NEWEST NURS 5432 FNP 1 | NURS 5432 FAMILY 1
MIDTERM AND FINAL EXAM UNIVERSITY OF TEXAS AT
ARLINGTON (UTA) THIS EXAM INCLUDES MODULES 1-6
ACTUAL EXAM 2025/2026 COMPLETE ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED SOLUTIONS) NEWEST UPDATED VER
COMPREHENSIVE FNP 1 EXAMINATION PACK
NURS 5432 Study Guide
SECTION 1: VACCINATIONS AND IMMUNIZATIONS
Question 1
When should immunizations be delayed in children?
A) For all minor illnesses
B) For mild upper respiratory infections
C) Immunizations should not be delayed for minor illnesses
D) Only for febrile illnesses above 101°F
Correct Answer: C) Immunizations should not be delayed for minor illnesses
Explanation: Immunizations should not be delayed for minor illnesses such as mild
upper respiratory infections, low-grade fevers, or mild diarrhea. Delaying vaccines
leaves children vulnerable to vaccine-preventable diseases unnecessarily. Only
moderate or severe acute illnesses warrant delaying vaccination.
,Question 2
What are the two types of Rotavirus vaccines and their dosing schedules?
A) Rotarix: 2-dose series at 2 and 4 months; Rotateq: 3-dose series at 2, 4, and 6
months
B) Rotarix: 3-dose series; Rotateq: 2-dose series
C) Both are 2-dose series
D) Both are 3-dose series
Correct Answer: A) Rotarix: 2-dose series at 2 and 4 months; Rotateq: 3-dose
series at 2, 4, and 6 months
*Explanation: Rotarix (RV1) is administered in a 2-dose series at 2 and 4 months
of age. Rotateq (RV5) is administered in a 3-dose series at 2, 4, and 6 months of
age. Both are oral vaccines and the first dose should be given between 6 weeks
and 14 weeks 6 days of age.*
Question 3
Which vaccines are contraindicated in immunodeficient children?
A) Inactivated vaccines only
B) Live-virus vaccines
C) All vaccines
D) Toxoid vaccines only
Correct Answer: B) Live-virus vaccines
Explanation: Live-virus vaccines are contraindicated in immunocompromised
children because they can cause severe or fatal reactions due to the inability of the
immune system to control the attenuated virus. Examples include MMR, varicella,
rotavirus, and live attenuated influenza vaccine (LAIV).
Question 4
A child with a known neomycin allergy should avoid which vaccines?
,A) DTaP and Hib only
B) MMR, IPV, and VAR (varicella)
C) Hepatitis B only
D) PCV13 only
Correct Answer: B) MMR, IPV, and VAR (varicella)
Explanation: Children with known neomycin allergy should avoid MMR, IPV
(inactivated polio vaccine), and VAR (varicella) vaccines as they contain neomycin.
However, if the allergy is not anaphylactic, vaccination may still be possible under
supervision.
Question 5
What is a rare but serious risk associated with the Rotavirus vaccine?
A) Febrile seizures
B) Intussusception
C) Anaphylaxis
D) Encephalopathy
Correct Answer: B) Intussusception
Explanation: The rotavirus vaccine carries a rare risk of intussusception (a type of
bowel obstruction where one segment of intestine telescopes into another). The
risk is highest within the first week after the first or second dose. The vaccine
should be avoided in infants with a history of intussusception or congenital gut
malformations.
SECTION 2: DEVELOPMENTAL MILESTONES
Question 6
By what age should an infant typically achieve head control?
A) 1 month
B) 3 months
, C) 6 months
D) 9 months
Correct Answer: B) 3 months
*Explanation: Head control is typically achieved by 3 months of age. By this time,
infants should be able to hold their head up steadily when held upright or during
tummy time. This represents cephalocaudal (head-to-toe) development
progressing downward.*
Question 7
By what age should an infant be able to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 12 months
Correct Answer: B) 6 months
Explanation: Most infants can sit without support by 6 months of age. This
milestone represents significant trunk strength and postural control. By 9 months,
infants typically can get into a sitting position independently.
Question 8
When does the pincer grasp typically develop?
