NURS 5432 FNP 1 EXAM QUESTIONS AND DETAILED ANSWERS | GRADED A+ | LATEST UPDATE 2026/2027 | 100% PASS.

NURS 5432 FNP 1 EXAM QUESTIONS AND DETAILED ANSWERS | GRADED A+ | LATEST UPDATE 2026/2027 | 100% PASS. 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. RV vaccine .....answer.....Rare incidence (1 in 20k-100k) of intussusception. 2 | P a g e Contraindications for RV vaccine .....answer.....RV1 should not be given to infants with a severe latex allergy; container for RV1 med has latex. 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. SCID and RV vaccines .....answer.....Both vaccines (RV1 + RV5) are contraindicated in infants with severe combined immunodeficiency (SCID). 3 | P a g e Biologic response modifier .....answer.....RV vaccines should be avoided in infants whose mother received a biologic response modifier (eg, etanercept) during pregnancy. 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. Walking .....answer.....Occurs at 1 year. Child learning to walk .....answer.....Has a wide based gait at first, then walks with legs closer together, develops heel toe gait, and arms swing symmetrically by 18-24 months. 4 | P a g e 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. Pincer grasp .....answer.....Develops at 8-10 months. Crawling .....answer.....Occurs at 9 months. Pinch grasp .....answer.....Occurs at 12 months. 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. 5 | P a g e 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. 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. 6 | P a g e 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. 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. Egg antigens in vaccines .....answer.....Trace quantities of egg antigens may be present in both inactivated and live influenza and yellow fever vaccines.