FNP Pediatrics Exam Questions with
Verified Solutions
Given at age 1 year x 2 doses; given 6 mo. apart; (Hep A spread by direct contact &
contaminated food or water) - ANSWER-Hepatitis A Immunization
Given at birth, 1-2 months & 6 months (Given at least 1 month apart); Series of 3
immunizations; (Hep B spread by contact with blood or body fluids) - ANSWER-
Hepatitis B Immunization
Diphtheria, Tetanus, acellular Pertussis <7 years of age only: Multiple injections;
Minimum age for initial dose 6 weeks; Normal schedule 2, 4, 6 months, then 15-18
months (at least 6 mo. from dose # 3), then 4-6 years (final dose at age > 4 years of
age) - ANSWER-DTaP Immunization
Tetanus, diphtheria, acellular Pertussis >7 years of age: Tdap booster; give 11-12
years, give regardless of the last interval since Td immunization; After Tdap, patients
should receive Td booster every 10 years - ANSWER-Tdap Immunization (Booster)
Haemophilus influenza Type B; Age 2, 4, 6, 12-15 months (series of 4 immunizations);
Unvaccinated children ages >15 months, administer only one dose - ANSWER-Hib
Immunization
Age 2, 4, 6, 12-15 months, & 4-6 years; Note: drastic decline in otitis media cases since
pneumococcal vaccine has been given - ANSWER-Pneumoccoccal conjugate vaccine
PCV (PCV 13)
Age 2, 4, 6-18 months, & 4-6 years; Note: no longer a live vaccine, can give to
immunocompromised patients (oral polio no longer available) - ANSWER-Polio (IPV)
Immunization
Must replicate in order to produce immunity; Fever, rash represents a reaction to viral
replication, not the vaccine; Ok to get rash as long as it is not pruritic - ANSWER-Live
Attenuated Vaccine
#1 Age 12-15 months & #2 Age 4-6 years; Do Not give to Pregnant or
Immunocompromised patients. (Live vaccine) - ANSWER-MMR (Measles, Mumps &
Rubella vaccine)
Age 12-18 months, then booster at 4-6 years OR age 11-12 years if child lacks a
reliable history of chicken pox infection. If given >13 years, then 2 doses are required at
, least one month apart. Note: May give with MMR, otherwise they have to be given one
month apart from each other. - ANSWER-Varicella (Chicken Pox vaccine)
Annually > 6 months of age; children less < 8 years receiving flu for first time, need 2
doses separated by 4 weeks - ANSWER-Influenza Vaccine
Given at age 11-12 years; booster at age 16. Can be given later, if given at age >16 yrs
then no booster is given. Goal to give prior to becoming at risk (ie: at college living in
dorms) - ANSWER-Meningococcal Conjugate Vaccine (MCV4)
HPV minimum age 9; approved for boys (HPV4, Gardasil); Administer first dose to
females at age 11-12 (HPV2, Cervarix); administer 2nd dose 1-2 months later; third
dose 6 months after 1st dose (Total 3 immunizations) - ANSWER-Human Papilloma
Virus (HPV)
Monitor CDC for updates; Vaccine given 4 days prior to due date is considered valid,
given >5 days prior to scheduled time is INVALID and should be repeated - ANSWER-
Vaccines Schedule
Protects mother and infant from pertussis - ANSWER-Why do we give pregnant
mother's Tdap for every pregnancy?
At least 15 minutes; likely time to have a reaction is within 15 min.; Risk of injury if
driving home during reaction if not being monitored. - ANSWER-Per the CDC how long
should you monitor a patient after receiving an immunization?
Rash; expected reaction - ANSWER-What notable event occurs with regularity about
one week after receiving the MMR immunization?
NONE, for a non-pruritic rash - ANSWER-Patient that has an allergy to eggs that
causes a non-pruritic rash. Which immunizations are contraindicated?
Influenza; should not be given. There is the availability of an alternative immunization
for patient's that have egg allergies. - ANSWER-Patient that has an allergy to eggs that
produces hives. Which immunizations are contraindicated?
Varicella, MMR, LAIV (Flumist), zoster vaccine - ANSWER-Which immunizations are
live or attenuated?
In 3 weeks (has to be given 4 weeks apart from each other) - ANSWER-A 12 month old
received MMR immunization 1 week ago. When can the varicella immunization be
given?
