NURS 5432 FNP 1 EXAM SCRIPT VERIFIED
QUESTIONS WITH COMPLETE SOLUTION
REVIEW
●● Vaccinations
Answer: Should not be delayed due to minor illnesses, even if they illicit
low-grade fever. However, for moderate to severe infections,
vaccinations could be postponed.
●● Premature infants immunization schedule
Answer: Should follow a schedule for immunizations based on their
chronological age, not their gestational age.
●● Vaccine dose adjustment for premature or low-birthweight patients
Answer: Vaccine doses should not be adjusted (reduced) for these
patients.
●● Chronic diseases and vaccinations
Answer: Chronic diseases are not outright contra-indications; however,
vaccination with DTaP should be deferred until the neurologic condition
has been clarified and/or is stable.
●● Rotarix vaccine schedule
,Answer: Doses should be given 28 days apart - for infants, given at age
2 mo and 4 mo, completed by 24 weeks.
●● Rotateq vaccine schedule
Answer: 3 doses completed by 32 weeks of age.
●● Immunodeficient children and live-virus vaccines
Answer: Should not be given live-virus vaccines.
●● Examples of live-virus vaccines
Answer: Oral polio vaccine [OPV, not available in the United States],
Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live attenuated),
Live-bacteria vaccines (BCG or live typhoid fever vaccine).
●● Live virus vaccine eligibility for children with malignancy
Answer: If malignancy is in remission or chemo hasn't been
administered within 90 days they can receive live virus vaccine.
●● Known allergies and vaccines
Answer: MMR, IPV, and VAR contain microgram quantities of
neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these
antibiotics should not be given these vaccines.
,●● Egg antigens in vaccines
Answer: Trace quantities of egg antigens may be present in both
inactivated and live influenza and yellow fever vaccines.
●● Influenza vaccination guidelines for children with egg allergies
Answer: Guidelines for influenza vaccination in children with egg
allergies have recently changed.
●● Egg protein allergy
Answer: Trace amounts of egg protein are generally considered below
the threshold needed to induce an allergic reaction.
●● Influenza vaccine for children
Answer: Children with severe egg allergy can be vaccinated with
influenza vaccine with no special precautions beyond those for any other
vaccine.
●● Contraindications for RV vaccine
Answer: RV1 should not be given to infants with a severe latex allergy;
container for RV1 med has latex.
●● SCID and RV vaccines
Answer: Both vaccines (RV1 + RV5) are contraindicated in infants with
severe combined immunodeficiency (SCID).
, ●● Biologic response modifier
Answer: RV vaccines should be avoided in infants whose mother
received a biologic response modifier (eg, etanercept) during pregnancy.
●● Acute gastroenteritis and vaccination
Answer: Vaccination should be deferred in infants with acute moderate
or severe gastroenteritis.
●● Developmental milestones at 3 months
Answer: They can lift their heads with good control.
●● Developmental milestones at 6 months
Answer: Sit independently.
●● Developmental milestones at 4 months
Answer: Roll over from front to back by 6 months.
●● Hand to hand transfer
Answer: Occurs at 5-6 months.
●● Pincer grasp
Answer: Develops at 8-10 months.
QUESTIONS WITH COMPLETE SOLUTION
REVIEW
●● Vaccinations
Answer: Should not be delayed due to minor illnesses, even if they illicit
low-grade fever. However, for moderate to severe infections,
vaccinations could be postponed.
●● Premature infants immunization schedule
Answer: Should follow a schedule for immunizations based on their
chronological age, not their gestational age.
●● Vaccine dose adjustment for premature or low-birthweight patients
Answer: Vaccine doses should not be adjusted (reduced) for these
patients.
●● Chronic diseases and vaccinations
Answer: Chronic diseases are not outright contra-indications; however,
vaccination with DTaP should be deferred until the neurologic condition
has been clarified and/or is stable.
●● Rotarix vaccine schedule
,Answer: Doses should be given 28 days apart - for infants, given at age
2 mo and 4 mo, completed by 24 weeks.
●● Rotateq vaccine schedule
Answer: 3 doses completed by 32 weeks of age.
●● Immunodeficient children and live-virus vaccines
Answer: Should not be given live-virus vaccines.
●● Examples of live-virus vaccines
Answer: Oral polio vaccine [OPV, not available in the United States],
Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live attenuated),
Live-bacteria vaccines (BCG or live typhoid fever vaccine).
●● Live virus vaccine eligibility for children with malignancy
Answer: If malignancy is in remission or chemo hasn't been
administered within 90 days they can receive live virus vaccine.
●● Known allergies and vaccines
Answer: MMR, IPV, and VAR contain microgram quantities of
neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these
antibiotics should not be given these vaccines.
,●● Egg antigens in vaccines
Answer: Trace quantities of egg antigens may be present in both
inactivated and live influenza and yellow fever vaccines.
●● Influenza vaccination guidelines for children with egg allergies
Answer: Guidelines for influenza vaccination in children with egg
allergies have recently changed.
●● Egg protein allergy
Answer: Trace amounts of egg protein are generally considered below
the threshold needed to induce an allergic reaction.
●● Influenza vaccine for children
Answer: Children with severe egg allergy can be vaccinated with
influenza vaccine with no special precautions beyond those for any other
vaccine.
●● Contraindications for RV vaccine
Answer: RV1 should not be given to infants with a severe latex allergy;
container for RV1 med has latex.
●● SCID and RV vaccines
Answer: Both vaccines (RV1 + RV5) are contraindicated in infants with
severe combined immunodeficiency (SCID).
, ●● Biologic response modifier
Answer: RV vaccines should be avoided in infants whose mother
received a biologic response modifier (eg, etanercept) during pregnancy.
●● Acute gastroenteritis and vaccination
Answer: Vaccination should be deferred in infants with acute moderate
or severe gastroenteritis.
●● Developmental milestones at 3 months
Answer: They can lift their heads with good control.
●● Developmental milestones at 6 months
Answer: Sit independently.
●● Developmental milestones at 4 months
Answer: Roll over from front to back by 6 months.
●● Hand to hand transfer
Answer: Occurs at 5-6 months.
●● Pincer grasp
Answer: Develops at 8-10 months.
