FNP Pediatric Exam Test Questions And Answers
Verified 100% Correct
Until relatively recently, _____ allergy was considered a contraindication to
receiving all forms of influenza vaccine. Current recommendations advise that
most individuals with an egg allergy can safely receive the influenza vaccine -
ANSWER- egg
You are making rounds in the nursery and examine the neonate of a mother who
is HBsAg-positive. Your most appropriate action is to: A. administer hepatitis B
immune globulin (HBIG). B. isolate the infant.
C. administer hepatitis B immunization.
D. give hepatitis B immunization and HBIG. - ANSWER- D
Infants who have been infected perinatally with HBV have an estimated 25%
lifetime chance of developing hepatocellular carcinoma or _______. - ANSWER-
cirrhosis
In healthy children, the second and third doses of the HBV vaccine should be
separated by at least how much time?
A. 4 weeks B. 8 weeks C. 6 months D. 1 year - ANSWER- B
Jason is a healthy 18 year old who presents for primary care. According to his
immunization record, he received two doses of HBV vaccine 1 month apart at age
14 years. What is HBV vaccination needs? - ANSWER- He should receive a single
dose of HBV vaccine now
He should receive a single dose of HBV vaccine now - ANSWER- 1991
HBV vaccine is recommended routinely for all infants and is administered in a
three-injection series at ___, ____, & _____ months of age. - ANSWER- 0, 1, and
6
If the HBV vaccine series is interrupted after the first dose, the second dose should
be administered _________. The second and third doses should be separated by an
interval of at least 8 weeks. - ANSWER- as soon as possible.
,T/F: If only the third HBV dose is delayed, it should be administered as soon as
possible. However, it is not necessary to restart the series if a vaccine dose is
missed. - ANSWER- True
Approximately 90% to 95% of people who receive the vaccine develop HBsAb
after three doses, which implies protection from the virus. Therefore Routine
testing for the presence of HBsAb after immunization is or is not generally
recommended? - ANSWER- not recommended
Expected outcomes with the use of varicella vaccine include a reduction in the rate
of all of the following except:
A. shingles.
B. Reye syndrome.
C. aspirin sensitivity.
D. invasive varicella. - ANSWER- C
A healthy child with no evidence of immunity 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? - ANSWER- If given within 3 to 5 days
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. What is the best advice for Maria? -
ANSWER- Maria should be advised to receive two appropriately timed doses of
VZV vaccine after giving birth.
How is the varicella virus most commonly transmitted? - ANSWER- Droplet
Transmission
Which groups with no history of varicella infection or previous immunization
should be targeted for vaccination (choose all that apply)?
A. those born before 1980
B. individuals >8 years old with HIV infection with CD4+ T-lymphocyte counts
,≥200 cells/L C. adults and children with a history of anaphylactic reaction when
exposed to neomycin
D. day-care workers - ANSWER- B and D
Does the varicella vaccine contains live attenuated virus? - ANSWER- Yes
The varicella vaccine is administered in two doses, one at age ____ year and the
second at age ____ to ___ years. - ANSWER- 1
4 to 6
Usual treatment option for a child with hepatitis A includes: A. interferon alpha. B.
ribavirin. C. acyclovir. D. supportive care. - ANSWER-
Older children and adults with no history of varicella infection or previous
immunization should receive _______ immunizations ___ to ___ weeks apart. -
ANSWER- 2, 4 to 8
An 11-year-old well child presents with no documented primary tetanus
immunization series. Which of the following represents the immunization needed?
A. three doses of DTaP (diphtheria, tetanus, acellular pertussis) vaccine 2 months
apart
B. tetanus immune globulin now and two doses of tetanus-diphtheria (Td) 1 month
apart
C. one dose of Tdap (tetanus, diphtheria, acellular pertussis vaccine) followed by
two doses of Td (tetanus, diphtheria) in 1 and 6 months
D. Td (tetanus, diphtheria) as a single dose - ANSWER- C
Infection with Corynebacterium diphtheriae
usually causes:
A. a diffuse
rash.
B. meningitis.
C. pseudomembranous
pharyngitis.
D. a gastroenteritis-like illness. -
ANSWER- C
The tetanus infection is caused by ________, an anaerobic,
gram-positive, spore-
forming rod. This organism is found in soil and is
particularly potent in manure.
, ANSWER- Clostridium
tetani
-
If _______ is contracted, it enters the body through a contaminated wound and
causes a life-threatening systemic disease characterized by painful muscle
weakness and spasm ("lockjaw"). - ANSWER- tetanus
_________ is caused by C. diphtheriae, a gram-negative bacillus. - ANSWER-
Diphtheria
Diphtheria infection is typically transmitted person-to-person or through
contaminated liquids such as ______. - ANSWER- Milk
Diphtheria is characterized by severe ____________ tract infection, including the
appearance of pseudomembranous pharyngitis. - ANSWER- respiratory
Children should get ______ doses of DTaP vaccine, one dose at each of the
following ages: 2 months, 4 months, 6 months, 5 to 18 months and 4 to 6 years. -
ANSWER- five
A single dose of Tdap is recommended for people ______ to _______ years of age.
- ANSWER- 11 to 64
A booster tetanus dose every ____ years is recommended, but protection is likely
provided for 20 to 30 years after a primary series - ANSWER- 10
Women, including teens, should receive Tdap during each of their pregnancies
(preferably in the ______ trimester. - ANSWER- third
Which of the following is one of the more common sources of hepatitis A infection
in the United States?
