peds exam 4: immunity, genetics, hematologic
& oncologic/cancer disorders, integumentary
alterations (school-age) UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is with a child who's scheduled to receive the immunizations for 11 to 12 year olds. Which
immunizations should the nurse give? SATA
A) Trivalent Inactivated Influenza (TIV)
B) Pneumococcal (PCV)
C) Meningococcal (MCV4)
D) Tdap
E) Rotavirus (RV) - CORRECT ANSWER -a, c, d
b- 15mo
e- 6mo
A nurse is educating about age appropriate activities for a 6 year old. Which activity should the nurse
include?
A) jumping rope
B) playing card games
C) solving jigsaw puzzles
D) joining competitive sports - CORRECT ANSWER -a
d- should be 9-12yrs?
A nurse is teaching about safety during the school age. What information should the nurse include? SATA
,A) gating stairs at the top & bottom
B) wearing helmets when riding bikes & skateboards
C) riding safely in the bed of a pickup truck
D) implementing firearm safety
E) wearing seatbelts - CORRECT ANSWER -b, d, e
A nurse is discussing prepubescent and preadolescence parents of school-age children. Which information
should the nurse include?
A) initial physiologic changes appear during early childhood
B) changes in height & weigh occur slowly during this period
C) growth differences between boys & girls are evident
D) sexual maturation becomes highly visible in boys - CORRECT ANSWER -c
a- middle childhood
b- occur QUICKLY
d- minimal visibility
Monogenic (Mendelian) genetic disorder - CORRECT ANSWER -one single defective gene
Multifactorial genetic disorder - CORRECT ANSWER -*multiple factors* contributing to the
disorder including *genes & environmental*
Chromosomal Abnormalities - CORRECT ANSWER -- occur d/t spontaneous error in the sperm or
egg during cell division
- not inheritance related
, Why are nurses ideally positioned to be genetic counselors? - CORRECT ANSWER -Because of
their hands on contact, emphasis on education, and focus on prevention
Genetic Disorder Considerations - CORRECT ANSWER -- Kids with genetic disorders (regardless
of what type) often have complex medical needs
- Poor feeding/feeding issues may be d/t congenital/genetic disorder
- School problems may reflect cognitive disabilities d/t genetic conditions rather than behavior or
psychosocial problems
- Pregnancy planning/preconception counseling are important priorities because recognition of pregnancy
by a missed period (3-4 weeks embryonic age) may be too late for preventive measures
Nontraditional Inheritance genetic disorder - CORRECT ANSWER -Doesn't follow typical patterns
(dominant, recessive, x-linked, etc)
Effects more than 1 body system & theres a wide variety of presentations/symptoms
Phagocytosis - CORRECT ANSWER -- Phagocytes (WBCs) swallow & break down invading
microorganisms
- Infant's phagocytic cells (neutrophils & monocytes) demonstrate ↓chemotaxis
Active Immunity - CORRECT ANSWER -A form of acquired immunity in which the body
produces its own antibodies against disease-causing antigens
Can be *humoral* or *cell-mediated*
Humoral immunity - CORRECT ANSWER -Immunity mediated/produced by antibodies secreted
by *B cells*
& oncologic/cancer disorders, integumentary
alterations (school-age) UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is with a child who's scheduled to receive the immunizations for 11 to 12 year olds. Which
immunizations should the nurse give? SATA
A) Trivalent Inactivated Influenza (TIV)
B) Pneumococcal (PCV)
C) Meningococcal (MCV4)
D) Tdap
E) Rotavirus (RV) - CORRECT ANSWER -a, c, d
b- 15mo
e- 6mo
A nurse is educating about age appropriate activities for a 6 year old. Which activity should the nurse
include?
A) jumping rope
B) playing card games
C) solving jigsaw puzzles
D) joining competitive sports - CORRECT ANSWER -a
d- should be 9-12yrs?
A nurse is teaching about safety during the school age. What information should the nurse include? SATA
,A) gating stairs at the top & bottom
B) wearing helmets when riding bikes & skateboards
C) riding safely in the bed of a pickup truck
D) implementing firearm safety
E) wearing seatbelts - CORRECT ANSWER -b, d, e
A nurse is discussing prepubescent and preadolescence parents of school-age children. Which information
should the nurse include?
A) initial physiologic changes appear during early childhood
B) changes in height & weigh occur slowly during this period
C) growth differences between boys & girls are evident
D) sexual maturation becomes highly visible in boys - CORRECT ANSWER -c
a- middle childhood
b- occur QUICKLY
d- minimal visibility
Monogenic (Mendelian) genetic disorder - CORRECT ANSWER -one single defective gene
Multifactorial genetic disorder - CORRECT ANSWER -*multiple factors* contributing to the
disorder including *genes & environmental*
Chromosomal Abnormalities - CORRECT ANSWER -- occur d/t spontaneous error in the sperm or
egg during cell division
- not inheritance related
, Why are nurses ideally positioned to be genetic counselors? - CORRECT ANSWER -Because of
their hands on contact, emphasis on education, and focus on prevention
Genetic Disorder Considerations - CORRECT ANSWER -- Kids with genetic disorders (regardless
of what type) often have complex medical needs
- Poor feeding/feeding issues may be d/t congenital/genetic disorder
- School problems may reflect cognitive disabilities d/t genetic conditions rather than behavior or
psychosocial problems
- Pregnancy planning/preconception counseling are important priorities because recognition of pregnancy
by a missed period (3-4 weeks embryonic age) may be too late for preventive measures
Nontraditional Inheritance genetic disorder - CORRECT ANSWER -Doesn't follow typical patterns
(dominant, recessive, x-linked, etc)
Effects more than 1 body system & theres a wide variety of presentations/symptoms
Phagocytosis - CORRECT ANSWER -- Phagocytes (WBCs) swallow & break down invading
microorganisms
- Infant's phagocytic cells (neutrophils & monocytes) demonstrate ↓chemotaxis
Active Immunity - CORRECT ANSWER -A form of acquired immunity in which the body
produces its own antibodies against disease-causing antigens
Can be *humoral* or *cell-mediated*
Humoral immunity - CORRECT ANSWER -Immunity mediated/produced by antibodies secreted
by *B cells*
