1|Page
ATI PEDS PROCTORED NEWEST 2024 TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY PASSED
A school nurse is teaching the parents of school-aged children about the
importance of immunizations for the childhood communicable diseases.
What preventable disease may have the complication of encephalitis?
1. Varicella
2. Scarlet fever
3. Poliomyelitis
4. Whooping cough - ANSWER-1
A 7-year-old child is brought to the emergency department with a
puncture wound on the sole. It is determined that the child's history of
immunizations is uncertain, and tetanus immune globulin and tetanus
vaccine are prescribed and administered. What is the priority reason for
using tetanus immune human globulin instead of tetanus antitoxin?
1. It is as effective as the antitoxin.
2. It is safe to give to everyone who needs it.
3. The risk for an anaphylactic reaction is less.
4. Skin tests are not needed with the human globulin. - ANSWER-3
,2|Page
A nurse is teaching a class on immunizations to members of a grammar
school's Parent-Teacher Association. Which childhood disease does the
nurse describe as a viral disease that starts with malaise and a highly
pruritic rash that begins on the abdomen and spreads to the face and
proximal extremities and can result in grave complications?
1. Rubella
2. Rubeola
3. Chickenpox
4. Scarlet fever - ANSWER-3
The parent of a child who has received all of the primary immunizations
asks the nurse which ones the child should receive before starting
kindergarten. What immunizations does the nurse tell the parent that her
child should receive?
1. IPV, HepB, Td
2. DTaP, HepB, Td
3. MMR, DTaP, Hib
4. DTaP, IPV, MMR - ANSWER-4
A 5-year-old child who is HIV positive is taken to the health department
for immunizations before the start of school. The CD4 count shows
severe immunosuppression. What immunizations can the child be given
safely at this time? Select all that apply.
1. Varicella
2. Hepatitis A
3. Polio vaccine (IPV)
,3|Page
4. Measles, mumps, rubella (MMR)
5. Diphtheria, tetanus, pertussis (DTaP - ANSWER-2,3,5
An 18-month-old toddler who has received the appropriate
immunizations on time is visiting the pediatric clinic for the next
scheduled immunization. What vaccine should the nurse administer?
1. Second hepatitis B (Hep B) vaccine
2. Fifth inactivated polio vaccine (IPV)
3. First pneumococcal vaccine (PCV) and influenza vaccine (Hib)
4. Fourth diphtheria toxoid, tetanus toxoid, and acellular pertussis
(DTaP) vaccine - ANSWER-4
In addition to hepatitis B, pneumococcal, H. influenza type B, and
varicella vaccines, what should the nurse expect a 20-month-old child
who has been receiving immunizations on schedule to have had?
1. Two DTaPs, two IPVs, and one MMR
2. Four DTaPs, three IPVs, and one MMR
3. Three DTaPs, two IPVs, and two MMRs
4. Three DTaPs, three IPVs, and three MMRs - ANSWER-2
An 18-month-old child has received all required immunizations. What
immunization should the nurse explain to a parent will be one of the
vaccines required between 4 and 6 years of age?
1. Rotavirus
2. Hepatitis B
, 4|Page
3. Inactivated poliovirus
4 Haemophilus influenzae type b - ANSWER-3
A 4-year-old child is receiving prednisone. Which immunizations are
safe for the child to receive? Select all that apply.
1. Rubeola
2 Pertussis
3 Varicella
4 Inactivated poliovirus
5 Tetanus immune globulin - ANSWER-2,4,5
A parent brings a 2-month-old infant with Down syndrome to the
pediatric clinic for a physical and administration of immunizations.
Which clinical finding should prompt the nurse to perform further
assessment?
1. Flat occiput
2 Small, low-set ears
3 Circumoral cyanosis
4 Protruding furrowed tongue - ANSWER-3
If a 5½-month-old infant's immunizations are on schedule, which
immunizations does the nurse expect the infant to have had already?
