NR 328 EXAM QUESTIONS AND ANSWERS A+
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Active immunity
Type of immunity when the body actually creates antibodies
Active immunity
This type of immunity occurs after you get a disease or you get the vaccine
Passive immunity
Type of immunity when the body receives antibodies
Passive immunity
This type of immunity is passed down through placenta, breast milk and
immunoglobulins
Killed virus vaccines
IPV, Hep B, Hep A
Toxoid vaccine
Tetanus
Live virus vaccines
MMR, Varicella
Recombinant vaccines
HPV, Pertussis
Conjugate vaccines
Hib, Mennigococcal pneumococcal
Live oral vaccine
Rotavirus
Why can you not administer liver vaccines to pregnant women and which
preventable infectious disease is dangerous to a baby in the womb?
They can cause malformations, miscarriage or death of baby. Rubella can cause these
serious side effects if not prevented.
What is the immunization schedule for Hep B?
Give three times
-At birth
-1-2 months
-6-18 months
What is the immunization schedule for Rotavirus?
Give three times
-At 2 months
-At 4 months
-At 6 months
What is the immunization schedule for DTaP?
Give 5 times
-At 2 months
-At 4 months
-At 6 months
,-At 15-18 months
-At 4-6 years
What is the immunization schedule for Hib?
Give 4 times
-At 2 months
-At 4 months
-At 6 months
-At 12-15 months
What is the immunization schedule for Pneumococcal?
Give 4 times
-At 2 months
-At 4 months
-At 6 months
-At 12-15 months
What is the immunization schedule for IPV?
Give 4 times
-At 2 months
-At 4 months
-At 6-18 months
-At 4-6 years
When do you start giving the flu shot yearly?
At 6 months of age
What is the immunization schedule for MMR?
Give 2 times
-At 12-15 months
-At 4-6 years
What is the immunization schedule for Varicella?
Give 2 times
-At 12-15 months
-At 4-6 years
What is the immunization schedule for Hep A?
Give 2 times
-Both times at 12-23 months
When is the best time to give the meningococcal vaccine?
At 2-6 years for high risk groups
What is screened before giving vaccinations?
Illnesses
Allergies (specifically eggs, neomycin, latex) and reaction
Any travel outside the country
Any recent chemotherapy or radiation therapy
What are contraindications to receiving vaccinations?
Allergies and pregnancy
What are some possible adverse effects of vaccinations?
Redness, swelling and pain at injection site
When is the TB screening done?
At 12 months
, What is done at a TB screening?
Asking questions about history (immigrants, traveled outside the country, homeless or
living in a shelter, nursing student, nurse)
How do we assess a pediatric rash?
Size
Shape
Type
Location
Warmth
Color
Distribution
Dry or oozing
What is a major complication of rashes?
Secondary infection
What are the nursing interventions for rashes in children?
Cooling and decreasing inflammation (cold compress, tepid bath, calamine lotion or
hydrocortisone, oatmeal baths)
Decrease irritants to skin (no baby powders or baby wipes, no scratching, keep area
clean and cover any oozing)
Keep child comfortable (distraction techniques, oven mitts on hands)
What is varicella and how is it spread?
Chicken pox
Viral disease transmitted through direct contact through airborne spread of secretions or
contact with lesions
When is varicella most contagious?
1-2 days before rash and until lesions are crusted over
How long does varicella last typically?
5-7 days
What disease does the Coxsackie virus cause?
Hand foot mouth disease (Herpangina)
How is the Coxsackie virus transmitted?
Fecal oral and respiratory transmission
Where are lesions found in HFM disease and how long do they last?
Lesions on cheeks, gums, sides of tongue, hands and feet for 7-10 days
What are the clinical manifestations of Herpangina?
Acute sudden onset of fever, sore throat, and small discrete grayish lesions
What are the clinical manifestations of measles?
Salt grain-like spots on tongue and inside mouth, confluent dark red to purple blotchy
rash from face and downward
What interventions are used to treat measles?
Rash
What are mumps and how is it spread?
Viral disease where parotid gland becomes inflamed
Spread through direct and droplet contact
What are the clinical manifestations of mumps and how long do they last?
