Community Health Nursing NCLEX Questions With
Complete Solutions
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 Correct
Answers ANS: 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. Correct Answers ANS: 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. Correct Answers ANS: 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 Correct Answers ANS: 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
d. Health promotion Correct Answers ANS: C
Tertiary prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the effects of
long-term disease or disability through interventions directed at
preventing complications and deterioration. Secondary
prevention focuses on individuals who are experiencing health
problems or illnesses, and who are at risk for developing
complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered
physically and emotionally healthy. Health promotion includes
Complete Solutions
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 Correct
Answers ANS: 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. Correct Answers ANS: 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. Correct Answers ANS: 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 Correct Answers ANS: 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
d. Health promotion Correct Answers ANS: C
Tertiary prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the effects of
long-term disease or disability through interventions directed at
preventing complications and deterioration. Secondary
prevention focuses on individuals who are experiencing health
problems or illnesses, and who are at risk for developing
complications or worsening conditions. Activities are directed at
diagnosis and prompt intervention. Primary prevention precedes
disease or dysfunction and is applied to people considered
physically and emotionally healthy. Health promotion includes
