NURS 201 EXAM 2 COMPREHENSIVE GUIDE ACTUAL
COMPLETE REAL EXAM NEWEST 2026-2027
QUESTIONS AND CORRECT ANSWERS ( EXPERT
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Nursing implications for vaccine administration – ANSWER-read and
follow manufacturer’s instructions for administration Use proper IM
technique accurate documentation keep parents copy of record up to
date
Vaccine adverse reporting system- to report any adverse reactions after
administration of any vaccine
Increased periods of growth rate in ________ and in
__________. Growth rate slows down in in _____________. - ANSWER-
Increased GR: early childhood and adolescents
Slows down in middle childhood
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so growth slows down in preschool years and then shows down again as
an adult
What are concerns of an attenuated disease? - ANSWER-
-can cause mild infections but no disease
-immunosuppressed people may get disease if the microbes have enough
virulence
-modified viruses may occasionally revert to wild type or mutate to a
virulent form
When should you start talking about strenger danger, creating password
for pick ups, child molestation, know how to dial
911 and what to say – ANSWER-preschool
Inactivated Vaccines - ANSWER-Safer than live virus can be either
whole agent vaccines produced with deactivated but whole microbes or
subunit vaccines when the microbes are killed must not alter the antigens
responsible for stimulating protective immunity
What are the problems with inactivated - ANSWER-do not
stimulate contact immunity whole agent vaccines may stimulate
inflammatory response antigenically weak more local and allergic
reactions
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Why can attenuation vaccines stimulate a strong immune response -
ANSWER-they contain replicating microbes
this causes a large number of antigen molecules
Vaccinated individuals can infect those around them providing
_________________. - ANSWER-contact immunity
Who should not take attenuated vaccines - ANSWER-pregnant women
What are the 3 nursing implications for vaccine administration -
ANSWER- Insure proper storage Insure informed consent vaccine
information statement (info statements that must be given to parents
before vaccine is given)
Which vaccines are contraindicated in child with cancer -
ANSWER-live vaccines ex: varicella
antigenically weak - ANSWER-need high or multidose or adjuvants
What are common mild reactions of immunizations – ANSWER-local
reactions (redness, hot to touch there) low grade fever behavior changes
(short lived) mild temporary vomiting or diarrhea within first weeks of
getting rota virus
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What are serious reactions to immunizations - ANSWER-anaphylactic
reaction; occur within few minutes to few hours after the injection. This
includes difficulty breathing, hoarseness or wheezing, swelling of
throat, weakness, dizziness, fast heart beat, hives and paleness -long
term seizures, coma, lowered consciousness, and permanent brain
damage after Dtap -Guillain barre syndrome
-Immunocompromised people may get serious illness from attenuated
virus vaccinations
toxoid vaccines - ANSWER-chemically or thermally modified toxins
used to stimulate active community useful for some bacterial diseases
stimulate antibody mediated immunity
require multiple doses bc they possess few antigenic determinants
What are the dimensions of growth - ANSWER-Growth
development (ability to form a skill) maturation (increase in
competence and adaptability)
What are the patterns of growth and development - ANSWER-
Cephalocaudal Proximodistal Differentiation passive immunity vaccines -
ANSWER-administrated or preformed antibodies used when protection