Hyperactivity, Impulsivity, Inattention - ANSWER-ADHD (Attention Deficit Hyperactivity
Disorder)
Verified Solutions
Given at age 1 year x 2 doses; given 6 mo. apart; (Hep A spread by direct contact &
contaminated food or water) - ANSWER-Hepatitis A Immunization
Given at birth, 1-2 months & 6 months (Given at least 1 month apart); Series of 3
immunizations; (Hep B spread by contact with blood or body fluids) - ANSWER-
Hepatitis B Immunization
Diphtheria, Tetanus, acellular Pertussis <7 years of age only: Multiple injections;
Minimum age for initial dose 6 weeks; Normal schedule 2, 4, 6 months, then 15-18
months (at least 6 mo. from dose # 3), then 4-6 years (final dose at age > 4 years of
age) - ANSWER-DTaP Immunization
Tetanus, diphtheria, acellular Pertussis >7 years of age: Tdap booster; give 11-12
years, give regardless of the last interval since Td immunization; After Tdap, patients
should receive Td booster every 10 years - ANSWER-Tdap Immunization (Booster)
Haemophilus influenza Type B; Age 2, 4, 6, 12-15 months (series of 4 immunizations);
Unvaccinated children ages >15 months, administer only one dose - ANSWER-Hib
Immunization
Age 2, 4, 6, 12-15 months, & 4-6 years; Note: drastic decline in otitis media cases since
pneumococcal vaccine has been given - ANSWER-Pneumoccoccal conjugate vaccine
PCV (PCV 13)
Age 2, 4, 6-18 months, & 4-6 years; Note: no longer a live vaccine, can give to
immunocompromised patients (oral polio no longer available) - ANSWER-Polio (IPV)
Immunization
Must replicate in order to produce immunity; Fever, rash represents a reaction to viral
replication, not the vaccine; Ok to get rash as long as it is not pruritic - ANSWER-Live
Attenuated Vaccine
#1 Age 12-15 months & #2 Age 4-6 years; Do Not give to Pregnant or
Immunocompromised patients. (Live vaccine) - ANSWER-MMR (Measles, Mumps &
Rubella vaccine)
Age 12-18 months, then booster at 4-6 years OR age 11-12 years if child lacks a
reliable history of chicken pox infection. If given >13 years, then 2 doses are required at
, least one month apart. Note: May give with MMR, otherwise they have to be given one
month apart from each other. - ANSWER-Varicella (Chicken Pox vaccine)
Annually > 6 months of age; children less < 8 years receiving flu for first time, need 2
doses separated by 4 weeks - ANSWER-Influenza Vaccine
Given at age 11-12 years; booster at age 16. Can be given later, if given at age >16 yrs
then no booster is given. Goal to give prior to becoming at risk (ie: at college living in
dorms) - ANSWER-Meningococcal Conjugate Vaccine (MCV4)
HPV minimum age 9; approved for boys (HPV4, Gardasil); Administer first dose to
females at age 11-12 (HPV2, Cervarix); administer 2nd dose 1-2 months later; third
dose 6 months after 1st dose (Total 3 immunizations) - ANSWER-Human Papilloma
Virus (HPV)
Monitor CDC for updates; Vaccine given 4 days prior to due date is considered valid,
given >5 days prior to scheduled time is INVALID and should be repeated - ANSWER-
Vaccines Schedule
Protects mother and infant from pertussis - ANSWER-Why do we give pregnant
mother's Tdap for every pregnancy?
At least 15 minutes; likely time to have a reaction is within 15 min.; Risk of injury if
driving home during reaction if not being monitored. - ANSWER-Per the CDC how long
should you monitor a patient after receiving an immunization?
Rash; expected reaction - ANSWER-What notable event occurs with regularity about
one week after receiving the MMR immunization?
NONE, for a non-pruritic rash - ANSWER-Patient that has an allergy to eggs that
causes a non-pruritic rash. Which immunizations are contraindicated?
Influenza; should not be given. There is the availability of an alternative immunization
for patient's that have egg allergies. - ANSWER-Patient that has an allergy to eggs that
produces hives. Which immunizations are contraindicated?
Varicella, MMR, LAIV (Flumist), zoster vaccine - ANSWER-Which immunizations are
live or attenuated?
In 3 weeks (has to be given 4 weeks apart from each other) - ANSWER-A 12 month old
received MMR immunization 1 week ago. When can the varicella immunization be
given?
Hyperactivity, Impulsivity, Inattention - ANSWER-ADHD (Attention Deficit Hyperactivity
Disorder)
