A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

Hepatitis B

Varicella

Human papillomavirus

Inactivated polio virus

Answer and Explanation

The Correct Answer is B

A. The first dose of the Hepatitis B vaccine is typically administered shortly after birth, not at 12 months of age.

B. Correct. The first dose of the Varicella (chickenpox) vaccine is recommended at 12 months of age.

C. The Human Papillomavirus (HPV) vaccine is not typically started until the preadolescent or adolescent years, typically around ages 11-12.

D. The first dose of the Inactivated Polio Virus (IPV) vaccine is usually given at 2 months of age, with additional doses at 4 months and 6-18 months.

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Correct Answer is B

Explanation

A. Eating a large amount of food one day and very little the next is a normal eating pattern for toddlers. They may have days when they eat more and days when they eat less.

B. This finding should be reported to the provider. Breath-holding spells during temper tantrums can be concerning and may require further evaluation.

C. Toddlers typically need about 11-14 hours of sleep per day, so sleeping 11 to 12 hours is within the normal range.

D. A vocabulary of 30 words is considered normal for a 24-month-old toddler.

A. Avoid removing the cream prior to the procedure. B. Gently rub the cream into the skin. C. Wash the site with alcohol prior to applying the cream. D. Apply the cream 1 hr before the procedure.

Correct Answer is D

Explanation

A. The cream should be removed after it has been on the skin for the recommended amount of time. It is typically wiped off before the procedure.

B. The medication should applied repeatedly to provide analgesia

C. Washing the site with alcohol before applying the cream is not necessary and may cause unnecessary skin irritation.

D. Lidocaine and prilocaine cream typically require about 60 minutes to take effect.

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A nurse is teaching a group of parents about childhood immunizations. The nurse should identify that infants should receive the first dose of which of the following immunizations at 12 months of age?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 24-month-old toddler. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is preparing to apply lidocaine and prilocaine cream to a child prior to the insertion of an IV catheter. Which of the following actions should the nurse plan to take?

Correct Answer is D

Explanation

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