AM
NR602 MIDTERM REVIEW EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (234)
Primary prevention does what? Keeps diseases from being established.
health promotion and specific protection.
What are the two types of primary
Health promotion: lifestyle changes and choices, nutrition.
prevention.? Explain each.
Specific protection: actions targeted at specific diseases like immunizations.
What is secondary prevention? early diagnosis and prompt treatment; screenings
What is the goal of secondary To eliminate or reduce symptoms or progression
prevention?
What does tertiary care require? Both specialized expertise and equipment
What is the goal of tertiary care? To improve survival nd quality of life
Disability limitation and rehabilitation.
What're the two types of
Disability limitation: early symptom management
tertiary prevention? Explain,
Rehab: late symptom management
What is quarternary care? Highly specialized expertise and highly unusual or specialized equipment.
Examples of active immunizations and Active: given by live attenuated vaccines or toxoidS
passive? Passive: exogenous antibodies like IGg.
An attenuated form of the virus that induces immunity but doesn't produce
What is a live vaccine? disease.
Usually has a broader and longer lived immunity.
What is a common side effect of a live Rash and fever
vaccine?
Do not give before 1 year of age.
What to not do with a live vaccine?
Do not give to a pregnant woman or 28 days before pregnancy.
Must give both on the same day or you have to wait 4 weeks to give the second
How should live vaccines be given?
one or neither will be effective.
Which vaccines contain thimerosal? MMR
Which vaccines are linked to anaphylaxis? MMR, varicella, influenza, hep B, meningococcal, tetanus.
What can happen after MMR vaccine to Febrile seizures (benign) and measles w/body encephalitis (rare)
immunocomprimised children?
Varicella Zoster vaccine adverse events Chicken pox rash, pneumonia, meningitis, hepatitis in children w/
include? immunodeficiencies
What should be done When multiple Site of injection needs to be at least 1 inch apart. The anterolteral aspect of the
vaccines are given on the same thigh is preferred
extremity? Which extremity is preferred?
How should vaccines not be given? In reduced or divided doses of the same vaccine.
What is true regarding the reimmunization It is not harmful.
of an immune individual?
What is not longer recommended before Pretreatment with Motrin or tylenol
immunization?
The major vaccine contraindication is? anaphylaxis with a prior dose or to a vaccine component
1/
6
, 4/6/25, 8:30 Nr602 midterm review |
AM
Killed antigens. Only contains protein that induces antibody response.
What are inactivated vaccines?
Examples?
DTAP, polio, Hep a/b, HPV, meningococcal, and pneumo.
DTAP is given to children wounded than 7. TDAP is given to ages 7 years nos
DTaP vs. Tdap?
older.
Which component is less effective in the Pertussis component is less effective and adolescents should receive boosters
DTAP vaccine? with Tdap.
Common side effect of meningococcal Headache and irritability.
vax?
3rd trimester of pregnancy (27-36 weeks)
When is TDAP recommended ?
And as a booster every 10 years for
adults.
How many doses of of DTAP is 4 doses
recommended ?
How many doses of polio is 4 doses. Only given to immunocompromised individuals. ( only inactivated
recommended ? Who is it given to? available in the US)
Flu type B vaccine is given in how many 3 doses.
doses?
Hep A Vax is given in how many doses? 1-2 doses. Last 14-20 years.
How long dues immunity lasts?
Hep B vax is given in how many doses? 3 doses, last 20 years. Boosters not recommended.
How long does it last?
HPV vaccine is given in how many doses 2 doses given atleast 5 months apart. Age 9-26. Pregnant women should not get.
and at what age?
Flu vaccine is given when? And to who? Yearly to individuals 6 months and older.
Meningococcal vaccine is given at what 2 doses given at 11-21 years old, with a booster at 16
ages? And how many doses?
Pneumococcal vaccine is given to what Pcv13 given to children until 59 months. Highrisk children get the pcv23
age?
Federal program that allows PCPs to obtain recommended vaccines without cost.
These vax are free to children younger than 19 years old and who are Medicaid
eligible, uninsured, Native American or Alaskan native. Children who do not have
What is the VFC program?
immunization insurance coverage are eligible to receive vaccines at federal
health centers and rural health clinics. This program reduces disparities in
vaccination rates in low income children.
What is Vari ZIG? When should it be Vaccine immureglobulin available for post exposure of varicella. Vaccine should
administered? be administered within 10 days of exposure, preferably 96 hours.
Non specific immunoglobulin g, acyclovir within 7 days, and varicella vaccine
What is a substitute for for variZIG?
given within 3-5 days of exposure.
Rotavirus vaccines increases the risk for Intessuception following 7 days of administration.
what?
individual acquires immunity through the transfer of antibodies formed by an
What is passive immunization ? Who is it immune individual or animal.
given to? This is reserved for individuals who have immunodeficiency's and are not able to
get live vaccines. Can also be given to those who have trouble making antibodies,
2/
6