Exam 2 Peds

Which vaccines are administered by the subcutaneous route?

• Hepatitis B and PCV13

• MMR and Varicella

• DTaP and Hib

• HPV and Tdap

What should the nurse instruct parents to do after their child receives a live vaccine (MMR or Varicella)?

• Avoid exposure to sunlight

• Expect a mild rash and low-grade fever

• Apply antibiotic ointment to injection site

• Restrict fluids for 24 hours

Which immunization prevents bacterial meningitis, conjunctivitis, and otitis media?

• Varicella

• MMR

• Hib

• HPV

At what ages are the four doses of DTaP vaccine given?

• Birth, 2, 4, 6 months

• 2, 4, 6, and 15–18 months, booster at 4–6 years

• 1, 3, 6, and 12 months

• 6, 9, 12, and 24 months

A nurse educates parents about the MMR vaccine. Which instruction is correct?

• Do not give before 12 months of age unless traveling internationally

• Avoid giving with varicella

• Revaccinate every 5 years

• Report mild rash as an emergency

An infant with bronchiolitis is tachypneic with nasal flaring and intercostal retractions. Which initial nursing action is priority?

• Offer oral fluids

• Suction the nares

• Give acetaminophen

• Start chest physiotherapy

Which finding after tonsillectomy requires immediate intervention?

• Low-grade fever

• Throat pain

• Frequent swallowing

• Halitosis

The nurse is teaching parents of a toddler with croup (laryngotracheobronchitis). Which home instruction is appropriate?

• “Give aspirin for fever.”

• “Use cool-mist humidification.”

• “Offer red popsicles.”

• “Use cough syrup every 4 hours.”

The nurse provides discharge teaching for an infant at high risk for RSV. Which statement shows correct understanding about palivizumab?

• It cures RSV if my baby gets sick.

• It’s a monthly injection during RSV season.

• We’ll stop it after one shot.

• It’s an oral medication.

Child with cystic fibrosis (CF) has foul-smelling, bulky stools and poor weight gain. Which prescription supports absorption?

• Pancreatic enzymes with meals/snacks

• Fluid restriction

• Iron chelation

• Lactose-free diet