A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
A 4-month-old infant
A 2-year-old toddler
An 11-year-old school-age child
A 4-year-old child
The Correct Answer is C
The MCV4 vaccine is recommended for individuals aged 11-12 years, with a booster dose recommended at age 16. It helps protect against meningococcal disease, which is caused by bacteria and can lead to serious infections such as meningitis or bloodstream infections.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A.Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.
B.Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.
C.Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.
D.Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.
E.Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.
Correct Answer is D
Explanation
During periods of growth, adolescents often experience an increase in their sleep needs. This is because growth and development processes, such as bone growth and hormonal changes, require adequate rest and sleep. By addressing the increased need for sleep, the nurse can provide valuable information to help the adolescent prioritize and ensure sufficient sleep for their overall well-being.
Sharing piercing needles is never recommended as it can lead to the transmission of blood-borne infections such as HIV or hepatitis. Proper sterile techniques and individual use of piercing needles should always be encouraged.
It is important to promote a healthy and balanced approach to nutrition rather than focusing solely on limiting caloric intake. Encouraging healthy eating habits, regular physical activity, and a balanced diet is a more appropriate approach to weight management.
Tanning beds are not safe alternatives to natural sunlight. They expose the skin to harmful ultraviolet (UV) radiation, increasing the risk of skin cancer and premature aging. It is important to educate adolescents about the risks of tanning beds and promote the use of sunscreen and protective measures when exposed to the sun.
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