Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
34. A 12-year-old child is seen in a pediatrician's office for a well-adolescent checkup. The adolescent's most important vaccine status for a nurse to assess would be:
Test-Taking Tip
Focus on the age-relevant vaccine for a 12-year-old. Vaccines are not limited to infancy/childhood. Knowing the vaccine schedule for 7- to 18-year-olds is critical for correctly answering this question.
Content Area: Child Health, Immunizations; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Immunizations
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the adolescent would have received the hepatitis B vaccine series in infancy (birth, 1 to 2 months of age, and 6 to 18 months of age). Answer 2 is incorrect because the adolescent would have received the hepatitis A vaccine series in infancy (2 doses between 12 and 23 months of age). Answer 3 is incorrect because the adolescent would have received the MMR (measles, mumps, and rubella) vaccine series in infancy/childhood (12 to 15 months of age and 4 to 6 years of age). Answer 4 is correct because the HPV (human papillomavirus) vaccine is given between 11 and 12 years of age. This would be the most likely vaccine that the adolescent has yet to receive.
