2026/2027
1.** A nurse is preparing to administer immunizations to a 2-month-old
infant. Which of the following vaccines should the nurse anticipate
administering?
A) RV, DTaP, Hib, PCV, IPV, HepB
B) MMR, Varicella, Hepatitis A
C) DTaP, IPV, MMR
D) HPV, Tdap, MenACWY
**Correct Answer:** A) RV, DTaP, Hib, PCV, IPV, HepB
**Rationale:** At 2 months of age, the recommended vaccines include
Rotavirus (RV), DTaP, Hib, PCV, IPV, and Hepatitis B (HepB). MMR and
Varicella (B) are given at 12-15 months. HPV and MenACWY (D) are given to
adolescents.
**2.** A nurse is planning to administer recommended immunizations to a 4-
year-old child. Which of the following vaccines should the nurse plan to give?
A) DTaP, IPV, MMR, Varicella
B) DTaP, Hib, PCV, RV
C) MMR, Varicella, Hepatitis A
D) Tdap, HPV, MenACWY
**Correct Answer:** A) DTaP, IPV, MMR, Varicella
,**Rationale:** At 4-6 years of age, children should receive DTaP, IPV, MMR,
and Varicella vaccines. Hib, PCV, and RV (B) are given in infancy; MMR and
Varicella are given at 12-15 months and again at 4-6 years; Tdap, HPV, and
MenACWY (D) are given to adolescents.
**3.** A nurse in a provider's office is planning to administer immunizations
to an 11-year-old child. Which of the following immunizations should the
nurse plan to administer?
A) Hepatitis B (Hep B), HPV, Tdap, MenACWY
B) MMR, Varicella, DTaP
C) PCV, RV, Hib
D) Influenza only
**Correct Answer:** A) Hepatitis B (Hep B), HPV, Tdap, MenACWY
**Rationale:** At 11-12 years of age, recommended vaccines include Tdap,
HPV, MenACWY, and a catch-up HepB if needed. MMR and Varicella (B) are
given at 4-6 years; PCV, RV, and Hib (C) are infant vaccines.
**4.** A nurse is teaching new parents about immunizations. The nurse
explains the child will need which of the following immunizations at 2 months
of age? (Select all that apply.)
A) DTaP
B) IPV
C) MMR
D) HepB
E) RV
F) Hib
, **Correct Answers:** A, B, D, E, F
**Rationale:** At 2 months of age, the recommended vaccines include DTaP,
IPV, HepB, RV, Hib, and PCV. MMR (C) is not given until 12-15 months.
**5.** A nurse is preparing to administer the measles, mumps, and rubella
(MMR) vaccine to a 15-month-old child. Which of the following findings
should the nurse identify as a contraindication for this immunization?
A) The child has a cough and a temperature of 100.2°F (37.9°C)
B) The child's temperature after receiving a vaccine previously was 103.5°F
(39.7°C)
C) The child is currently receiving antibiotics for otitis media
D) The child has a congenital immunodeficiency
**Correct Answer:** D) The child has a congenital immunodeficiency
**Rationale:** MMR is a live-attenuated vaccine and is contraindicated in
clients with congenital immunodeficiency or immunosuppression. A mild
acute illness with fever (A), high fever after a previous vaccine (B), or
antibiotic use for otitis media (C) are precautions but not absolute
contraindications.
**6.** A nurse is reinforcing teaching with a middle adult client about
immunizations. Which of the following vaccines should the nurse recommend
for this client?
A) Varicella vaccine: two doses for adults without evidence of immunity
B) MMR vaccine: one dose for all adults