PEDS PRACTICE NGN PROCTORED NEWEST 2024
EXAM WITH STUDY GUIDE TEST BANK 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY PASSED
1. Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
1.Natural active immunity
2.Artificial active immunity
3.Natural passive immunity
4.Artificial passive immunity: 2
2. The 8-year-old son of migrant farm workers is brought to the county
health clinic. He has no history of immunizations. After measles is
diagnosed, the public health nurse goes to the migrant camp to search for
people with a greater-than-average chance of contracting the disease. What
is the name of this variable?
1. Risk factor
2. Frequency rate
3. Probability rate
4. Causative factor: 1
3. A 5-year-old-child is undergoing chemotherapy. The mother tells the nurse
that the child is not up to date on the required immunizations for school. What
is the best response by the nurse?
1. "By this time your child has developed sufficient antibodies to provide
immunity."
2. "Maintaining current immunizations is critical. Make sure the series is
completed."
3. "This isn't the best time to finish the immunizations, because your child's
immune system is suppressed."
,4. "It's important to complete the immunizations because your child needs
to be protected from childhood diseases that could be fatal.": 3
4. Before administering the first series of immunizations to a 2-month-
old infant, the nurse tells the parent that reactions may occur. What are
the characteristics of these reactions?
1. Local or systemic and usually mild
2. Often serious, possibly requiring hospitalization
3. Sometimes causing ulceration at the injection site
4. May be responsible for permanent neurological damage: 1
5. The parents of an infant ask a nurse why their baby is not receiving the
measles, mumps, and rubella (MMR) vaccine at the same time that other
immunizations are being given. What explanation should the nurse give
about why the MMR vaccine is administered at 12 to 15 months of age?
1. There is an increased risk of side effects in infants.
2. Maternal antibodies provide immunity for about 1 year.
3. It interferes with the effectiveness of vaccines given during infancy.
4. There are rare instances of these infections occurring during the first year
of life: 2
6. The nursing student accompanies a group of registered nurses in a
campaign that promotes the participation of parents to get their children
immunized. After the campaign's completion, the group prepares a report that
counts the number of immunizations and compares it to last year's report.
Which type of research does the nursing student think that the group is
doing?
1. Evaluation research
2. Descriptive research
3. Experimental research
4. Correlational research: 1
,7. A toddler with a puncture wound to the sole is brought to the emergency
department. Because of a language barrier the caregiver cannot provide a
clear history of previous tetanus immunizations. Tetanus immunoglobulin
(TIG) is prescribed by the healthcare provider. The nurse explains to the
caregiver that this medication is given because it has what action? 1.
Produces lifelong passive immunity to tetanus
2. Confers short-term passive defense against tetanus
3. Induces long-lasting active protection from tetanus
4. Stimulates the production of antibodies to fight tetanus: 2
8. A 6-month-old infant is to receive scheduled immunizations. The parents
ask why two influenza vaccines are given: Haemophilus influenzae type B
(Hib) and pneumococcal conjugate vaccine (PCV). How should the nurse
respond?
1. PCV prevents influenza.
2. Hib is given to prevent pneumonia.
3. Hib and PCV prevent different bacterial diseases.
4. PCV and Hib are given together to protect against viral and bacterial
diseases: 3
9. A school nurse is teaching high school girls regarding the importance of
immunizations. Which newborn anomaly can occur if rubella is contracted
during the first trimester of pregnancy?
1. Limb abnormalities
2. Hydrocephalus
3. Down syndrome
4. Cardiac anomalies: 4
10. A school nurse is teaching the parents of school-aged children about the
importance of immunizations for the childhood communicable diseases.
What preventable disease may have the complication of encephalitis?
1. Varicella
2. Scarlet fever
3. Poliomyelitis
4. Whooping cough: 1
, 11. A 7-year-old child is brought to the emergency department with a puncture
wound on the sole. It is determined that the child's history of immunizations
is uncertain, and tetanus immune globulin and tetanus vaccine are prescribed
and administered. What is the priority reason for using tetanus immune
human globulin instead of tetanus antitoxin?
1. It is as effective as the antitoxin.
2. It is safe to give to everyone who needs it.
3. The risk for an anaphylactic reaction is less.
4. Skin tests are not needed with the human globulin.: 3
12. A nurse is teaching a class on immunizations to members of a grammar
school's Parent-Teacher Association. Which childhood disease does the
nurse describe as a viral disease that starts with malaise and a highly pruritic
rash that begins on the abdomen and spreads to the face and proximal
extremities and can result in grave complications?
1. Rubella
2. Rubeola
3. Chickenpox
4. Scarlet fever: 3
13. The parent of a child who has received all of the primary immunizations
asks the nurse which ones the child should receive before starting
kindergarten. What immunizations does the nurse tell the parent that her child
should receive? 1. IPV, HepB, Td
2. DTaP, HepB, Td
3. MMR, DTaP, Hib
4. DTaP, IPV, MMR: 4
14. A 5-year-old child who is HIV positive is taken to the health department
for immunizations before the start of school. The CD4 count shows severe
immunosuppression. What immunizations can the child be given safely at
this time? Select all that apply.