A. receiving blood products
B. ingestion of raw shellfish
C. drinking municipally sourced tap water drinking water
D. exposure to fecally contaminated food - ANSWER- C
The hepatitis A vaccine should be administered in childhood per the following
Verified 100% Correct
Until relatively recently, _____ allergy was considered a contraindication to
receiving all forms of influenza vaccine. Current recommendations advise that
most individuals with an egg allergy can safely receive the influenza vaccine -
ANSWER- egg
You are making rounds in the nursery and examine the neonate of a mother who
is HBsAg-positive. Your most appropriate action is to: A. administer hepatitis B
immune globulin (HBIG). B. isolate the infant.
C. administer hepatitis B immunization.
D. give hepatitis B immunization and HBIG. - ANSWER- D
Infants who have been infected perinatally with HBV have an estimated 25%
lifetime chance of developing hepatocellular carcinoma or _______. - ANSWER-
cirrhosis
In healthy children, the second and third doses of the HBV vaccine should be
separated by at least how much time?
A. 4 weeks B. 8 weeks C. 6 months D. 1 year - ANSWER- B
Jason is a healthy 18 year old who presents for primary care. According to his
immunization record, he received two doses of HBV vaccine 1 month apart at age
14 years. What is HBV vaccination needs? - ANSWER- He should receive a single
dose of HBV vaccine now
He should receive a single dose of HBV vaccine now - ANSWER- 1991
HBV vaccine is recommended routinely for all infants and is administered in a
three-injection series at ___, ____, & _____ months of age. - ANSWER- 0, 1, and
6
If the HBV vaccine series is interrupted after the first dose, the second dose should
be administered _________. The second and third doses should be separated by an
interval of at least 8 weeks. - ANSWER- as soon as possible.
,T/F: If only the third HBV dose is delayed, it should be administered as soon as
possible. However, it is not necessary to restart the series if a vaccine dose is
missed. - ANSWER- True
Approximately 90% to 95% of people who receive the vaccine develop HBsAb
after three doses, which implies protection from the virus. Therefore Routine
testing for the presence of HBsAb after immunization is or is not generally
recommended? - ANSWER- not recommended
Expected outcomes with the use of varicella vaccine include a reduction in the rate
of all of the following except:
A. shingles.
B. Reye syndrome.
C. aspirin sensitivity.
D. invasive varicella. - ANSWER- C
A healthy child with no evidence of immunity 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? - ANSWER- If given within 3 to 5 days
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. What is the best advice for Maria? -
ANSWER- Maria should be advised to receive two appropriately timed doses of
VZV vaccine after giving birth.
How is the varicella virus most commonly transmitted? - ANSWER- Droplet
Transmission
Which groups with no history of varicella infection or previous immunization
should be targeted for vaccination (choose all that apply)?
A. those born before 1980
B. individuals >8 years old with HIV infection with CD4+ T-lymphocyte counts
,≥200 cells/L C. adults and children with a history of anaphylactic reaction when
exposed to neomycin
D. day-care workers - ANSWER- B and D
Does the varicella vaccine contains live attenuated virus? - ANSWER- Yes
The varicella vaccine is administered in two doses, one at age ____ year and the
second at age ____ to ___ years. - ANSWER- 1
4 to 6
Usual treatment option for a child with hepatitis A includes: A. interferon alpha. B.
ribavirin. C. acyclovir. D. supportive care. - ANSWER-
Older children and adults with no history of varicella infection or previous
immunization should receive _______ immunizations ___ to ___ weeks apart. -
ANSWER- 2, 4 to 8
An 11-year-old well child presents with no documented primary tetanus
immunization series. Which of the following represents the immunization needed?
A. three doses of DTaP (diphtheria, tetanus, acellular pertussis) vaccine 2 months
apart
B. tetanus immune globulin now and two doses of tetanus-diphtheria (Td) 1 month
apart
C. one dose of Tdap (tetanus, diphtheria, acellular pertussis vaccine) followed by
two doses of Td (tetanus, diphtheria) in 1 and 6 months
D. Td (tetanus, diphtheria) as a single dose - ANSWER- C
Infection with Corynebacterium diphtheriae
usually causes:
A. a diffuse
rash.
B. meningitis.
C. pseudomembranous
pharyngitis.
D. a gastroenteritis-like illness. -
ANSWER- C
The tetanus infection is caused by ________, an anaerobic,
gram-positive, spore-
forming rod. This organism is found in soil and is
particularly potent in manure.
, ANSWER- Clostridium
tetani
-
If _______ is contracted, it enters the body through a contaminated wound and
causes a life-threatening systemic disease characterized by painful muscle
weakness and spasm ("lockjaw"). - ANSWER- tetanus
_________ is caused by C. diphtheriae, a gram-negative bacillus. - ANSWER-
Diphtheria
Diphtheria infection is typically transmitted person-to-person or through
contaminated liquids such as ______. - ANSWER- Milk
Diphtheria is characterized by severe ____________ tract infection, including the
appearance of pseudomembranous pharyngitis. - ANSWER- respiratory
Children should get ______ doses of DTaP vaccine, one dose at each of the
following ages: 2 months, 4 months, 6 months, 5 to 18 months and 4 to 6 years. -
ANSWER- five
A single dose of Tdap is recommended for people ______ to _______ years of age.
- ANSWER- 11 to 64
A booster tetanus dose every ____ years is recommended, but protection is likely
provided for 20 to 30 years after a primary series - ANSWER- 10
Women, including teens, should receive Tdap during each of their pregnancies
(preferably in the ______ trimester. - ANSWER- third
Which of the following is one of the more common sources of hepatitis A infection
in the United States?
A. receiving blood products
B. ingestion of raw shellfish
C. drinking municipally sourced tap water drinking water
D. exposure to fecally contaminated food - ANSWER- C
The hepatitis A vaccine should be administered in childhood per the following
