Community Health Nursing NCLEX
Test. Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A child is scheduled to receive inactivated polio vaccine (IPV), and a nurse
preparing to administer the vaccine reviews the child's record. The nurse
questions the administration of IPV if which of the following is documented
in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at the site of a previous IPV - AnsANS: C
IPV contains neomycin. A history of anaphylactic reaction to neomycin is
considered a contraindication to IPV. The presence of a minor illness such
as the common cold is not. IN addition, a history of frequent respiratory
infections is not a contraindication to receiving a vaccine. A local reaction to
an immunization is not a contraindication to receiving a vaccine.
A clinic nurse is assessing a child who is scheduled to receive a live virus
vaccine (immunization). Which of the following are general
contraindications associated with receiving a live virus vaccine? (Select all
that apply)
A. The child has symptoms of a cold
B.The child had a previous anaphylactic reaction to the vaccine.
1
,C. Mother reports that the child is having intermittent episodes of diarrhea.
D. Mother reports that the child has not had an appetite and has been fussy
E. The child has a disorder that caused a severely deficient immune
system
F. Mother reports that the child has recently been exposed to an infectious
disease. - AnsANS: B, E
The general contraindications for receiving live virus vaccines include a
previous anaphylactic reaction to a vaccine or a component of the vaccine.
Additionally, live virus vaccines generally are not administered to
individuals with a severely deficient immune system, individuals with a
severe sensitivity to gelatin, or pregnant woman A vaccine is administered
with caution to an individual with a moderate or severe acute illness, with or
without fever. Options 1,3,4 and 6 are not contraindications to receiving a
live vaccine.
A clinic nurse is instructing the mother of a child with human
immunodeficiency virus (HIV) infection regarding immunizations. The nurse
tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. The inactivated influenza vaccine will be given yearly.
C. The varicella vaccine will be given before 6 months of age.
D. A western blot test needs to be performed and the results evaluated
before immunizations. - AnsANS: B
Immunizations against common childhood illnesses are recommended for
all children exposed to or infected with HIV. The inactivated influenza
vaccine that is given IM will be administered. The hepatitis B vaccine is
2
, administered according to the recommended immunization schedule.
Varicella-zoster immunoglobulin may be prescribed after chickenpox
exposure. Option 4 is unnecessary and inaccurate
A nurse provides home care instructions to the parents of a child
hospitalized with pertussis. The child is in the convalescent stage and is
being prepared for discharge. Which statement by a parent indicates a
need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at
least 2 weeks - AnsANS: D
Pertussis is transmitted by direct contact or respiratory droplets from
coughing. The communicable period occurs primarily during the catarrhal
stage. Respiratory precautions are not required during the convalescent
phase. Options 1,2,3 are accurate components of home care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The
patient has right-sided paralysis and is unable to speak. The patient will be
receiving physical therapy and speech therapy. What are these examples
of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - AnsANS: C
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Test. Questions with Correct Verified
Answers. Latest 2026-2027. Graded A
A child is scheduled to receive inactivated polio vaccine (IPV), and a nurse
preparing to administer the vaccine reviews the child's record. The nurse
questions the administration of IPV if which of the following is documented
in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at the site of a previous IPV - AnsANS: C
IPV contains neomycin. A history of anaphylactic reaction to neomycin is
considered a contraindication to IPV. The presence of a minor illness such
as the common cold is not. IN addition, a history of frequent respiratory
infections is not a contraindication to receiving a vaccine. A local reaction to
an immunization is not a contraindication to receiving a vaccine.
A clinic nurse is assessing a child who is scheduled to receive a live virus
vaccine (immunization). Which of the following are general
contraindications associated with receiving a live virus vaccine? (Select all
that apply)
A. The child has symptoms of a cold
B.The child had a previous anaphylactic reaction to the vaccine.
1
,C. Mother reports that the child is having intermittent episodes of diarrhea.
D. Mother reports that the child has not had an appetite and has been fussy
E. The child has a disorder that caused a severely deficient immune
system
F. Mother reports that the child has recently been exposed to an infectious
disease. - AnsANS: B, E
The general contraindications for receiving live virus vaccines include a
previous anaphylactic reaction to a vaccine or a component of the vaccine.
Additionally, live virus vaccines generally are not administered to
individuals with a severely deficient immune system, individuals with a
severe sensitivity to gelatin, or pregnant woman A vaccine is administered
with caution to an individual with a moderate or severe acute illness, with or
without fever. Options 1,3,4 and 6 are not contraindications to receiving a
live vaccine.
A clinic nurse is instructing the mother of a child with human
immunodeficiency virus (HIV) infection regarding immunizations. The nurse
tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. The inactivated influenza vaccine will be given yearly.
C. The varicella vaccine will be given before 6 months of age.
D. A western blot test needs to be performed and the results evaluated
before immunizations. - AnsANS: B
Immunizations against common childhood illnesses are recommended for
all children exposed to or infected with HIV. The inactivated influenza
vaccine that is given IM will be administered. The hepatitis B vaccine is
2
, administered according to the recommended immunization schedule.
Varicella-zoster immunoglobulin may be prescribed after chickenpox
exposure. Option 4 is unnecessary and inaccurate
A nurse provides home care instructions to the parents of a child
hospitalized with pertussis. The child is in the convalescent stage and is
being prepared for discharge. Which statement by a parent indicates a
need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at
least 2 weeks - AnsANS: D
Pertussis is transmitted by direct contact or respiratory droplets from
coughing. The communicable period occurs primarily during the catarrhal
stage. Respiratory precautions are not required during the convalescent
phase. Options 1,2,3 are accurate components of home care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The
patient has right-sided paralysis and is unable to speak. The patient will be
receiving physical therapy and speech therapy. What are these examples
of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Health promotion - AnsANS: C
3
