NR 328 Communicable Diseases & Immunizations Quiz 2026
Chamberlain College
1. Which type of immunity is acquired when a mother passes antibodies to her
newborn through breast milk?
A. Active Natural Immunity
B. Passive Natural Immunity
C. Active Artificial Immunity
D. Passive Artificial Immunity
Answer: B
Rationale: Passive natural immunity occurs when antibodies are transferred from one
person to another naturally, such as through the placenta or colostrum/breast milk.
2. At what age should a healthy infant receive the first dose of the Hepatitis B
vaccine?
A. 4 months
B. 2 months
C. At birth
D. 6 months
Answer: C
Rationale: The Hepatitis B vaccine is unique as it is the only vaccine routinely
recommended to be administered at birth.
,3. A child presents with a ‘slapped-cheek’ appearance on the face. Which
communicable disease does the nurse suspect?
A. Measles (Rubeola)
B. Rubella (German Measles)
C. Fifth Disease (Erythema Infectiosum)
D. Roseola
Answer: C
Rationale: Fifth Disease is characterized by a distinctive red rash on the face that looks like
the child has been slapped.
4. What is the primary mode of transmission for Pertussis (Whooping Cough)?
A. Vector-borne
B. Droplet
C. Direct Skin Contact
D. Fecal-oral
Answer: B
Rationale: Pertussis is transmitted via droplets from the respiratory tract of infected
persons.
5. Which vaccine is contraindicated for a child who is severely
immunocompromised?
A. Measles, Mumps, Rubella (MMR)
B. Hepatitis B
C. Inactivated Polio Vaccine (IPV)
D. DTaP
Answer: A
Rationale: The MMR is a live-attenuated vaccine and should not be given to
immunocompromised individuals due to the risk of uncontrolled viral replication.
, 6. Small, blue-white spots with a red base found on the buccal mucosa are
known as:
A. Forchheimer spots
B. Aphthous ulcers
C. Strawberry tongue
D. Koplik spots
Answer: D
Rationale: Koplik spots are a prodromal sign of Measles (Rubeola) appearing in the mouth
before the generalized rash.
7. Which immunization is specifically designed to protect against epiglottitis and
bacterial meningitis in young children?
A. PCV13 (Pneumococcal)
B. IPV
C. Varicella
D. Hib (Haemophilus influenzae type b)
Answer: D
Rationale: The Hib vaccine protects against Haemophilus influenzae type b, which was a
leading cause of bacterial meningitis and epiglottitis before the vaccine.
8. A 12-month-old is scheduled for several vaccines. Which of the following
injections is typically given subcutaneously?
A. Varicella
B. PCV13
C. Hepatitis A
D. Hib
Answer: A
Rationale: Live virus vaccines like Varicella and MMR are typically administered via the
subcutaneous route.
Chamberlain College
1. Which type of immunity is acquired when a mother passes antibodies to her
newborn through breast milk?
A. Active Natural Immunity
B. Passive Natural Immunity
C. Active Artificial Immunity
D. Passive Artificial Immunity
Answer: B
Rationale: Passive natural immunity occurs when antibodies are transferred from one
person to another naturally, such as through the placenta or colostrum/breast milk.
2. At what age should a healthy infant receive the first dose of the Hepatitis B
vaccine?
A. 4 months
B. 2 months
C. At birth
D. 6 months
Answer: C
Rationale: The Hepatitis B vaccine is unique as it is the only vaccine routinely
recommended to be administered at birth.
,3. A child presents with a ‘slapped-cheek’ appearance on the face. Which
communicable disease does the nurse suspect?
A. Measles (Rubeola)
B. Rubella (German Measles)
C. Fifth Disease (Erythema Infectiosum)
D. Roseola
Answer: C
Rationale: Fifth Disease is characterized by a distinctive red rash on the face that looks like
the child has been slapped.
4. What is the primary mode of transmission for Pertussis (Whooping Cough)?
A. Vector-borne
B. Droplet
C. Direct Skin Contact
D. Fecal-oral
Answer: B
Rationale: Pertussis is transmitted via droplets from the respiratory tract of infected
persons.
5. Which vaccine is contraindicated for a child who is severely
immunocompromised?
A. Measles, Mumps, Rubella (MMR)
B. Hepatitis B
C. Inactivated Polio Vaccine (IPV)
D. DTaP
Answer: A
Rationale: The MMR is a live-attenuated vaccine and should not be given to
immunocompromised individuals due to the risk of uncontrolled viral replication.
, 6. Small, blue-white spots with a red base found on the buccal mucosa are
known as:
A. Forchheimer spots
B. Aphthous ulcers
C. Strawberry tongue
D. Koplik spots
Answer: D
Rationale: Koplik spots are a prodromal sign of Measles (Rubeola) appearing in the mouth
before the generalized rash.
7. Which immunization is specifically designed to protect against epiglottitis and
bacterial meningitis in young children?
A. PCV13 (Pneumococcal)
B. IPV
C. Varicella
D. Hib (Haemophilus influenzae type b)
Answer: D
Rationale: The Hib vaccine protects against Haemophilus influenzae type b, which was a
leading cause of bacterial meningitis and epiglottitis before the vaccine.
8. A 12-month-old is scheduled for several vaccines. Which of the following
injections is typically given subcutaneously?
A. Varicella
B. PCV13
C. Hepatitis A
D. Hib
Answer: A
Rationale: Live virus vaccines like Varicella and MMR are typically administered via the
subcutaneous route.
