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NUR-227 PEDS TEST 2 (Immunizations) QUESTIONS AND COMPLETE SOLUTIONS

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In which ways can healthcare reform improve immunization rates? Select all that apply. Offer more vaccine choices Provide free or low-cost vaccinations Increase the number of clinics providing vaccinations Increase the availability of vaccines without need for health care provider referral Allow vaccinations to be given in single doses rather than requiring two or more doses Provide free or low-cost vaccinations Providing free or low-cost vaccinations is a way healthcare reform can overcome barriers to immunization. Increase the number of clinics providing vaccinations Increasing clinics providing vaccinations is a way healthcare reform can overcome barriers to immunization. Increase the availability of vaccines without need for health care provider referral Increased availability of vaccines without the need for health care provider referral is a way healthcare reform can overcome barriers to immunization. Which vaccinations are appropriate to administer at a one-month well visit? Hep B #1 PCV #1 IPV #1 Rotavirus #1 Hep B #1 Hep B can be given at a one-month visit. Administer Hep B #1 at one-month visit if no prior dose was given at birth. It is permissible to give Hep B #2 at the one-month visit if Hep B #1 was given at birth. An unimmunized five-month-old infant is brought to the clinic. The parents decide to vaccinate the infant. Based on the catch up schedule, what vaccines will the infant need to receive today? Select all that apply. Meningococcal Inactivated poliovirus (IPV) Pneumococcal conjugate (PCV13) Haemophilus influenzae type b (Hib) Diphtheria, tetanus, & acellular pertussis (DTaP) Inactivated poliovirus (IPV) The infant will receive IPV #1 today. The infant may receive IPV #2 in four weeks (per catch up schedule). Pneumococcal conjugate (PCV13) The infant will receive PCV13 #1 today. The infant may receive PCV13 #2 in four weeks (per catch up schedule). Haemophilus influenzae type b (Hib) The infant will receive Hib #1 today. The infant may receive Hib #2 in four weeks (per catch up schedule). Diphtheria, tetanus, & acellular pertussis (DTaP) The infant will receive DTaP #1 today. The infant may receive DTaP #2 in four weeks (per catch up schedule). The nurse is reviewing the immunization record of a 10-week-old infant in the clinic for a well visit. The infant received the second dose of Hepatitis B (Hep B) and the first dose of rotavirus (RV1) at eight weeks of age. Which vaccines should the nurse prepare to administer at this visit? Select all that apply. Inactivated poliovirus (IPV) Measles, mumps, rubella (MMR) Pneumococcal conjugate (PCV13) Haemophilus influenzae type b (Hib) Diphtheria, tetanus, & acellular pertussis (DTaP) Inactivated poliovirus (IPV) The nurse should prepare to administer the first dose of IPV, which should be given at two months of age. Pneumococcal conjugate (PCV13) The nurse should prepare to administer the first dose of PCV13, which should be given at two months of age. Haemophilus influenzae type b (Hib) The nurse should prepare to administer the first dose of Hib, which should be given at two months of age. Diphtheria, tetanus, & acellular pertussis (DTaP) The nurse should prepare to administer the first dose of DTaP, which should be given at two months of age. An 11-year-old patient is in the clinic for a well visit. The nurse notes that the patient has previously received three doses of Hep B, two doses of Hep A, four doses of Hib, four doses of PCV, four doses of IPV, two doses of MMR, and one dose of VAR. Which vaccines will the nurse plan to administer today? Select all that apply. Varicella (VAR)

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2024/2025
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NUR-227 PEDS TEST 2 (Immunizations)
QUESTIONS AND COMPLETE
SOLUTIONS
In which ways can healthcare reform improve immunization rates?
Select all that apply.
Offer more vaccine choices
Provide free or low-cost vaccinations
Increase the number of clinics providing vaccinations
Increase the availability of vaccines without need for health care provider referral
Allow vaccinations to be given in single doses rather than requiring two or more doses
✅Provide free or low-cost vaccinations
Providing free or low-cost vaccinations is a way healthcare reform can overcome
barriers to immunization.

Increase the number of clinics providing vaccinations
Increasing clinics providing vaccinations is a way healthcare reform can overcome
barriers to immunization.

Increase the availability of vaccines without need for health care provider referral
Increased availability of vaccines without the need for health care provider referral is a
way healthcare reform can overcome barriers to immunization.

Which vaccinations are appropriate to administer at a one-month well visit?
Hep B #1
PCV #1
IPV #1
Rotavirus #1 ✅Hep B #1

Hep B can be given at a one-month visit. Administer Hep B #1 at one-month visit if no
prior dose was given at birth. It is permissible to give Hep B #2 at the one-month visit if
Hep B #1 was given at birth.

An unimmunized five-month-old infant is brought to the clinic. The parents decide to
vaccinate the infant. Based on the catch up schedule, what vaccines will the infant need
to receive today?
Select all that apply.
Meningococcal
Inactivated poliovirus (IPV)
Pneumococcal conjugate (PCV13)
Haemophilus influenzae type b (Hib)
Diphtheria, tetanus, & acellular pertussis (DTaP) ✅Inactivated poliovirus (IPV)

, The infant will receive IPV #1 today. The infant may receive IPV #2 in four weeks (per
catch up schedule).

Pneumococcal conjugate (PCV13)
The infant will receive PCV13 #1 today. The infant may receive PCV13 #2 in four weeks
(per catch up schedule).

Haemophilus influenzae type b (Hib)
The infant will receive Hib #1 today. The infant may receive Hib #2 in four weeks (per
catch up schedule).

Diphtheria, tetanus, & acellular pertussis (DTaP)
The infant will receive DTaP #1 today. The infant may receive DTaP #2 in four weeks
(per catch up schedule).

The nurse is reviewing the immunization record of a 10-week-old infant in the clinic for a
well visit. The infant received the second dose of Hepatitis B (Hep B) and the first dose
of rotavirus (RV1) at eight weeks of age. Which vaccines should the nurse prepare to
administer at this visit?
Select all that apply.
Inactivated poliovirus (IPV)
Measles, mumps, rubella (MMR)
Pneumococcal conjugate (PCV13)
Haemophilus influenzae type b (Hib)
Diphtheria, tetanus, & acellular pertussis (DTaP) ✅Inactivated poliovirus (IPV)
The nurse should prepare to administer the first dose of IPV, which should be given at
two months of age.

Pneumococcal conjugate (PCV13)
The nurse should prepare to administer the first dose of PCV13, which should be given
at two months of age.

Haemophilus influenzae type b (Hib)
The nurse should prepare to administer the first dose of Hib, which should be given at
two months of age.

Diphtheria, tetanus, & acellular pertussis (DTaP)
The nurse should prepare to administer the first dose of DTaP, which should be given at
two months of age.

An 11-year-old patient is in the clinic for a well visit. The nurse notes that the patient has
previously received three doses of Hep B, two doses of Hep A, four doses of Hib, four
doses of PCV, four doses of IPV, two doses of MMR, and one dose of VAR. Which
vaccines will the nurse plan to administer today?
Select all that apply.
Varicella (VAR)

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