Question: Which vaccine prevents mumps?

Answer Choices:
MMR
DPT
Toxoid
All the above

Answer: A – MMR

Question: Which child is at highest risk for infection?

Answer Choices:
Infant with viral infection
4-month-old full-term baby
Toddler with cerebral palsy
6-month-old born at 32 weeks

Answer: D – A six-month-old infant who was born at 32 weeks

Question: Which body system should be examined first in a sleeping newborn?

Answer Choices:
Heart
Lungs
Throat
Abdomen

Answer: C – Throat

Question: What teaching is necessary for a pregnant mother caring for a child with rubella?

Answer Choices:
Wear an N-95 mask
Hire someone else to provide care
Use standard precautions only
Wear a mask and practice meticulous hand hygiene

Answer: D – Wear a mask and practice meticulous hand hygiene

Question: Which intervention may have caused Reye’s syndrome in a child with recent varicella?

Answer Choices:
Acetaminophen
Furosemide
Aspirin
Lorazepam

Answer: C – Aspirin (acetylsalicylic acid)

Question: What is the best atraumatic intervention before surgical wound care in a 14-year-old?

Answer Choices:
Use distraction during care
Involve a child life specialist
Apply a local anesthetic
Administer pain medication 45 minutes before care

Answer: D – Administer prescribed pain medication 45 minutes prior to wound care

Question: Which interventions should be included in care for a child with pertussis and fever?

Answer Choices:
Airborne and droplet precautions
Contact and droplet precautions
Family members take prescribed macrolides
Teach that child is most contagious during catarrhal stage

Answer: C, D – Advise family members to take prescribed macrolides; teach that contagion is highest in the catarrhal stage

Question: Which vaccine should be avoided in a child on chemotherapy for leukemia?

Answer Choices:
Tetanus
Inactivated poliovirus
Measles, mumps, rubella (MMR)
Diphtheria, pertussis, tetanus (DPT)

Answer: C – Measles, mumps, rubella (MMR)

Question: Which assessment finding indicates neonatal sepsis?

Answer Choices:
Coughing
Facial rash
Hypothermia
Edematous neck

Answer: C – Hypothermia

Question: Which finding is expected in a child suspected of having Lyme disease?

Answer Choices:
Hypersalivation
Neck swelling
Confusion and anxiety
Ring-like rash on lower leg

Answer: D – Ring-like rash on lower leg

Question: Which interventions are appropriate for a child with pruritic infectious skin disease?

Answer Choices:
Apply calamine lotion with gloves
Place the child on safety precautions
Keep fingernails clean and short
All the above

Answer: D – All the above