Pediatric Immunization: Practice Test 2 (Units 8-13) - Questions
with Correct Answers
100 questions
1. A 5-month-old receiving catch-up should get rotavirus vaccine if:
A. The infant is 5 months, regardless of prior doses
B. The infant is breastfed
C. The first dose was started by 14 weeks 6 days and the final dose can be given by 8 months
D. It is winter
Correct Answer: C. The first dose was started by 14 weeks 6 days and the final dose can be
given by 8 months
Rationale: Age limits.
2. A child's vaccine record shows MMR given at 11 months 26 days. This dose:
A. Must be repeated
B. Is dangerous
C. Counts only for measles
D. Counts, because of the 4-day grace period
Correct Answer: D. Counts, because of the 4-day grace period
Rationale: Within 4 days of the 1st birthday.
3. A 9-month-old has had only the birth HepB dose. Catch-up includes:
A. Starting MMR
B. DTaP, Hib, IPV, PCV and HepB doses at minimum intervals; rotavirus is no longer given
C. Only rotavirus
D. Restarting HepB
Correct Answer: B. DTaP, Hib, IPV, PCV and HepB doses at minimum intervals; rotavirus is
no longer given
Rationale: Too old for rotavirus.
4. Accelerated schedules using minimum intervals are useful for:
A. Catching up children quickly before travel or school
B. Routine healthy infants on time
C. Adults over 65
D. Delaying vaccines
Correct Answer: A. Catching up children quickly before travel or school
Rationale: Catch-up strategy.
5. Catch-up vaccination schedules are based on:
A. The child's weight only
B. Parent preference only
C. Minimum ages and minimum intervals between doses
D. The season
Correct Answer: C. Minimum ages and minimum intervals between doses
Rationale: CDC catch-up tables.
,6. A child's record shows MMR given at 11 months 20 days. This dose:
A. Counts
B. Counts only for rubella
C. Does not count and must be repeated
D. Counts if the parent agrees
Correct Answer: C. Does not count and must be repeated
Rationale: More than 4 days early.
7. When a child falls behind on vaccines, the nurse should:
A. Restart every series
B. Continue the series without restarting it
C. Skip the missed doses
D. Wait until school entry
Correct Answer: B. Continue the series without restarting it
Rationale: Never restart a series due to delay.
8. The 4-day grace period does NOT apply to:
A. The 28-day interval between two different live injectable vaccines
B. DTaP intervals
C. IPV intervals
D. PCV intervals
Correct Answer: A. The 28-day interval between two different live injectable vaccines
Rationale: Strict live vaccine rule.
9. The CDC schedule notes section provides:
A. Vaccine prices
B. Disease incidence
C. Detailed guidance on catch-up, special situations and products
D. Billing codes
Correct Answer: C. Detailed guidance on catch-up, special situations and products
Rationale: Use notes.
10. Two live injectable vaccines not given on the same day must be separated by at least:
A. 1 week
B. 4 weeks (28 days)
C. 6 months
D. 1 day
Correct Answer: B. 4 weeks (28 days)
Rationale: Prevents interference.
11. A child moving from another country with an unreadable record should be:
A. Assumed fully vaccinated
B. Refused care
C. Given only MMR
D. Vaccinated as if unvaccinated, or tested for immunity where appropriate
Correct Answer: D. Vaccinated as if unvaccinated, or tested for immunity where appropriate
Rationale: Documentation rule.
, 12. The catch-up schedule for PCV in healthy children ends at:
A. 59 months (5 years)
B. 12 months
C. 24 months
D. 18 years
Correct Answer: A. 59 months (5 years)
Rationale: Unless high risk.
13. The minimum interval between HepB dose 1 and dose 2 is:
A. 8 weeks
B. 6 months
C. 1 week
D. 4 weeks
Correct Answer: D. 4 weeks
Rationale: Then 8 weeks between dose 2 and 3, and 16 weeks between dose 1 and 3.
14. Extra doses of vaccine given because records are unavailable are:
A. Generally safe
B. Dangerous and contraindicated
C. Never allowed
D. Always cause severe reactions
Correct Answer: A. Generally safe
Rationale: Except more local reactions with tetanus toxoids.
15. Inactivated vaccines given after immune globulin:
A. Must wait 1 year
B. Are contraindicated
C. Generally do not need to be delayed
D. Must be doubled
Correct Answer: C. Generally do not need to be delayed
Rationale: Little interference.
16. If a child's rotavirus vaccine product used for prior doses is unknown, the series should:
A. Default to 2 doses
B. Be restarted
C. Be stopped
D. Default to 3 doses
Correct Answer: D. Default to 3 doses
Rationale: Assume RV5.