A) 4-6 months
B) 6-8 months
C) 8-10 months
D) 10-12 months
Correct Answer: C) 8-10 months
*Explanation: The pincer grasp (using thumb and forefinger to pick up small
objects) typically develops between 8-10 months of age. This fine motor skill
represents advancing neurological development and hand-eye coordination.*
MIDTERM AND FINAL EXAM UNIVERSITY OF TEXAS AT
ARLINGTON (UTA) THIS EXAM INCLUDES MODULES 1-6
ACTUAL EXAM 2025/2026 COMPLETE ACCURATE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED SOLUTIONS) NEWEST UPDATED VER
COMPREHENSIVE FNP 1 EXAMINATION PACK
NURS 5432 Study Guide
SECTION 1: VACCINATIONS AND IMMUNIZATIONS
Question 1
When should immunizations be delayed in children?
A) For all minor illnesses
B) For mild upper respiratory infections
C) Immunizations should not be delayed for minor illnesses
D) Only for febrile illnesses above 101°F
Correct Answer: C) Immunizations should not be delayed for minor illnesses
Explanation: Immunizations should not be delayed for minor illnesses such as mild
upper respiratory infections, low-grade fevers, or mild diarrhea. Delaying vaccines
leaves children vulnerable to vaccine-preventable diseases unnecessarily. Only
moderate or severe acute illnesses warrant delaying vaccination.
,Question 2
What are the two types of Rotavirus vaccines and their dosing schedules?
A) Rotarix: 2-dose series at 2 and 4 months; Rotateq: 3-dose series at 2, 4, and 6
months
B) Rotarix: 3-dose series; Rotateq: 2-dose series
C) Both are 2-dose series
D) Both are 3-dose series
Correct Answer: A) Rotarix: 2-dose series at 2 and 4 months; Rotateq: 3-dose
series at 2, 4, and 6 months
*Explanation: Rotarix (RV1) is administered in a 2-dose series at 2 and 4 months
of age. Rotateq (RV5) is administered in a 3-dose series at 2, 4, and 6 months of
age. Both are oral vaccines and the first dose should be given between 6 weeks
and 14 weeks 6 days of age.*
Question 3
Which vaccines are contraindicated in immunodeficient children?
A) Inactivated vaccines only
B) Live-virus vaccines
C) All vaccines
D) Toxoid vaccines only
Correct Answer: B) Live-virus vaccines
Explanation: Live-virus vaccines are contraindicated in immunocompromised
children because they can cause severe or fatal reactions due to the inability of the
immune system to control the attenuated virus. Examples include MMR, varicella,
rotavirus, and live attenuated influenza vaccine (LAIV).
Question 4
A child with a known neomycin allergy should avoid which vaccines?
,A) DTaP and Hib only
B) MMR, IPV, and VAR (varicella)
C) Hepatitis B only
D) PCV13 only
Correct Answer: B) MMR, IPV, and VAR (varicella)
Explanation: Children with known neomycin allergy should avoid MMR, IPV
(inactivated polio vaccine), and VAR (varicella) vaccines as they contain neomycin.
However, if the allergy is not anaphylactic, vaccination may still be possible under
supervision.
Question 5
What is a rare but serious risk associated with the Rotavirus vaccine?
A) Febrile seizures
B) Intussusception
C) Anaphylaxis
D) Encephalopathy
Correct Answer: B) Intussusception
Explanation: The rotavirus vaccine carries a rare risk of intussusception (a type of
bowel obstruction where one segment of intestine telescopes into another). The
risk is highest within the first week after the first or second dose. The vaccine
should be avoided in infants with a history of intussusception or congenital gut
malformations.
SECTION 2: DEVELOPMENTAL MILESTONES
Question 6
By what age should an infant typically achieve head control?
A) 1 month
B) 3 months
, C) 6 months
D) 9 months
Correct Answer: B) 3 months
*Explanation: Head control is typically achieved by 3 months of age. By this time,
infants should be able to hold their head up steadily when held upright or during
tummy time. This represents cephalocaudal (head-to-toe) development
progressing downward.*
Question 7
By what age should an infant be able to sit without support?
A) 4 months
B) 6 months
C) 8 months
D) 12 months
Correct Answer: B) 6 months
Explanation: Most infants can sit without support by 6 months of age. This
milestone represents significant trunk strength and postural control. By 9 months,
infants typically can get into a sitting position independently.
Question 8
When does the pincer grasp typically develop?
A) 4-6 months
B) 6-8 months
C) 8-10 months
D) 10-12 months
Correct Answer: C) 8-10 months
*Explanation: The pincer grasp (using thumb and forefinger to pick up small
objects) typically develops between 8-10 months of age. This fine motor skill
represents advancing neurological development and hand-eye coordination.*
