A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a 5-year-old child whose medical record indicates that his Immunizations are up to date. Which of the following vaccines should the nurse plan to administer?

Hepatitis B (HBV)

Measles, mumps, and rubella (MMR)

Haemophilus influenzae type B (Hib)

Pneumococcal conjugate vaccine (PCV)

Answer and Explanation

The Correct Answer is B

A. Hepatitis B (HBV): The Hepatitis B vaccine is typically completed in the infant stage, and a 5-year-old with up-to-date vaccinations would not need a booster for school entry. This is not included in the pre-kindergarten vaccine schedule.

B. Measles, mumps, and rubella (MMR): The MMR vaccine is part of the pre-kindergarten immunization schedule. A second dose is recommended between ages 4 and 6 to ensure immunity before school entry.

C. Haemophilus influenzae type B (Hib): The Hib vaccine is typically administered to infants and young children, and a 5-year-old with up-to-date immunizations would already be fully vaccinated against Hib. No booster is required at this age.

D. Pneumococcal conjugate vaccine (PCV): The PCV vaccine series is usually completed in infancy, and a 5-year-old with current vaccinations would not require a booster. This vaccine is not part of the pre-kindergarten schedule.

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Correct Answer is D

Explanation

A. "Lice can jump from one child to another." Lice do not jump or fly; they crawl from one person to another through direct contact or by sharing personal items like hats, combs, or bedding. This statement is incorrect.

B. "Washing your child's hair daily will prevent lice." Regular hair washing does not prevent lice infestations. Lice infest clean and dirty hair alike, and prevention involves avoiding direct head-to-head contact and sharing personal items.

C. "Lice do not survive away from the host." While lice need a human host to survive, they can live for up to 1-2 days away from the host on objects like bedding, hats, or brushes. This statement is not completely accurate.

D. "Encourage your child to avoid sharing hats with other children." This is correct advice to prevent the spread of lice. Sharing hats or other personal items can facilitate the transmission of lice from one child to another.

A. New onset of seizure disorder in the child's sibling B. Evidence of sensitivity to egg antigens C. Afebrile otitis media D. Temperature of 40.5° C (104.9° F) after last DTaP

Correct Answer is D

Explanation

A. New onset of seizure disorder in the child's sibling: This does not contraindicate DTaP vaccination unless the child itself has a history of seizures or neurological disorders.

B. Evidence of sensitivity to egg antigens: DTaP vaccine is not contraindicated by egg allergy; this is more relevant to influenza vaccines.

C. Afebrile otitis media: This is not a contraindication for DTaP vaccination.

D. Temperature of 40.5° C (104.9° F) after last DTaP: A high fever following a previous dose of DTaP may indicate a severe reaction, necessitating caution or further evaluation before administering another dose.

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A nurse in a clinic is preparing to administer pre-kindergarten vaccines to a 5-year-old child whose medical record indicates that his Immunizations are up to date. Which of the following vaccines should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about pediculus capitis with the parents of a school-age child at a well-child visit. Which of the following Information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a 6-month-old child. The child's provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?

Correct Answer is D

Explanation

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