17. Children aged 12-23 months who missed PCV doses before 12 months:
A. Need catch-up per the PCV table, often 2 doses 8 weeks apart
B. Need 4 doses
C. Need no PCV
D. Need PPSV23
Correct Answer: A. Need catch-up per the PCV table, often 2 doses 8 weeks apart
Rationale: Age-based catch-up.
with Correct Answers
100 questions
1. A 5-month-old receiving catch-up should get rotavirus vaccine if:
A. The infant is 5 months, regardless of prior doses
B. The infant is breastfed
C. The first dose was started by 14 weeks 6 days and the final dose can be given by 8 months
D. It is winter
Correct Answer: C. The first dose was started by 14 weeks 6 days and the final dose can be
given by 8 months
Rationale: Age limits.
2. A child's vaccine record shows MMR given at 11 months 26 days. This dose:
A. Must be repeated
B. Is dangerous
C. Counts only for measles
D. Counts, because of the 4-day grace period
Correct Answer: D. Counts, because of the 4-day grace period
Rationale: Within 4 days of the 1st birthday.
3. A 9-month-old has had only the birth HepB dose. Catch-up includes:
A. Starting MMR
B. DTaP, Hib, IPV, PCV and HepB doses at minimum intervals; rotavirus is no longer given
C. Only rotavirus
D. Restarting HepB
Correct Answer: B. DTaP, Hib, IPV, PCV and HepB doses at minimum intervals; rotavirus is
no longer given
Rationale: Too old for rotavirus.
4. Accelerated schedules using minimum intervals are useful for:
A. Catching up children quickly before travel or school
B. Routine healthy infants on time
C. Adults over 65
D. Delaying vaccines
Correct Answer: A. Catching up children quickly before travel or school
Rationale: Catch-up strategy.
5. Catch-up vaccination schedules are based on:
A. The child's weight only
B. Parent preference only
C. Minimum ages and minimum intervals between doses
D. The season
Correct Answer: C. Minimum ages and minimum intervals between doses
Rationale: CDC catch-up tables.
,6. A child's record shows MMR given at 11 months 20 days. This dose:
A. Counts
B. Counts only for rubella
C. Does not count and must be repeated
D. Counts if the parent agrees
Correct Answer: C. Does not count and must be repeated
Rationale: More than 4 days early.
7. When a child falls behind on vaccines, the nurse should:
A. Restart every series
B. Continue the series without restarting it
C. Skip the missed doses
D. Wait until school entry
Correct Answer: B. Continue the series without restarting it
Rationale: Never restart a series due to delay.
8. The 4-day grace period does NOT apply to:
A. The 28-day interval between two different live injectable vaccines
B. DTaP intervals
C. IPV intervals
D. PCV intervals
Correct Answer: A. The 28-day interval between two different live injectable vaccines
Rationale: Strict live vaccine rule.
9. The CDC schedule notes section provides:
A. Vaccine prices
B. Disease incidence
C. Detailed guidance on catch-up, special situations and products
D. Billing codes
Correct Answer: C. Detailed guidance on catch-up, special situations and products
Rationale: Use notes.
10. Two live injectable vaccines not given on the same day must be separated by at least:
A. 1 week
B. 4 weeks (28 days)
C. 6 months
D. 1 day
Correct Answer: B. 4 weeks (28 days)
Rationale: Prevents interference.
11. A child moving from another country with an unreadable record should be:
A. Assumed fully vaccinated
B. Refused care
C. Given only MMR
D. Vaccinated as if unvaccinated, or tested for immunity where appropriate
Correct Answer: D. Vaccinated as if unvaccinated, or tested for immunity where appropriate
Rationale: Documentation rule.
, 12. The catch-up schedule for PCV in healthy children ends at:
A. 59 months (5 years)
B. 12 months
C. 24 months
D. 18 years
Correct Answer: A. 59 months (5 years)
Rationale: Unless high risk.
13. The minimum interval between HepB dose 1 and dose 2 is:
A. 8 weeks
B. 6 months
C. 1 week
D. 4 weeks
Correct Answer: D. 4 weeks
Rationale: Then 8 weeks between dose 2 and 3, and 16 weeks between dose 1 and 3.
14. Extra doses of vaccine given because records are unavailable are:
A. Generally safe
B. Dangerous and contraindicated
C. Never allowed
D. Always cause severe reactions
Correct Answer: A. Generally safe
Rationale: Except more local reactions with tetanus toxoids.
15. Inactivated vaccines given after immune globulin:
A. Must wait 1 year
B. Are contraindicated
C. Generally do not need to be delayed
D. Must be doubled
Correct Answer: C. Generally do not need to be delayed
Rationale: Little interference.
16. If a child's rotavirus vaccine product used for prior doses is unknown, the series should:
A. Default to 2 doses
B. Be restarted
C. Be stopped
D. Default to 3 doses
Correct Answer: D. Default to 3 doses
Rationale: Assume RV5.
17. Children aged 12-23 months who missed PCV doses before 12 months:
A. Need catch-up per the PCV table, often 2 doses 8 weeks apart
B. Need 4 doses
C. Need no PCV
D. Need PPSV23
Correct Answer: A. Need catch-up per the PCV table, often 2 doses 8 weeks apart
Rationale: Age-based catch-up.
