Immunization Schedule (Ages 0 to 6 years) Questions And Answers NCLEX Exam | 2026

NCLEX Exam Questions And Answers

Immunization Schedule (Ages 0 to 6 years) Sample Questions 

1. During a routine pediatric visit, a 2 month old patient will need which of the following vaccines?

A. MMR (Measles, Mumps, Rubella) B. Hepatitis A

C. Hepatitis B

D. DTaP (Diphtheria, Tetanus, Pertussis) E. Hib (Haemophilus Influenzae Type B) F. Varicella

G. Polio

H. RV (Rotavirus)

I. PCV (Pneumococcal Conjugate Vaccine)

The answers are C, D, E, G, H, and I. At 2 months the patient should receive: DTaP, Hepatitis B, Hib, Polio, RV, and PCV.

2. A mother calls the pediatric clinic to ask when her daughter will receive the Varicella vaccine. Your answer to her question is:

A. at 2, 4, and 6 months

B. at 12 months and 4-6 years

C. at 6 and 12 months

D. at 4 months and 4-6 years

The answer is B. The child will receive the Varicella vaccine at 12 months and 4-6 years of age.

3. When should a child receive the first dose of the Hepatitis B vaccine? A. Birth

B. 2 months C. 4 months D. 6 months

The answer is A.

4. A 12 month old receives a series of vaccinations which includes the Hepatitis A vaccine. When should the child receive the 2nd dose of this vaccine? A. in 3 months

B. at the 18 month visit

C. when the child is 4-6 years old

D. in 2 months

The answer is B. The first dose of HepA is given at 12 months and then the second dose is given 6 months from that dose, which would be at the 18 month visit.

5. A 4 year old is scheduled for routine immunizations. As the nurse you know the physician will most likely order what vaccinations?

A. DTaP (diphtheria, Tetanus, Pertussis)

B. Polio

C. Hepatitis B

Is a process of learning a different culture to adapt to a new or changing environment.

Acculturation.

It is a subjective perspective of the person's heritage and a sense of belonging to a group

Ethnic identity

Include meditation, relaxation techniques, imagery, music therapy, massage, touch, laughter, humor, & spiritual measures (prayer).

Low-risk therapies:

Because of their health & dietary practices, Native Americans, Latino Americans, Hispanic Americans, & African Americans.

High risk of obesity & diabetes mellitus

Surgery is not prohibited, but the administration of blood and blood products is forbidden. This religious group believes the soul cannot live after death. Administration of medication is an acceptable practice except if the medication is derived from blood products.

Jehovah's Witnesses

Believers adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven-hoofed, and ritually slaughtered.

Orthodox Judaism

include whole medical systems, mind-body medicine, biologically based practices, manipulative & body-based practices, & energy medicine.

Five categories of complementary and alternative medicine (CAM):

Focused, maintains strong control, makes decisions, & addresses all problems. Dominates group & commands, rather than seeks suggestions or input. Manager addresses problem (quality improvement) with taff, designs a plan without input, & wants all problems reported directly back to her

Autocratic leader

Participative & would likely meet with each staff person individually to determine staff member's perception of problem. Would also speak with the staff about any issues & ask the staff for input with developing a plan.

Democratic leader

Passive and nondirective. Would state what the problem was & inform staff that the staff needed to come up with a plan to "fix it."

Laissez-faire leader

Assessment findings include cough, dyspnea, crackles, tachypnea, tachycardia, elevated blood pressure, bounding pulse, elevated CVP, weight gain, edema, neck & hand vein distention, altered LOC, & decreased hematocrit.

Overhydration or fluid overload & occurs when fluid intake or fluid retention

Avocado, bananas, cantaloupe, carrots, fish, mushrooms, oranges, potatoes, pork, beef, veal, raisins, spinach, strawberries, & tomatoes

Common food sources of potassium:

Muscle weakness, increased urinary output, & decreased specific gravity of the urine would be noted

Hyponatremia

Causative factors relate to malnutrition or starvation & the use of aluminum hydroxide-based or magnesium-based antacids. Malnutrition is associated with alcoholism.

Hypophosphatemia

Renal insufficiency, hypoparathyroidism, & tumor lysis syndrome; causative factors. Should avoid foods high in phosphates; fish, eggs, milk products, vegetables, whole grains, & carbonated beverages.

Hyperphosphatemia

Vomiting, diarrhea, conditions that increased respiration's or increased urinary output, insufficient intravenous fluid replacement, draining fistulas, presence of ileostomy or colostomy. Diuretics, & gastrointestinal suctioning.

Causes of a fluid volume deficit

Decreased kidney function, heart failure, hypotonic fluids to replace isotonic fluid losses, excessive irrigation of wounds & body cavities, & excessive ingestion of sodium.

Causes of overhydration or fluid overload:

Trauma, burns, sepsis, or metabolic or respiratory acidosis.

Hyperkalemia causes:

Cushing's syndrome or colitis & over use of laxatives.

Hypokalemia causes:

Decreased pH & decreased HCO3. Occurs in kidney disease; diabetic ketoacidosis; high fat diet; insufficient metabolism of carbohydrates; malnutrition; ingestion of toxins, such as acetylsalicylic acid (aspirin); malnutrition; severe diarrhea. Intestinal secretion high in bicarbonate & may be lost through enteric drainage tubes, an ileostomy, or diarrhea.

Metabolic acidotic

Nausea & vomiting. Loss of gastric acid, cause pH & HCO3 to increase. Symptoms experienced would include hypoventilation & tachycardia.

Metabolic alkalosis

Decreased pH and an increased CO2. Hypoventalation & COPD

Respiratory acidotic

Increased pH & decreased CO2. Hyperventalation, Lethargy, lightheadedness, confusion, tachycardia, dysrhythmias related to hypokalemia, nausea, vomiting, epigastric pain, numbness & tingling of extremities. Hyperventilation (tachypnea) occurs.

Respiratory alkalotic

Sample for PT & INR level to determine anticoagulation status & risk for bleeding

Warfarin (Coumadin)

aPTT monitors the effects. Anticoagulant used most often during hemodialysis. Monitors extent of anticoagulation checking PTT, which is appropriate measure heparin effect. Protamine sulfate is antidote.

Heparin

Dark green leafy vegetables good source iron, oranges are a good source of vitamin C, which enhances iron absorption.

Iron deficiency anemia foods in diet: