NURS 5432 FNP 1 ALL EXAMS STUDY NOTES
PRACTICE SCRIPT 2026 QUESTIONS WITH
ANSWERS GRADED A+
⫸ Premature infants immunization schedule Answer: Should follow a
schedule for immunizations based on their chronological age, not their
gestational age.
⫸ Vaccine dose adjustment Answer: Vaccine doses should not be
adjusted (reduced) for premature or low-birthweight patients.
⫸ Chronic diseases and vaccinations Answer: Chronic diseases are not
outright contra-indications; however, vaccination with DTaP should be
deferred until the neurologic condition has been clarified and/or is
stable.
⫸ Rotarix vaccine Answer: Doses should be given 28 days apart - for
infants, given at age 2 months and 4 months - completed by 24 weeks.
⫸ Rotateq vaccine Answer: 3 doses completed by 32 weeks of age.
⫸ Live-virus vaccines contraindication Answer: Immunodeficient
children should not be given live-virus vaccines.
⫸ Oral polio vaccine (OPV) Answer: Not available in the United States.
,⫸ Known allergies and vaccines Answer: MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts
of streptomycin and polymyxin B; children with known anaphylactic
responses to these antibiotics should not be given these vaccines.
⫸ Egg antigens in vaccines Answer: Trace quantities of egg antigens
may be present in both inactivated and live influenza and yellow fever
vaccines.
⫸ Influenza vaccination guidelines Answer: Guidelines for influenza
vaccination in children with egg allergies have recently changed.
⫸ Vaccination deferral for infections Answer: Vaccinations could be
postponed for moderate to severe infections.
⫸ Vaccination for malignancy Answer: If malignancy is in remission or
chemo hasn't been administered within 90 days, they can receive live
virus vaccine.
⫸ Vaccination for chronic diseases Answer: Vaccination with DTaP
should be deferred until the neurologic condition has been clarified
and/or is stable.
⫸ Immunodeficient children Answer: Should not be given live-virus
vaccines.
,⫸ Vaccine schedule for Rotavirus Answer: Rotarix doses should be
given at age 2 months and 4 months, completed by 24 weeks.
⫸ Vaccine schedule for Rotateq Answer: 3 doses completed by 32
weeks of age.
⫸ Vaccination for premature infants Answer: Should follow a schedule
based on chronological age.
⫸ Vaccination adjustment for low-birthweight patients Answer:
Vaccine doses should not be adjusted for low-birthweight patients.
⫸ Vaccination and neurologic conditions Answer: Vaccination with
DTaP should be deferred until the neurologic condition has been
clarified.
⫸ Trace amounts in vaccines Answer: IPV contains trace amounts of
streptomycin and polymyxin B.
⫸ Anaphylactic responses to vaccines Answer: Children with known
anaphylactic responses to neomycin should not be given MMR, IPV,
and VAR.
, ⫸ Live-virus vaccine contraindications Answer: Includes oral polio
vaccine, rotavirus, MMR, VAR, MMRV, yellow fever, LAIV, and live-
bacteria vaccines.
⫸ Egg protein allergy Answer: Trace amounts of egg protein are
generally considered below the threshold needed to induce an allergic
reaction.
⫸ Influenza vaccine for children Answer: Children with severe egg
allergy can be vaccinated with influenza vaccine with no special
precautions beyond those for any other vaccine.
⫸ RV vaccine Answer: Rare incidence (1 in 20k-100k) of
intussusception.
⫸ Contraindications for RV vaccine Answer: RV1 should not be given
to infants with a severe latex allergy; container for RV1 med has latex.
⫸ SCID and RV vaccines Answer: Both RV1 and RV5 vaccines are
contraindicated in infants with severe combined immunodeficiency
(SCID).
⫸ Biologic response modifier Answer: RV vaccines should be avoided
in infants whose mother received a biologic response modifier (eg,
etanercept) during pregnancy.
PRACTICE SCRIPT 2026 QUESTIONS WITH
ANSWERS GRADED A+
⫸ Premature infants immunization schedule Answer: Should follow a
schedule for immunizations based on their chronological age, not their
gestational age.
⫸ Vaccine dose adjustment Answer: Vaccine doses should not be
adjusted (reduced) for premature or low-birthweight patients.
⫸ Chronic diseases and vaccinations Answer: Chronic diseases are not
outright contra-indications; however, vaccination with DTaP should be
deferred until the neurologic condition has been clarified and/or is
stable.
⫸ Rotarix vaccine Answer: Doses should be given 28 days apart - for
infants, given at age 2 months and 4 months - completed by 24 weeks.
⫸ Rotateq vaccine Answer: 3 doses completed by 32 weeks of age.
⫸ Live-virus vaccines contraindication Answer: Immunodeficient
children should not be given live-virus vaccines.
⫸ Oral polio vaccine (OPV) Answer: Not available in the United States.
,⫸ Known allergies and vaccines Answer: MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts
of streptomycin and polymyxin B; children with known anaphylactic
responses to these antibiotics should not be given these vaccines.
⫸ Egg antigens in vaccines Answer: Trace quantities of egg antigens
may be present in both inactivated and live influenza and yellow fever
vaccines.
⫸ Influenza vaccination guidelines Answer: Guidelines for influenza
vaccination in children with egg allergies have recently changed.
⫸ Vaccination deferral for infections Answer: Vaccinations could be
postponed for moderate to severe infections.
⫸ Vaccination for malignancy Answer: If malignancy is in remission or
chemo hasn't been administered within 90 days, they can receive live
virus vaccine.
⫸ Vaccination for chronic diseases Answer: Vaccination with DTaP
should be deferred until the neurologic condition has been clarified
and/or is stable.
⫸ Immunodeficient children Answer: Should not be given live-virus
vaccines.
,⫸ Vaccine schedule for Rotavirus Answer: Rotarix doses should be
given at age 2 months and 4 months, completed by 24 weeks.
⫸ Vaccine schedule for Rotateq Answer: 3 doses completed by 32
weeks of age.
⫸ Vaccination for premature infants Answer: Should follow a schedule
based on chronological age.
⫸ Vaccination adjustment for low-birthweight patients Answer:
Vaccine doses should not be adjusted for low-birthweight patients.
⫸ Vaccination and neurologic conditions Answer: Vaccination with
DTaP should be deferred until the neurologic condition has been
clarified.
⫸ Trace amounts in vaccines Answer: IPV contains trace amounts of
streptomycin and polymyxin B.
⫸ Anaphylactic responses to vaccines Answer: Children with known
anaphylactic responses to neomycin should not be given MMR, IPV,
and VAR.
, ⫸ Live-virus vaccine contraindications Answer: Includes oral polio
vaccine, rotavirus, MMR, VAR, MMRV, yellow fever, LAIV, and live-
bacteria vaccines.
⫸ Egg protein allergy Answer: Trace amounts of egg protein are
generally considered below the threshold needed to induce an allergic
reaction.
⫸ Influenza vaccine for children Answer: Children with severe egg
allergy can be vaccinated with influenza vaccine with no special
precautions beyond those for any other vaccine.
⫸ RV vaccine Answer: Rare incidence (1 in 20k-100k) of
intussusception.
⫸ Contraindications for RV vaccine Answer: RV1 should not be given
to infants with a severe latex allergy; container for RV1 med has latex.
⫸ SCID and RV vaccines Answer: Both RV1 and RV5 vaccines are
contraindicated in infants with severe combined immunodeficiency
(SCID).
⫸ Biologic response modifier Answer: RV vaccines should be avoided
in infants whose mother received a biologic response modifier (eg,
etanercept) during pregnancy.