GRADED .Buy Quality Materials!
Active immunity
Type of immunity when the body actually creates antibodies
Active immunity
This type of immunity occurs after you get a disease or you get the vaccine
Passive immunity
Type of immunity when the body receives antibodies
Passive immunity
This type of immunity is passed down through placenta, breast milk and
immunoglobulins
Killed virus vaccines
IPV, Hep B, Hep A
Toxoid vaccine
Tetanus
Live virus vaccines
MMR, Varicella
Recombinant vaccines
HPV, Pertussis
Conjugate vaccines
Hib, Mennigococcal pneumococcal
Live oral vaccine
Rotavirus
Why can you not administer liver vaccines to pregnant women and which
preventable infectious disease is dangerous to a baby in the womb?
They can cause malformations, miscarriage or death of baby. Rubella can cause these
serious side effects if not prevented.
What is the immunization schedule for Hep B?
Give three times
-At birth
-1-2 months
-6-18 months
What is the immunization schedule for Rotavirus?
Give three times
-At 2 months
-At 4 months
-At 6 months
What is the immunization schedule for DTaP?
Give 5 times
-At 2 months
-At 4 months
-At 6 months
,-At 15-18 months
-At 4-6 years
What is the immunization schedule for Hib?
Give 4 times
-At 2 months
-At 4 months
-At 6 months
-At 12-15 months
What is the immunization schedule for Pneumococcal?
Give 4 times
-At 2 months
-At 4 months
-At 6 months
-At 12-15 months
What is the immunization schedule for IPV?
Give 4 times
-At 2 months
-At 4 months
-At 6-18 months
-At 4-6 years
When do you start giving the flu shot yearly?
At 6 months of age
What is the immunization schedule for MMR?
Give 2 times
-At 12-15 months
-At 4-6 years
What is the immunization schedule for Varicella?
Give 2 times
-At 12-15 months
-At 4-6 years
What is the immunization schedule for Hep A?
Give 2 times
-Both times at 12-23 months
When is the best time to give the meningococcal vaccine?
At 2-6 years for high risk groups
What is screened before giving vaccinations?
Illnesses
Allergies (specifically eggs, neomycin, latex) and reaction
Any travel outside the country
Any recent chemotherapy or radiation therapy
What are contraindications to receiving vaccinations?
Allergies and pregnancy
What are some possible adverse effects of vaccinations?
Redness, swelling and pain at injection site
When is the TB screening done?
At 12 months
, What is done at a TB screening?
Asking questions about history (immigrants, traveled outside the country, homeless or
living in a shelter, nursing student, nurse)
How do we assess a pediatric rash?
Size
Shape
Type
Location
Warmth
Color
Distribution
Dry or oozing
What is a major complication of rashes?
Secondary infection
What are the nursing interventions for rashes in children?
Cooling and decreasing inflammation (cold compress, tepid bath, calamine lotion or
hydrocortisone, oatmeal baths)
Decrease irritants to skin (no baby powders or baby wipes, no scratching, keep area
clean and cover any oozing)
Keep child comfortable (distraction techniques, oven mitts on hands)
What is varicella and how is it spread?
Chicken pox
Viral disease transmitted through direct contact through airborne spread of secretions or
contact with lesions
When is varicella most contagious?
1-2 days before rash and until lesions are crusted over
How long does varicella last typically?
5-7 days
What disease does the Coxsackie virus cause?
Hand foot mouth disease (Herpangina)
How is the Coxsackie virus transmitted?
Fecal oral and respiratory transmission
Where are lesions found in HFM disease and how long do they last?
Lesions on cheeks, gums, sides of tongue, hands and feet for 7-10 days
What are the clinical manifestations of Herpangina?
Acute sudden onset of fever, sore throat, and small discrete grayish lesions
What are the clinical manifestations of measles?
Salt grain-like spots on tongue and inside mouth, confluent dark red to purple blotchy
rash from face and downward
What interventions are used to treat measles?
Rash
What are mumps and how is it spread?
Viral disease where parotid gland becomes inflamed
Spread through direct and droplet contact
What are the clinical manifestations of mumps and how long do they last?