1. Varicella
2. Hepatitis A
EXAM WITH STUDY GUIDE TEST BANK 250
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY PASSED
1. Which type of immunity will clients acquire through immunizations with
live or killed vaccines?
1.Natural active immunity
2.Artificial active immunity
3.Natural passive immunity
4.Artificial passive immunity: 2
2. The 8-year-old son of migrant farm workers is brought to the county
health clinic. He has no history of immunizations. After measles is
diagnosed, the public health nurse goes to the migrant camp to search for
people with a greater-than-average chance of contracting the disease. What
is the name of this variable?
1. Risk factor
2. Frequency rate
3. Probability rate
4. Causative factor: 1
3. A 5-year-old-child is undergoing chemotherapy. The mother tells the nurse
that the child is not up to date on the required immunizations for school. What
is the best response by the nurse?
1. "By this time your child has developed sufficient antibodies to provide
immunity."
2. "Maintaining current immunizations is critical. Make sure the series is
completed."
3. "This isn't the best time to finish the immunizations, because your child's
immune system is suppressed."
,4. "It's important to complete the immunizations because your child needs
to be protected from childhood diseases that could be fatal.": 3
4. Before administering the first series of immunizations to a 2-month-
old infant, the nurse tells the parent that reactions may occur. What are
the characteristics of these reactions?
1. Local or systemic and usually mild
2. Often serious, possibly requiring hospitalization
3. Sometimes causing ulceration at the injection site
4. May be responsible for permanent neurological damage: 1
5. The parents of an infant ask a nurse why their baby is not receiving the
measles, mumps, and rubella (MMR) vaccine at the same time that other
immunizations are being given. What explanation should the nurse give
about why the MMR vaccine is administered at 12 to 15 months of age?
1. There is an increased risk of side effects in infants.
2. Maternal antibodies provide immunity for about 1 year.
3. It interferes with the effectiveness of vaccines given during infancy.
4. There are rare instances of these infections occurring during the first year
of life: 2
6. The nursing student accompanies a group of registered nurses in a
campaign that promotes the participation of parents to get their children
immunized. After the campaign's completion, the group prepares a report that
counts the number of immunizations and compares it to last year's report.
Which type of research does the nursing student think that the group is
doing?
1. Evaluation research
2. Descriptive research
3. Experimental research
4. Correlational research: 1
,7. A toddler with a puncture wound to the sole is brought to the emergency
department. Because of a language barrier the caregiver cannot provide a
clear history of previous tetanus immunizations. Tetanus immunoglobulin
(TIG) is prescribed by the healthcare provider. The nurse explains to the
caregiver that this medication is given because it has what action? 1.
Produces lifelong passive immunity to tetanus
2. Confers short-term passive defense against tetanus
3. Induces long-lasting active protection from tetanus
4. Stimulates the production of antibodies to fight tetanus: 2
8. A 6-month-old infant is to receive scheduled immunizations. The parents
ask why two influenza vaccines are given: Haemophilus influenzae type B
(Hib) and pneumococcal conjugate vaccine (PCV). How should the nurse
respond?
1. PCV prevents influenza.
2. Hib is given to prevent pneumonia.
3. Hib and PCV prevent different bacterial diseases.
4. PCV and Hib are given together to protect against viral and bacterial
diseases: 3
9. A school nurse is teaching high school girls regarding the importance of
immunizations. Which newborn anomaly can occur if rubella is contracted
during the first trimester of pregnancy?
1. Limb abnormalities
2. Hydrocephalus
3. Down syndrome
4. Cardiac anomalies: 4
10. A school nurse is teaching the parents of school-aged children about the
importance of immunizations for the childhood communicable diseases.
What preventable disease may have the complication of encephalitis?
1. Varicella
2. Scarlet fever
3. Poliomyelitis
4. Whooping cough: 1
, 11. A 7-year-old child is brought to the emergency department with a puncture
wound on the sole. It is determined that the child's history of immunizations
is uncertain, and tetanus immune globulin and tetanus vaccine are prescribed
and administered. What is the priority reason for using tetanus immune
human globulin instead of tetanus antitoxin?
1. It is as effective as the antitoxin.
2. It is safe to give to everyone who needs it.
3. The risk for an anaphylactic reaction is less.
4. Skin tests are not needed with the human globulin.: 3
12. A nurse is teaching a class on immunizations to members of a grammar
school's Parent-Teacher Association. Which childhood disease does the
nurse describe as a viral disease that starts with malaise and a highly pruritic
rash that begins on the abdomen and spreads to the face and proximal
extremities and can result in grave complications?
1. Rubella
2. Rubeola
3. Chickenpox
4. Scarlet fever: 3
13. The parent of a child who has received all of the primary immunizations
asks the nurse which ones the child should receive before starting
kindergarten. What immunizations does the nurse tell the parent that her child
should receive? 1. IPV, HepB, Td
2. DTaP, HepB, Td
3. MMR, DTaP, Hib
4. DTaP, IPV, MMR: 4
14. A 5-year-old child who is HIV positive is taken to the health department
for immunizations before the start of school. The CD4 count shows severe
immunosuppression. What immunizations can the child be given safely at
this time? Select all that apply.
1. Varicella
2. Hepatitis A
