All Free Paediatric Nursing MCQs with Answers
Every Paediatric Nursing question in the bank, across all chapters, each with the correct answer and a written explanation. Free and unlimited, with no account needed.
350 questions · page 12 of 18
- A. Natural active immunity
- B. Natural passive immunity
- C. Artificial active immunity
- D. Artificial passive immunity
Explanation: Maternal IgG antibodies cross the placenta and give the newborn natural passive immunity.
Correct answer: Natural passive immunity- A. Oral polio vaccine
- B. Measles and rubella vaccine
- C. Inactivated polio vaccine
- D. Bacillus Calmette-Guérin vaccine
Explanation: Inactivated polio vaccine contains killed poliovirus and cannot multiply in the child.
Correct answer: Inactivated polio vaccine- A. Keep it for use during the next session
- B. Return it to the refrigerator for later use
- C. Discard it after six hours or at session end
- D. Freeze it immediately for use within one week
Explanation: Reconstituted measles-containing vaccines are discarded after six hours or at the end of the session, whichever comes first.
Correct answer: Discard it after six hours or at session end- A. A child with mild eczema
- B. A child taking oral iron therapy
- C. A child with severe immune suppression
- D. A child with a mild non-febrile cough
Explanation: Severe immune suppression is a contraindication to most live vaccines because the weakened organism may cause serious disease.
Correct answer: A child with severe immune suppression- A. Place them directly against frozen ice packs
- B. Keep them away from direct contact with frozen ice packs
- C. Store them beside the carrier’s warmest outer wall
- D. Open each vial and leave it outside the carrier
Explanation: Pentavalent vaccine can be damaged by freezing, so it should not touch frozen ice packs directly.
Correct answer: Keep them away from direct contact with frozen ice packs- A. At birth
- B. At 6 weeks
- C. At 10 weeks
- D. At 14 weeks
Explanation: The first routine IPV dose is generally given at 14 weeks in Pakistan’s EPI schedule.
Correct answer: At 14 weeks- A. Place the child supine and assess airway and breathing
- B. Give intramuscular adrenaline immediately
- C. Give an oral antipyretic and send the child home
- D. Repeat the vaccine after the child regains consciousness
Explanation: The priority is to prevent injury, position the child safely, and assess airway, breathing and circulation.
Correct answer: Place the child supine and assess airway and breathing- A. Ignore the error if the child has no symptoms
- B. Repeat the same dose immediately by the correct route
- C. Document and report the error for clinical review
- D. Tell the parent that the dose is definitely effective
Explanation: An incorrect route is a vaccination error and should be documented and reported as part of safe AEFI and immunisation monitoring.
Correct answer: Document and report the error for clinical review229. Which statement about the pneumococcal conjugate vaccine in the childhood EPI programme is correct?
- A. It prevents all causes of childhood pneumonia
- B. It protects against disease caused by selected pneumococcal types
- C. It treats pneumonia after breathing difficulty begins
- D. It replaces every antibiotic used for bacterial infection
Explanation: Pneumococcal conjugate vaccine protects against disease caused by the pneumococcal serotypes included in the vaccine.
Correct answer: It protects against disease caused by selected pneumococcal types- A. It proves that no future vaccines will be needed
- B. It records doses and helps plan the child’s next vaccines
- C. It replaces the need to assess the child before vaccination
- D. It shows that vaccines cannot cause adverse events
Explanation: The card provides a reliable record of vaccines and helps health workers identify doses already given and those still due.
Correct answer: It records doses and helps plan the child’s next vaccines- A. At birth
- B. At 6 weeks
- C. At 15 months
- D. At 24 months
Explanation: The second measles and rubella dose is generally scheduled at 15 months in Pakistan’s routine childhood EPI schedule.
Correct answer: At 15 months- A. Record the dose and wait for the next visit
- B. Repeat the oral polio vaccine dose immediately
- C. Give an intramuscular polio vaccine instead
- D. Give an antibiotic and observe the infant
Explanation: If an infant spits out or vomits the oral polio vaccine immediately, the dose should be repeated according to immunisation practice.
Correct answer: Repeat the oral polio vaccine dose immediately- A. Sterile water from any available container
- B. The diluent supplied by the manufacturer
- C. Normal saline from an opened ward bottle
- D. Boiled water cooled to room temperature
Explanation: The specific diluent supplied with the vaccine must be used because its volume and composition are matched to that vaccine.
Correct answer: The diluent supplied by the manufacturer- A. Reuse a syringe for several children with a new needle
- B. Use a new sterile syringe and needle for every child
- C. Clean one needle with alcohol between children
- D. Place used needles on the table until the session ends
Explanation: Each child requires a new sterile syringe and needle to prevent transmission of blood-borne infections.
Correct answer: Use a new sterile syringe and needle for every child- A. Vaccinate immediately because fever never affects vaccination
- B. Postpone vaccination and refer the child for clinical assessment
- C. Give only the oral vaccine and postpone injections
- D. Double the vaccine dose after the fever settles
Explanation: A severe acute illness with high fever and lethargy requires assessment before routine immunisation, so vaccination is postponed until the…
Correct answer: Postpone vaccination and refer the child for clinical assessment- A. They are produced by the infant’s own memory cells
- B. They usually provide temporary protection without lasting memory
- C. They always provide lifelong protection against infection
- D. They are formed only after the infant receives a live vaccine
Explanation: Passive antibodies are transferred from another person or given as immunoglobulin, so they provide immediate but usually temporary…
Correct answer: They usually provide temporary protection without lasting memory- A. Only a reaction proven to be caused by a vaccine
- B. Any untoward medical event after immunisation, whether causally related or not
- C. A vaccine failure caused by incorrect injection technique only
- D. A mild local reaction that never needs documentation
Explanation: An AEFI is any untoward medical event occurring after immunisation, and it may or may not be caused by the vaccine.
Correct answer: Any untoward medical event after immunisation, whether causally related or not- A. Open the refrigerator repeatedly to check the vaccines
- B. Keep the refrigerator closed and monitor the temperature
- C. Move all vaccines into direct sunlight for warmth
- D. Discard every vaccine immediately without assessment
Explanation: Keeping the refrigerator closed limits warming and helps maintain the cold chain while the temperature is monitored.
Correct answer: Keep the refrigerator closed and monitor the temperature- A. Restart the entire series from the first dose
- B. Continue the series without restarting previous valid doses
- C. Give all missed doses together in one syringe
- D. Withhold further doses because the schedule was interrupted
Explanation: An interrupted vaccination schedule is generally continued, not restarted, because valid previous doses remain effective.
Correct answer: Continue the series without restarting previous valid doses- A. Use it if the vial monitor looks acceptable
- B. Use it only for children older than one year
- C. Do not use it and remove it according to local procedure
- D. Mix it with a fresh vial to restore its potency
Explanation: A vaccine must not be used after its expiry date, even when its cold-chain temperature and vial monitor appear satisfactory.
Correct answer: Do not use it and remove it according to local procedure