NUR 6541 MIDTERM EXAM STUDY
SHEET QUESTIONS AND SOLUTIONS
2026 CERTIFICATION EVALUATION.
◍ Diphtheria, tetanus, acellular pertussis (DTaP <7 yrs) Answer:1st
dose 2 mo, 2nd dose 4 months, 3rd dose 6 months, 4th dose 15-18
months, 5th dose 4-6 years old
◍ Haemophilus influenzae type b (Hib) Answer:1st dose 2 months,
2nd dose 4 months, 3rd or 4th dose
◍ Pneumococcal conjugate (PCV13) Answer:1st dose 2 mo, 2nd do 4
mo, 3rd dose 6 month, and then 4th dose btw 12-15 mo
◍ Inactivated poliovirus (IPV <18 yrs) Answer:1st dose 2 mo, 2nd
dose 4 mo, and 3rd dose between 6-18 months. 4th dose btw 4-6 years
old
◍ Influenza (IIV) OR Influenza (LAIV) Answer:1st dose for (IIV) 6
months-6 years old, 1st dose for (LAIV) starts at 2-3 years old until 4-
6 years old. both 1-2 doses
◍ MMR-Measles Mumps & Rubella Answer:For high risk groups `st
dose would be btw 6-9 months. otherwise 1st dose btw 12-15 months.
2nd dose btw 4-6 years
, ◍ Varicella (VAR) Answer:1st dose btw 12-15 months, 2nd dose 4-6
years old
◍ Hep A Answer:High risk groups 6-9 months only. Otherwise its a 2
dose series given anytime between 12-23 months
◍ Tetanus, diphtheria, acellular pertussis (Tdap ≥7 yrs) Answer:11-12
years old receives dose.
◍ What age are accidental fractures uncommon in children that would
raise a red flag for abuse? Answer:·
<18 months of age.
· Rib Fractures are uncommon in infants and young children unless
serious trauma
·
Once walking may have any type of fall including spiral or oblique,
transverse or buckle ( these would be normal)
◍ what kind of fractures would make you suspicious of inflicted
injury? Answer:·
· Classic metaphysical fractures at the end of developing long bones
are generally unique to the infant population and have high specificity
for maltreatment
·
SHEET QUESTIONS AND SOLUTIONS
2026 CERTIFICATION EVALUATION.
◍ Diphtheria, tetanus, acellular pertussis (DTaP <7 yrs) Answer:1st
dose 2 mo, 2nd dose 4 months, 3rd dose 6 months, 4th dose 15-18
months, 5th dose 4-6 years old
◍ Haemophilus influenzae type b (Hib) Answer:1st dose 2 months,
2nd dose 4 months, 3rd or 4th dose
◍ Pneumococcal conjugate (PCV13) Answer:1st dose 2 mo, 2nd do 4
mo, 3rd dose 6 month, and then 4th dose btw 12-15 mo
◍ Inactivated poliovirus (IPV <18 yrs) Answer:1st dose 2 mo, 2nd
dose 4 mo, and 3rd dose between 6-18 months. 4th dose btw 4-6 years
old
◍ Influenza (IIV) OR Influenza (LAIV) Answer:1st dose for (IIV) 6
months-6 years old, 1st dose for (LAIV) starts at 2-3 years old until 4-
6 years old. both 1-2 doses
◍ MMR-Measles Mumps & Rubella Answer:For high risk groups `st
dose would be btw 6-9 months. otherwise 1st dose btw 12-15 months.
2nd dose btw 4-6 years
, ◍ Varicella (VAR) Answer:1st dose btw 12-15 months, 2nd dose 4-6
years old
◍ Hep A Answer:High risk groups 6-9 months only. Otherwise its a 2
dose series given anytime between 12-23 months
◍ Tetanus, diphtheria, acellular pertussis (Tdap ≥7 yrs) Answer:11-12
years old receives dose.
◍ What age are accidental fractures uncommon in children that would
raise a red flag for abuse? Answer:·
<18 months of age.
· Rib Fractures are uncommon in infants and young children unless
serious trauma
·
Once walking may have any type of fall including spiral or oblique,
transverse or buckle ( these would be normal)
◍ what kind of fractures would make you suspicious of inflicted
injury? Answer:·
· Classic metaphysical fractures at the end of developing long bones
are generally unique to the infant population and have high specificity
for maltreatment
·
