  2. families appear unconcerned about quality health care
  3. the personnel shortage in the maternity field will increase
  4. maternal-child health workers are not adequately prepared

Answer(s): A

Explanation:

There is a concern that a segment of the population is not accessing prenatal care, affecting infant and maternal mortality and morbidity.



Viewing Page 6 of 204



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