NUR 3145 - Review Questions - Exam #4
Questions With Correct Answers
1. A nurse at an immunization clinic is providing vaccines to children.
| | | | | | | | | | | |
The parent of a child waiting to receive vaccines tells the nurse that the
| | | | | | | | | | | | | |
child has an immune deficiency disorder. The nurse understands that
| | | | | | | | | |
which vaccine should not be administered to this child?
| | | | | | | |
a. Diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine
| | | | | | | | |
b. Haemophilus influenzae type b (Hib) vaccine
| | | | | |
c. Polio injection
| |
d. Varicella virus vaccine - CORRECT ANSWER✔✔-d. Varicella virus
| | | | | | | | |
vaccine
2. A nurse is preparing to administer vaccines to a 1-year-old child. The
| | | | | | | | | | | | |
parents ask the nurse to give the child acetaminophen before
| | | | | | | | | |
administering the vaccine to reduce the pain. Which response by the
| | | | | | | | | | |
nurse is correct?
| |
a. "Children don't remember pain, so it isn't necessary to give
| | | | | | | | | | |
acetaminophen."
,b. "The small needles used to inject the vaccines cause hardly any
| | | | | | | | | | | |
discomfort."
c. "You can apply a topical anesthetic when you get home to reduce pain
| | | | | | | | | | | | |
from the injection."
| | |
d. "Your child's immune response may not be as effective if I give
| | | | | | | | | | | | |
acetaminophen before the vaccine." - CORRECT ANSWER✔✔-d. "Your | | | | | | | |
child's immune response may not be as effective if I give acetaminophen
| | | | | | | | | | |
before the vaccine."
| | |
3. The parents of an infant who will be attending day care tell the nurse
| | | | | | | | | | | | | | |
that they do not want their child vaccinated against rotavirus because
| | | | | | | | | | |
an older cousin developed intussusception after receiving this vaccine.
| | | | | | | | |
Which response by the nurse is correct?
| | | | | |
a. "Intussusception is much less serious than getting the disease."
| | | | | | | | |
b. "It was probably just a coincidental reaction to the vaccine."
| | | | | | | | | |
c. "The newer vaccines for rotavirus are not associated with
| | | | | | | | | |
intussusception."
d. "Your child will have herd immunity and won't need the vaccine." -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-c. "The newer vaccines for rotavirus are not
| | | | | | | | |
associated with intussusception." | |
4. A -year-old child who has been receiving high-dose systemic
| | | | | | | | | |
glucocorticoids for several months comes to a clinic for school
| | | | | | | | | |
immunizations, which usually include the DTaP vaccine; varicella virus
| | | | | | | | |
,vaccine [Varivax]; the measles, mumps, and rubella virus (MMR)
| | | | | | | | |
vaccine; and the inactivated poliovirus vaccine (IPV). The clinic nurse will
| | | | | | | | | |
expect to administer which vaccines to this child?
| | | | | | | |
a. All four school immunizations
| | | |
b. DTaP and IPV only
| | | |
c. DTaP, OPV, and Varivax only
| | | | |
d. DTaP and IPV, along with immunoglobulins - CORRECT ANSWER✔✔-
| | | | | | | | |
b. DTaP and IPV only
| | | |
5. A 1-year-old child is scheduled to receive the MMR vaccine,
| | | | | | | | | | |
pneumococcal vaccine (PCV), Varivax, and hepatitis A vaccine. The | | | | | | | | |
child's parents request that the MMR vaccine not be given, saying that,
| | | | | | | | | | | |
even though there is no demonstrated link with autism, they are still
| | | | | | | | | | | |
concerned about toxic levels of mercury in the vaccine. Which response
| | | | | | | | | | |
by the nurse is correct?
| | | |
a. "Most U.S.-made vaccines have zero to low amounts of mercury."
| | | | | | | | | |
b. "Other vaccine preparations contain mercury as well."
| | | | | | |
c. "Thimerosal is a nontoxic form of mercury."
| | | | | | |
d. "You can get more mercury from breast milk and many foods on the
| | | | | | | | | | | | | |
market." - CORRECT ANSWER✔✔-a. "Most U.S.-made vaccines have
| | | | | | | |
zero to low amounts of mercury."
| | | | |
, 6. The parent of a 2-month-old infant who has just received the first
| | | | | | | | | | | | |
dose of DTaP asks the nurse about expected reactions to the vaccine.
| | | | | | | | | | | |
The nurse will respond by saying that:
| | | | | |
a. "Mild reactions, including a low-grade fever, are common."
| | | | | | | |
b. "Most children do not experience any reaction."
| | | | | | |
c. "Seizures are common and may require anticonvulsant medication."
| | | | | | | |
d. "The most common reaction is a rash that develops into itchy
| | | | | | | | | | | |
vesicles." - CORRECT ANSWER✔✔-a. "Mild reactions, including a low-
| | | | | | | |
grade fever, are common."
| | |
7. A 1-year-old child receives the MMR vaccine. The next day the child's
| | | | | | | | | | | | |
parent calls the nurse to report that the child has a temperature of
| | | | | | | | | | | | |
103°F. What will the nurse do?
| | | | |
a. File an adverse event report with the Vaccine Adverse Event
| | | | | | | | | | |
Reporting System (VAERS). | |
b. Notify the child's provider that thrombocytopenia is likely to occur.
| | | | | | | | | |
c. Reassure the parent that fever can occur with the MMR vaccine.
| | | | | | | | | | |
d. Tell the parent to take the child to the emergency department. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-c. Reassure the parent that fever can occur with
| | | | | | | | | |
the MMR vaccine.