1 Measles, mumps, and rubella vaccine
2 Booster dose of inactivated polio vaccine
3 Two doses of diphtheria, tetanus, and pertussis vaccine
ATI PEDS PROCTORED NEWEST 2024 TEST BANK 200
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY PASSED
A school nurse is teaching the parents of school-aged children about the
importance of immunizations for the childhood communicable diseases.
What preventable disease may have the complication of encephalitis?
1. Varicella
2. Scarlet fever
3. Poliomyelitis
4. Whooping cough - ANSWER-1
A 7-year-old child is brought to the emergency department with a
puncture wound on the sole. It is determined that the child's history of
immunizations is uncertain, and tetanus immune globulin and tetanus
vaccine are prescribed and administered. What is the priority reason for
using tetanus immune human globulin instead of tetanus antitoxin?
1. It is as effective as the antitoxin.
2. It is safe to give to everyone who needs it.
3. The risk for an anaphylactic reaction is less.
4. Skin tests are not needed with the human globulin. - ANSWER-3
,2|Page
A nurse is teaching a class on immunizations to members of a grammar
school's Parent-Teacher Association. Which childhood disease does the
nurse describe as a viral disease that starts with malaise and a highly
pruritic rash that begins on the abdomen and spreads to the face and
proximal extremities and can result in grave complications?
1. Rubella
2. Rubeola
3. Chickenpox
4. Scarlet fever - ANSWER-3
The parent of a child who has received all of the primary immunizations
asks the nurse which ones the child should receive before starting
kindergarten. What immunizations does the nurse tell the parent that her
child should receive?
1. IPV, HepB, Td
2. DTaP, HepB, Td
3. MMR, DTaP, Hib
4. DTaP, IPV, MMR - ANSWER-4
A 5-year-old child who is HIV positive is taken to the health department
for immunizations before the start of school. The CD4 count shows
severe immunosuppression. What immunizations can the child be given
safely at this time? Select all that apply.
1. Varicella
2. Hepatitis A
3. Polio vaccine (IPV)
,3|Page
4. Measles, mumps, rubella (MMR)
5. Diphtheria, tetanus, pertussis (DTaP - ANSWER-2,3,5
An 18-month-old toddler who has received the appropriate
immunizations on time is visiting the pediatric clinic for the next
scheduled immunization. What vaccine should the nurse administer?
1. Second hepatitis B (Hep B) vaccine
2. Fifth inactivated polio vaccine (IPV)
3. First pneumococcal vaccine (PCV) and influenza vaccine (Hib)
4. Fourth diphtheria toxoid, tetanus toxoid, and acellular pertussis
(DTaP) vaccine - ANSWER-4
In addition to hepatitis B, pneumococcal, H. influenza type B, and
varicella vaccines, what should the nurse expect a 20-month-old child
who has been receiving immunizations on schedule to have had?
1. Two DTaPs, two IPVs, and one MMR
2. Four DTaPs, three IPVs, and one MMR
3. Three DTaPs, two IPVs, and two MMRs
4. Three DTaPs, three IPVs, and three MMRs - ANSWER-2
An 18-month-old child has received all required immunizations. What
immunization should the nurse explain to a parent will be one of the
vaccines required between 4 and 6 years of age?
1. Rotavirus
2. Hepatitis B
, 4|Page
3. Inactivated poliovirus
4 Haemophilus influenzae type b - ANSWER-3
A 4-year-old child is receiving prednisone. Which immunizations are
safe for the child to receive? Select all that apply.
1. Rubeola
2 Pertussis
3 Varicella
4 Inactivated poliovirus
5 Tetanus immune globulin - ANSWER-2,4,5
A parent brings a 2-month-old infant with Down syndrome to the
pediatric clinic for a physical and administration of immunizations.
Which clinical finding should prompt the nurse to perform further
assessment?
1. Flat occiput
2 Small, low-set ears
3 Circumoral cyanosis
4 Protruding furrowed tongue - ANSWER-3
If a 5½-month-old infant's immunizations are on schedule, which
immunizations does the nurse expect the infant to have had already?
1 Measles, mumps, and rubella vaccine
2 Booster dose of inactivated polio vaccine
3 Two doses of diphtheria, tetanus, and pertussis vaccine
