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,An important part of the treatment of Kawasaki disease includes the use of:
A. antibiotics.
B. antivirals.
C. immune globulin.
D. antifungals. - correct ans:C. immune globulin.
When advising a patient about the influenza nasal spray vaccine, the NP considers the following:
A. Its use is acceptable during pregnancy.
B. Its use is limited to children younger than 6 years.
C. It contains live, attenuated virus.
D. This is the preferred method of influenza protection in the presence of airway disease. - correct
ans:C. It contains live, attenuated virus.
Screening children with a known risk factor for type 2 diabetes mellitus is recommended at age 10 or at
onset of puberty and should be repeated how often?
A. every other year
B. every year
C. every 6 months
D. every 3 years - correct ans:A. every other year
A healthy 5-year-old child who has not received varicella vaccine nor had the disease is exposed to
chickenpox at school. How soon after exposure will a dose of the varicella vaccine prevent or modify the
disease in the child?
A. only if given the same day
B. only if given within 2 to 3 days
C. if given within 3 to 5 days
,D. if given within 1 week - correct ans:C. if given within 3 to 5 days
The most common mode of influenza virus transmission is via:
A. contact with a contaminated surface.
B. respiratory droplet.
C. saliva contact.
D. skin-to-skin contact. - correct ans:B. respiratory droplet.
A healthy 6-year-old girl presents for care. Her parents request that she receive vaccination for influenza
and report that she has not received this vaccine in the past. How many doses of influenza vaccine
should she receive this flu season?
A. 1
B. 2
C. 3
D. 4 - correct ans:B. 2
Maria is a 28-year-old well woman who is 6 weeks pregnant and voices her intent to breastfeed her
infant for at least 6 months. Her routine prenatal laboratory testing reveals she is not immune to
varicella. Which of the following represents the best advice for Maria?
A. She should receive VZV vaccine once she is in her second pregnancy trimester.
B. Maria should be advised to receive two appropriately timed doses of VZV vaccine after giving birth.
C. Once Maria is no longer breastfeeding, she should receive one dose of VZV vaccine.
D. A dose of VZIG should be administered now. - correct ans:B. Maria should be advised to receive two
appropriately timed doses of VZV vaccine after giving birth.
A 22-year-old man is starting a job in a college health center and needs proof of German measles,
measles, and mumps immunity. He received childhood immunizations and supplies documentation of
MMR vaccination at age 1.5 years. Your best response is to:
, A. obtain rubella, measles (rubeola), and mumps titers.
B. give MMR immunization now.
C. advise him to obtain immune globulin (IG) if he has been exposed to measles or rubella.
D. advise him to avoid individuals with skin rashes. - correct ans:B. give MMR immunization now.
Patients with plumbism present with which kind of anemia?
A. macrocytic, hyperchromic
B. normocytic, normochromic
C. hemolytic
D. microcytic, hypochromic - correct ans:D. microcytic, hypochromic
Which of the following is the route of transmission of the poliovirus?
A. fecal-oral
B. droplet
C. blood and body fluids
D. skin-to-skin contact - correct ans:A. fecal-oral
Which of the following statements best describes amantadine or rimantadine use in the care of patients
with or at risk for influenza?
A. Significant resistance to select strains of influenza limits the usefulness of these medications.
B. The primary action of these therapies is in preventing influenza A during outbreaks.
C. These therapies are active against influenza A and B.
D. The use of these products is an acceptable alternative to influenza vaccine. - correct ans:A. Significant
resistance to select strains of influenza limits the usefulness of these medications.