| |
Questions With Correct Answers
1. A nurse at an immunization clinic is providing vaccines to children.
| | | | | | | | | | | |
The parent of a child waiting to receive vaccines tells the nurse that the
| | | | | | | | | | | | | |
child has an immune deficiency disorder. The nurse understands that
| | | | | | | | | |
which vaccine should not be administered to this child?
| | | | | | | |
a. Diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine
| | | | | | | | |
b. Haemophilus influenzae type b (Hib) vaccine
| | | | | |
c. Polio injection
| |
d. Varicella virus vaccine - CORRECT ANSWER✔✔-d. Varicella virus
| | | | | | | | |
vaccine
2. A nurse is preparing to administer vaccines to a 1-year-old child. The
| | | | | | | | | | | | |
parents ask the nurse to give the child acetaminophen before
| | | | | | | | | |
administering the vaccine to reduce the pain. Which response by the
| | | | | | | | | | |
nurse is correct?
| |
a. "Children don't remember pain, so it isn't necessary to give
| | | | | | | | | | |
acetaminophen."
,b. "The small needles used to inject the vaccines cause hardly any
| | | | | | | | | | | |
discomfort."
c. "You can apply a topical anesthetic when you get home to reduce pain
| | | | | | | | | | | | |
from the injection."
| | |
d. "Your child's immune response may not be as effective if I give
| | | | | | | | | | | | |
acetaminophen before the vaccine." - CORRECT ANSWER✔✔-d. "Your | | | | | | | |
child's immune response may not be as effective if I give acetaminophen
| | | | | | | | | | |
before the vaccine."
| | |
3. The parents of an infant who will be attending day care tell the nurse
| | | | | | | | | | | | | | |
that they do not want their child vaccinated against rotavirus because
| | | | | | | | | | |
an older cousin developed intussusception after receiving this vaccine.
| | | | | | | | |
Which response by the nurse is correct?
| | | | | |
a. "Intussusception is much less serious than getting the disease."
| | | | | | | | |
b. "It was probably just a coincidental reaction to the vaccine."
| | | | | | | | | |
c. "The newer vaccines for rotavirus are not associated with
| | | | | | | | | |
intussusception."
d. "Your child will have herd immunity and won't need the vaccine." -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-c. "The newer vaccines for rotavirus are not
| | | | | | | | |
associated with intussusception." | |
4. A -year-old child who has been receiving high-dose systemic
| | | | | | | | | |
glucocorticoids for several months comes to a clinic for school
| | | | | | | | | |
immunizations, which usually include the DTaP vaccine; varicella virus
| | | | | | | | |
,vaccine [Varivax]; the measles, mumps, and rubella virus (MMR)
| | | | | | | | |
vaccine; and the inactivated poliovirus vaccine (IPV). The clinic nurse will
| | | | | | | | | |
expect to administer which vaccines to this child?
| | | | | | | |
a. All four school immunizations
| | | |
b. DTaP and IPV only
| | | |
c. DTaP, OPV, and Varivax only
| | | | |
d. DTaP and IPV, along with immunoglobulins - CORRECT ANSWER✔✔-
| | | | | | | | |
b. DTaP and IPV only
| | | |
5. A 1-year-old child is scheduled to receive the MMR vaccine,
| | | | | | | | | | |
pneumococcal vaccine (PCV), Varivax, and hepatitis A vaccine. The | | | | | | | | |
child's parents request that the MMR vaccine not be given, saying that,
| | | | | | | | | | | |
even though there is no demonstrated link with autism, they are still
| | | | | | | | | | | |
concerned about toxic levels of mercury in the vaccine. Which response
| | | | | | | | | | |
by the nurse is correct?
| | | |
a. "Most U.S.-made vaccines have zero to low amounts of mercury."
| | | | | | | | | |
b. "Other vaccine preparations contain mercury as well."
| | | | | | |
c. "Thimerosal is a nontoxic form of mercury."
| | | | | | |
d. "You can get more mercury from breast milk and many foods on the
| | | | | | | | | | | | | |
market." - CORRECT ANSWER✔✔-a. "Most U.S.-made vaccines have
| | | | | | | |
zero to low amounts of mercury."
| | | | |
, 6. The parent of a 2-month-old infant who has just received the first
| | | | | | | | | | | | |
dose of DTaP asks the nurse about expected reactions to the vaccine.
| | | | | | | | | | | |
The nurse will respond by saying that:
| | | | | |
a. "Mild reactions, including a low-grade fever, are common."
| | | | | | | |
b. "Most children do not experience any reaction."
| | | | | | |
c. "Seizures are common and may require anticonvulsant medication."
| | | | | | | |
d. "The most common reaction is a rash that develops into itchy
| | | | | | | | | | | |
vesicles." - CORRECT ANSWER✔✔-a. "Mild reactions, including a low-
| | | | | | | |
grade fever, are common."
| | |
7. A 1-year-old child receives the MMR vaccine. The next day the child's
| | | | | | | | | | | | |
parent calls the nurse to report that the child has a temperature of
| | | | | | | | | | | | |
103°F. What will the nurse do?
| | | | |
a. File an adverse event report with the Vaccine Adverse Event
| | | | | | | | | | |
Reporting System (VAERS). | |
b. Notify the child's provider that thrombocytopenia is likely to occur.
| | | | | | | | | |
c. Reassure the parent that fever can occur with the MMR vaccine.
| | | | | | | | | | |
d. Tell the parent to take the child to the emergency department. -
| | | | | | | | | | | | |
CORRECT ANSWER✔✔-c. Reassure the parent that fever can occur with
| | | | | | | | | |
the MMR vaccine.
| |
