NP Assessment –Chamberlain College
Of Nursing(2026/2027) – Questions
With 100% Verified Correct Answers
Jason is a healthy 18-year-old who presents for primary care. According to his
immunization record, he received two dose of HBV vaccine
1 month apart at age 14 years. Which of the following best describes his HBV
vaccination needs?
A. He should receive a single dose of HBV
vaccine now.
B. A three-dose HBV vaccine series should be started
during today's visit.
C. He has completed the recommended HBV vaccine
series.
D. He should be tested for HBsAb and further
immunization recommendations should be made according to the test results. - Correct
Answers-A
Primary prevention - Correct Answers-prevent the onset or acquisition of a given
disease.
education and counseling
the most effective form of healthcare.
Secondary prevention - Correct Answers-to identify and treat asymptomatic persons
who have risk factors for a given disease or in preclinical disease.
screening,
BP for HTN
Lipid Profile for HLD
Tertiary prevention - Correct Answers-management of an established disease.
minimize disease
medications and lifestyle modification to normalize
aimed at improving or minimizing disease-related symptoms.
,Active immunity is defined as - Correct Answers-resistance developed in response to an
antigen.
Which of the following statements best describes zanamivir (Relenza) or oseltamivir
(Tamiflu) use in the care of patients with or at risk for influenza? - Correct Answers-
Initiation of therapy early in acute influenza illness can help minimize the severity of
disease when the illness is caused by a nonresistant viral strain.
Preventive Services Recommended by the USPSTF - Correct Answers-
Preventive Services Recommended by the USPSTF 2 - Correct Answers-
In an immunocompetent adult, the length of incubation for the influenza virus is on
average: - Correct Answers-1-4 days
Adults pass the illness on 1 day before the onset of symptoms and continue to remain
infectious for approximately 5 days after the onset of the illness. Children remain
infectious for 10 or more days after the onset of symptoms and can shed the virus
before the onset of symptoms. People who are immunocompromised can remain
infectious for up to 3 weeks.
Influenza protection options for a 62-year-old man with hypertension, dyslipidemia, and
type 2 diabetes mellitus include receiving: - Correct Answers-trivalent inactivated
vaccine (TIV) in standard dose via intramuscular injection.
This is the typical "flu shot." A quadrivalent inactivated vaccine is also available.
injected is not live but the nasal spray is
Which of the following should not receive vaccination against influenza?
A. a 19 year-old with a history of hive-form reaction to eating eggs
B. a 24-year-old woman who is 8 weeks pregnant
C. a 4-month-old infant who was born at 32 weeks of gestation
D. a 28-year-old woman who is breastfeeding a 2 week old. - Correct Answers-c
all members of the population age 6 months and older should receive annual
immunization against seasonal influenza.
those with an egg allergy that is only hives should be given the vax
A healthy 6-year-old girl presents for care. Her parents request that she receive
vaccination for influenza and report that she has not received this vaccine in the past.
How many doses of influenza vaccine should she receive this flu season?
A.1 B.2 C.3 D.4 - Correct Answers-b
,All children aged 6 months to 8 years who receive a seasonal influenza vaccine for the
first time should receive 2 doses spaced ≥4 weeks apart.
high risk populations that need flu vax - Correct Answers-• All children aged 6 through
59 months.
• Adults and children who have chronic pulmonary (including asthma) or cardiovascular
(except isolated hypertension), renal, hepatic, neurological, hematologic, or metabolic
disorders (including diabetes mellitus). Individuals age 50 years of age and older.
• Persons who have immunosuppression (including immunosuppression caused by
medications or by HIV infection).
• Women who are or will be pregnant during the influenza season.
• Children and adolescents (aged 6 months - 18 years) who are receiving long-term
aspirin therapy and who might be
at risk for experiencing Reye's syndrome after influenza virus infection.
• Residents of nursing homes and other long-term care facilities.
• American Indians/Alaska Natives.
• Persons who are morbidly obese (BMI ≥40) kg/m2.
• People who live with or care for those at high risk for complications from flu, including:
• Healthcare workers.
• Household contacts of persons with medical conditions that put them at high risk for
complications from the flu.
• Household contacts and out of home caregivers of children aged ≤59 months and
adults aged ≥50 years, with par-
ticular emphasis on vaccinating contacts of children less than 6 months of age. (These
children are too young to be vaccinated.)
LAIV is approved for___ - Correct Answers-LAIV is approved for use in healthy people
ages 2 to 49 years old
It is not for patients with a health condition that places them at high risk for
complications from influenza, including chronic heart disease, chronic lung dis- ease
such as asthma or reactive airways disease, diabetes or kidney failure, and
immunosuppression; children or adolescents receiving long-term high-dose aspirin
therapy; people with a history of Guillain-Barré syndrome; pregnant women; and people
with a history of allergy to any of the components of LAIV. Adverse effects of LAIV
include nasal irritation and discharge, muscle aches, sore throat, and fever.
FDA approved antiviral drugs for flu - Correct Answers-In the United States, four
antiviral drugs are approved by the Food and Drug Administration (FDA) for use against
influenza: amantadine (Symmetrel), rimantadine (Flumadine), zanamivir (Relenza), and
oseltamivir (Tamiflu).
which flu drugs are only for influenza A and what are the new reccs for them - Correct
Answers-amantadine (Symmetrel), rimantadine (Flumadine)
, high levels of resistance of influenza A viruses to amantadine and similar medications.
Because of this significant level of resistance, amantadine and rimantadine are no
longer recommended by the CDC for the treatment of influenza.
adverse affects of the 2 main flu antiviral drugs - Correct Answers-Zanamivir is inhaled
and can cause bronchospasm, especially in patients with asthma or other chronic lung
disease.
The adverse effects of oseltamivir are largely gastrointestinal; the risk of nausea and
vomiting is significantly reduced if the medication is taken with food.
When considering an adult's risk for measles, mumps, and rubella (MMR), the NP
considers the following: A. Patients born before 1957 have a high likelihood of
immunity against these diseases because of a history
of natural infection.
B. Considerable mortality and morbidity occur with all
three diseases.
C. Most cases in the United States occur in infants.
D. The use of the MMR vaccine is often associated with protracted arthralgia. - Correct
Answers-A
The MMR vaccine contains live but weakened (attenuated) virus.
Two immunizations 1 month apart are recommended for adults born after 1957 because
adults born before then are considered immune as a result of having had these
diseases(native or wild infection); vaccine against these three formerly common
illnesses was unavailable until the 1960s
Which of the following is true about the MMR vaccine?
A. It contains inactivated virus.
B. Its use is contraindicated in patients with a history of egg allergy.
C. Revaccination of an immune person is associated with risk of significant systemic
allergic reaction.
D. Two doses at least 1 month apart are recommended for young adults who have not
been previously immunized. - Correct Answers-D
A 22-year-old man is starting a job in a college health center and needs proof of
German measles, measles, and mumps immunity. He received childhood
immunizations and supplies documentation of MMR vaccination at age 1.5 years. Your
best response is to:
A. obtain rubella, measles (rubeola), and mumps titers.
B. give MMR immunization now.
C. advise him to obtain IG if he has been exposed to
measles or rubella.
D. advise him to avoid individuals with skin rashes. - Correct Answers-b