Community Health Nursing NCLEX Questions and Answers
A child is scheduled to receive inactivated polio vaccine (IPV), and a nurse preparing to administer the
vaccine reviews the child's record. The nurse questions the administration of IPV if which of the
following is documented in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at the site of a previous IPV - ansANS: C
IPV contains neomycin. A history of anaphylactic reaction to neomycin is considered a
contraindication to IPV. The presence of a minor illness such as the common cold is not. IN addition, a
history of frequent respiratory infections is not a contraindication to receiving a vaccine. A local
reaction to an immunization is not a contraindication to receiving a vaccine.
A clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization).
Which of the following are general contraindications associated with receiving a live virus vaccine?
(Select all that apply)
A. The child has symptoms of a cold
B.The child had a previous anaphylactic reaction to the vaccine.
C. Mother reports that the child is having intermittent episodes of diarrhea.
D. Mother reports that the child has not had an appetite and has been fussy
E. The child has a disorder that caused a severely deficient immune system
F. Mother reports that the child has recently been exposed to an infectious disease. - ansANS: B, E
The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction
to a vaccine or a component of the vaccine. Additionally, live virus vaccines generally are not
administered to individuals with a severely deficient immune system, individuals with a severe
sensitivity to gelatin, or pregnant woman A vaccine is administered with caution to an individual with
a moderate or severe acute illness, with or without fever. Options 1,3,4 and 6 are not
contraindications to receiving a live vaccine.
, A clinic nurse is instructing the mother of a child with human immunodeficiency virus (HIV) infection
regarding immunizations. The nurse tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. The inactivated influenza vaccine will be given yearly.
C. The varicella vaccine will be given before 6 months of age.
D. A western blot test needs to be performed and the results evaluated before immunizations. -
ansANS: B
Immunizations against common childhood illnesses are recommended for all children exposed to or
infected with HIV. The inactivated influenza vaccine that is given IM will be administered. The
hepatitis B vaccine is administered according to the recommended immunization schedule. Varicella-
zoster immunoglobulin may be prescribed after chickenpox exposure. Option 4 is unnecessary and
inaccurate
A nurse provides home care instructions to the parents of a child hospitalized with pertussis. The child
is in the convalescent stage and is being prepared for discharge. Which statement by a parent
indicates a need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks - ansANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable
period occurs primarily during the catarrhal stage. Respiratory precautions are not required during
the convalescent phase. Options 1,2,3 are accurate components of home care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis
and is unable to speak. The patient will be receiving physical therapy and speech therapy. What are
these examples of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
A child is scheduled to receive inactivated polio vaccine (IPV), and a nurse preparing to administer the
vaccine reviews the child's record. The nurse questions the administration of IPV if which of the
following is documented in the child's record?
A. Recent recovery from a cold
B. A history of frequent respiratory infections
C. A history of an anaphylactic reaction to neomycin
D. A local reaction at the site of a previous IPV - ansANS: C
IPV contains neomycin. A history of anaphylactic reaction to neomycin is considered a
contraindication to IPV. The presence of a minor illness such as the common cold is not. IN addition, a
history of frequent respiratory infections is not a contraindication to receiving a vaccine. A local
reaction to an immunization is not a contraindication to receiving a vaccine.
A clinic nurse is assessing a child who is scheduled to receive a live virus vaccine (immunization).
Which of the following are general contraindications associated with receiving a live virus vaccine?
(Select all that apply)
A. The child has symptoms of a cold
B.The child had a previous anaphylactic reaction to the vaccine.
C. Mother reports that the child is having intermittent episodes of diarrhea.
D. Mother reports that the child has not had an appetite and has been fussy
E. The child has a disorder that caused a severely deficient immune system
F. Mother reports that the child has recently been exposed to an infectious disease. - ansANS: B, E
The general contraindications for receiving live virus vaccines include a previous anaphylactic reaction
to a vaccine or a component of the vaccine. Additionally, live virus vaccines generally are not
administered to individuals with a severely deficient immune system, individuals with a severe
sensitivity to gelatin, or pregnant woman A vaccine is administered with caution to an individual with
a moderate or severe acute illness, with or without fever. Options 1,3,4 and 6 are not
contraindications to receiving a live vaccine.
, A clinic nurse is instructing the mother of a child with human immunodeficiency virus (HIV) infection
regarding immunizations. The nurse tells the mother that:
A. The hepatitis B vaccine will not be given to the child.
B. The inactivated influenza vaccine will be given yearly.
C. The varicella vaccine will be given before 6 months of age.
D. A western blot test needs to be performed and the results evaluated before immunizations. -
ansANS: B
Immunizations against common childhood illnesses are recommended for all children exposed to or
infected with HIV. The inactivated influenza vaccine that is given IM will be administered. The
hepatitis B vaccine is administered according to the recommended immunization schedule. Varicella-
zoster immunoglobulin may be prescribed after chickenpox exposure. Option 4 is unnecessary and
inaccurate
A nurse provides home care instructions to the parents of a child hospitalized with pertussis. The child
is in the convalescent stage and is being prepared for discharge. Which statement by a parent
indicates a need for instructions?
A. We need to encourage our child to drink fluids
B. Coughing spells may be triggered by dust or smoke
C. Vomiting may occur when our child has coughing episodes
D. We need to maintain droplet precautions and a quiet environment for at least 2 weeks - ansANS: D
Pertussis is transmitted by direct contact or respiratory droplets from coughing. The communicable
period occurs primarily during the catarrhal stage. Respiratory precautions are not required during
the convalescent phase. Options 1,2,3 are accurate components of home care instructions.
A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis
and is unable to speak. The patient will be receiving physical therapy and speech therapy. What are
these examples of?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
