BURNS PEDIATRIC PRIMARY CAR 7TH
EDITION CARPTER 22 IMMUNIZATION
WITH QUESTIONS AND ANSWERS
A 2 month old infant has a staccato cough and fever. Which aspect of the history is most important in
determining the diagnosis?
a. Day care attendance
b. Immunization history
c. Medication history
d. Past medical history - answer✔✔✨-B. Immunization history
When reviewing a white blood cell (WBC) count, the primary care pediatric nurse practitioner suspects a
viral infection when which WBC element is elevated?
a. Bands
b. Leukocytes
c. Lymphocytes
d. Neutrophils - answer✔✔✨-C. Lymphocytes
Which lab value is most concerning in an infant with fever and a suspected bacterial infection?
a. Creactive protein of 11.5 mg/L
b. Lymphocyte count of 8.7
c. Platelet count of 475
d. White blood cell count of 14 - answer✔✔✨-A. Creactive protein of 11.5 mg/L
A toddler is receiving longterm antibiotics to treat osteomyelitis. Which laboratory test will the primary
care pediatric nurse practitioner order to monitor response to therapy in this child?
a. Blood cultures
b. Erythrocyte sedimentation rate (ESR)
, c. Serum procalcitonin (ProCT)
d. White blood count (WBC) - answer✔✔✨-B. Erythrocyte sedimentation rate (ESR)
According to recent research, which populations may have higher rates of under immunization than
others/
a. Those with higher rates of Asians
b. Those with higher rates of graduate degrees
c. Those with lower rates of poverty
d. Those with lower rates of primary providers - answer✔✔✨-B. Those with higher rates of graduate
degrees
The parent of a 2 month old infant is reluctant to have the baby vaccinated. What is an initial step in
responding to these concerns?
a. Inform the parent that all vaccines may be given without thimerosal
b. Providing Vaccine Information Statements for the parent to review
c. Question the parent's reasons for concern about immunizations
d. Remind the parent that the infant is exposed to thousands of germs each day - answer✔✔✨-C.
Question the parent's reasons for concern about immunizations
A parent is concerned about vaccine adverse reactions. Based on an Institute of Medicine report, what
will the primary care pediatric nurse practitioner tell the parent?
a. Administering multiple vaccines may trigger the development of type 1 diabetes
b. The MMR may be linked to febrile seizures in immunocompromised children
c. There is some risk of CNS disorders associated with the hepatitis B vaccine
d. Vaccines containing thimerosal are linked to pervasive developmental disorders - answer✔✔✨-B.
The MMR may be linked to febrile seizures in immunocompromised children
A 2 month old infant will receive initial immunizations, and the parent asks about giving medications to
increase the infant's comfort and minimize fever. What will the pediatric nurse practitioner
recommend?
a. Administering ibuprofen or acetaminophen as needed
EDITION CARPTER 22 IMMUNIZATION
WITH QUESTIONS AND ANSWERS
A 2 month old infant has a staccato cough and fever. Which aspect of the history is most important in
determining the diagnosis?
a. Day care attendance
b. Immunization history
c. Medication history
d. Past medical history - answer✔✔✨-B. Immunization history
When reviewing a white blood cell (WBC) count, the primary care pediatric nurse practitioner suspects a
viral infection when which WBC element is elevated?
a. Bands
b. Leukocytes
c. Lymphocytes
d. Neutrophils - answer✔✔✨-C. Lymphocytes
Which lab value is most concerning in an infant with fever and a suspected bacterial infection?
a. Creactive protein of 11.5 mg/L
b. Lymphocyte count of 8.7
c. Platelet count of 475
d. White blood cell count of 14 - answer✔✔✨-A. Creactive protein of 11.5 mg/L
A toddler is receiving longterm antibiotics to treat osteomyelitis. Which laboratory test will the primary
care pediatric nurse practitioner order to monitor response to therapy in this child?
a. Blood cultures
b. Erythrocyte sedimentation rate (ESR)
, c. Serum procalcitonin (ProCT)
d. White blood count (WBC) - answer✔✔✨-B. Erythrocyte sedimentation rate (ESR)
According to recent research, which populations may have higher rates of under immunization than
others/
a. Those with higher rates of Asians
b. Those with higher rates of graduate degrees
c. Those with lower rates of poverty
d. Those with lower rates of primary providers - answer✔✔✨-B. Those with higher rates of graduate
degrees
The parent of a 2 month old infant is reluctant to have the baby vaccinated. What is an initial step in
responding to these concerns?
a. Inform the parent that all vaccines may be given without thimerosal
b. Providing Vaccine Information Statements for the parent to review
c. Question the parent's reasons for concern about immunizations
d. Remind the parent that the infant is exposed to thousands of germs each day - answer✔✔✨-C.
Question the parent's reasons for concern about immunizations
A parent is concerned about vaccine adverse reactions. Based on an Institute of Medicine report, what
will the primary care pediatric nurse practitioner tell the parent?
a. Administering multiple vaccines may trigger the development of type 1 diabetes
b. The MMR may be linked to febrile seizures in immunocompromised children
c. There is some risk of CNS disorders associated with the hepatitis B vaccine
d. Vaccines containing thimerosal are linked to pervasive developmental disorders - answer✔✔✨-B.
The MMR may be linked to febrile seizures in immunocompromised children
A 2 month old infant will receive initial immunizations, and the parent asks about giving medications to
increase the infant's comfort and minimize fever. What will the pediatric nurse practitioner
recommend?
a. Administering ibuprofen or acetaminophen as needed
