A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
A 4-month-old infant
A 2-year-old toddler
An 11-year-old school-age child
A 4-year-old child
The Correct Answer is C
The MCV4 vaccine is recommended for individuals aged 11-12 years, with a booster dose recommended at age 16. It helps protect against meningococcal disease, which is caused by bacteria and can lead to serious infections such as meningitis or bloodstream infections.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Walking Well: The ability to walk well typically develops around12 to 15 months. Since the child walks well, we can consider her closer to this age range.
Stating first name: By 24-30 months, most children can identify themselves by name.
Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around15 to 18 months. The child’s language development aligns with this stage.
24 Deciduous Teeth: By the age of2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the2-year-oldmark.
Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by18 months. The fact that it is closed indicates that the child is beyond this age.
Child is most likely 30 months old.
Correct Answer is B
Explanation
At the age of 3, children typically start to develop better balance and coordination. They may be able to stand on one foot for a short period of time, although their ability to maintain balance may vary.
Walking backward heel to toe, skipping, and hopping on one foot are typically achieved around the age of 4-5 years.
As for vocabulary, a 3-year-old child may have a vocabulary of approximately 300-500 words, although the exact number can vary. A vocabulary of 1500 words is more commonly seen in older children.
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