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PEDS: IMMUNE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE GRADED A 2025/2026

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PEDS: IMMUNE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATE GRADED A 2025/2026 Terms in this set (18) An infant of a mother infected with human immunodeficiency virus (HIV) is seen in the clinic each month and is being monitored for symptoms indicative of HIV infection. With knowledge of the most common opportunistic infection of children infected with HIV, the nurse assesses the infant for which sign? 1. Cough 2. Liver failure 3. Watery stool 4. Nuchal rigidity 1. Cough Rationale: Acquired immunodeficiency syndrome (AIDS) is a disorder caused by HIV and characterized by generalized dysfunction of the immune system. The most common opportunistic infection of children infected with HIV is Pneumocystis jiroveci pneumonia, which occurs most frequently between the ages of 3 and 6 months, when HIV status may be indeterminate. Cough is a common sign of this opportunistic infection. Cytomegalovirus infection is also characteristic of HIV infection; however, it is not the most common opportunistic infection. Liver failure is a common sign of this complication. Although gastrointestinal disturbances and neurological abnormalities may occur in a child with HIV infection, options 3 and 4 are not specific opportunistic infections noted in the HIV-infected child. Watery stool is noted with gastroenteritis and nuchal rigidity is seen in meningitis. The nurse provides home care instructions to the parent of a child with acquired immunodeficiency syndrome (AIDS). Which statement by the parent indicates the need for further teaching? 1. "I will wash my hands frequently." 2. "I will keep my child's immunizations up to date." 3. "I will avoid direct unprotected contact with my child's body fluids." 4. "I can send my child to day care if he has a fever, as long as it is a low-grade fever." 4. "I can send my child to day care if he has a fever, as long as it is a low-grade fever." Rationale: AIDS is a disorder caused by human immunodeficiency virus (HIV) and characterized by generalized dysfunction of the immune system. A child with AIDS who is sick or has a fever should be kept home and not brought to a day care center. Options 1, 2, and 3 are correct statements and would be actions a caregiver should take when the child has AIDS. The clinic nurse is instructing the parent of a child with human immunodeficiency virus (HIV) infection regarding immunizations. The nurse should provide which instruction to the parent? 1. The hepatitis B vaccine will not be given to the child. 2. The inactivated influenza vaccine will be given yearly. 3. The varicella vaccine will be given before 6 months of age. 4. A Western blot test needs to be performed and the results evaluated before immunizations. 2. The inactivated influenza vaccine will be given yearly. Rationale: Immunizations against common childhood illnesses are recommended for all children exposed to or infected with HIV. The inactivated influenza vaccine that is given intramuscularly will be administered (influenza vaccine should be given yearly). The hepatitis B vaccine is administered according to the recommended immunization schedule. Varicella-zoster virus vaccine should not be given because it is a live virus vaccine; varicella-zoster immunoglobulin may be prescribed after chickenpox exposure. Option 4 is unnecessary and inaccurate. A health care provider prescribes laboratory studies for an infant of a woman positive for human immunodeficiency virus (HIV). The nurse anticipates that which laboratory study will be prescribed for the infant? 1. Chest x-ray 2. Western blot 3. CD4+ cell count 4. p24 antigen assay 4. p24 antigen assay Rationale: Infants born to HIV-infected mothers need to be screened for the HIV antigen. The detection of HIV in infants is confirmed by a p24 antigen assay, virus culture of HIV, or polymerase chain reaction. A Western blot test confirms the presence of HIV antibodies. The CD4+ cell count indicates how well the immune system is working. A chest x-ray evaluates the presence of other manifestations of HIV infection, such as pneumonia.

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8/26/25, 9:29
AM

PEDS: IMMUNE EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED UPDATE GRADED A 2025/2026

Terms in this set (18)



An infant of a mother 1. Cough

infected with human
immunodeficiency virus Rationale:
(HIV) is seen in the clinic Acquired immunodeficiency syndrome (AIDS) is a
each month and is disorder caused by HIV and
being monitored for characterized by generalized dysfunction of the
symptoms indicative immune system. The most common
of HIV infection. With opportunistic infection of children infected
knowledge of the with HIV is Pneumocystis jiroveci
most common pneumonia, which occurs most frequently
opportunistic infection between the ages of 3 and 6 months, when HIV
of children infected with status may be indeterminate. Cough is a
HIV, the nurse assesses common sign of this opportunistic infection.
the infant for which Cytomegalovirus infection is also characteristic
sign? of HIV infection; however,
it is not the most common opportunistic
1. Cough infection. Liver failure is a common sign of this
2. Liver failure complication. Although gastrointestinal
3. Watery stool disturbances and neurological

4. Nuchal rigidity abnormalities may occur in a child with HIV
infection, options 3 and 4 are not specific

1/
19

,8/26/25, 9:29
AM
opportunistic infections noted in the HIV-
infected child. Watery stool is noted with
gastroenteritis and nuchal rigidity is seen in
meningitis.
The nurse provides 4. "I can send my child to day care if he has a fever, as
home care instructions long as it is a low-grade fever."
to the parent of a
child with acquired Rationale:
immunodeficiency
AIDS is a disorder caused by human
syndrome (AIDS). Which
immunodeficiency virus (HIV) and characterized
statement by the parent
by generalized dysfunction of the immune
indicates the need for
system. A child with AIDS who is sick or has a
further teaching?
fever should be kept home and not brought to a
day care center. Options 1, 2, and 3 are correct
1. "I will wash my statements and would be actions a caregiver
hands frequently." should take when the child has AIDS.
2. "I will keep my child's
immunizations up to
date."
3. "I will avoid direct
unprotected contact
with my child's body
fluids."
4. "I can send my child to
day care if he has a
fever, as long as it is a
low-grade fever."




2/
19

, 8/26/25, 9:29
AM



The clinic nurse is 2. The inactivated influenza vaccine will be given
instructing the parent of yearly.
a child with human
immunodeficiency virus Rationale:
(HIV) infection
Immunizations against common childhood illnesses are
regarding
recommended for all
immunizations. The
children exposed to or infected with HIV. The
nurse should provide
inactivated influenza vaccine that is given
which instruction to the
intramuscularly will be administered (influenza
parent?
vaccine should be given yearly). The hepatitis B
vaccine is administered according to the
1. The hepatitis B
recommended immunization schedule.
vaccine will not be
Varicella-zoster virus vaccine should not be
given to the child.
given because it is a live virus vaccine;
2. The inactivated
varicella-zoster immunoglobulin may be
influenza vaccine will
prescribed after chickenpox
be given yearly.
exposure. Option 4 is unnecessary and inaccurate.
3. The varicella vaccine
will be given before 6
months of age.
4. A Western blot
test needs to be
performed and the
results evaluated
before immunizations.




A health care provider 4. p24 antigen assay
prescribes
3/
19

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