NR 602 MIDTERM EXAM LATEST 2025-2026 NEW UPDATED
VERSION 3 GUARANTEED PASS A+ (CHAMBERLAIN
UNIVERSITY)
tertiary care
-requires both specialized expertise and equipment
-improve survival and quality of life
-disability limitation-early symptom mngmt- rehab- late symptom
mngmt quaternary care highly specialized expertise and highly
unusual or specialized equipment immunizations
-live, attenuated, or killed vaccines
-MMR, varicella zoster, influenza, hepatitis B, meningococcal, and
tetanus-containing vaccines: r/t anaphylaxis
-vaccines can cause syncope, fainting, deltoid bursitis, shoulder
pain, and loss of shoulder motion
-MMR can cause febrile seizures, encephalitis
-varicella zoster has some averse effects: chickenpox rash;
pneumonia, meningitis, hepatitis in children with
immunodeficiencies; viral reactivation leading to meningitis or
encephalitis
-report suspected adverse events to Vaccine Adverse Event
Reporting System (VAERS)
,-vaccination schedules created by: ACIP of the CDC, AAP,
AAFP...children 0-6, 7-18, catch up schedule for those 4 mo-
18yrs who start delayed/unknown hx vaccine
guidelines
-if 2 live virus vaccines given less than 28 days apart, vaccine
given 2nd should be disregarded & given at least 4 wks later
-do not aspirate syringe before injection
-when mult. vaccines given on same extremity, give 1 inch apart,
anterolateral aspect of thigh preferred
-use written, dated recors
-re-immunization is not harmful
-do not reduce/divide doses
-accelerated schedule is available from ACIP in special
circumstances
-major contraindication is anaphylaxis to a prior dose or vaccine
component vaccines for children (VFC)
-program enables PCPs to obtain ACIP-recommended vaccines
without cost
-provided free to children younger than 19 years old who are
Medicaid-eligible, are uninsured, or who are Native American
or Alaska Native
-pays for 50% of all vaccines administered to children in the
, United States younger than 6 years old
-children without immunization insurance coverage are eligible to
receive vaccines at federally qualified health centers (FQHCs)
and rural health clinics
-All states receive a set level of federal VFC funds
-Providers wishing to participate need only contact their local
state Medicaid office to enroll; they need not be
Medicaidparticipating providers
-also covers administrative fee and shipping costs PVC13
given to children 2 mos to 5 yrs old, 2-6 year olds with
uncomplicated vaccinations, and immunocompromised 6-18
yearolds
PVC23
-2 doses of PCV23 should also be given to high risk 2-18 year-old
vulnerable population -infant <2 years old
-elderly >65 years old
-infants most at risk for RSV
meningococcal vaccine (2 doses) -11
through 21 yrs with a booster at 16 yrs
-highest risk late high school/college
Human Papillomavirus (HPV) (2 doses)
-ages 9-26
VERSION 3 GUARANTEED PASS A+ (CHAMBERLAIN
UNIVERSITY)
tertiary care
-requires both specialized expertise and equipment
-improve survival and quality of life
-disability limitation-early symptom mngmt- rehab- late symptom
mngmt quaternary care highly specialized expertise and highly
unusual or specialized equipment immunizations
-live, attenuated, or killed vaccines
-MMR, varicella zoster, influenza, hepatitis B, meningococcal, and
tetanus-containing vaccines: r/t anaphylaxis
-vaccines can cause syncope, fainting, deltoid bursitis, shoulder
pain, and loss of shoulder motion
-MMR can cause febrile seizures, encephalitis
-varicella zoster has some averse effects: chickenpox rash;
pneumonia, meningitis, hepatitis in children with
immunodeficiencies; viral reactivation leading to meningitis or
encephalitis
-report suspected adverse events to Vaccine Adverse Event
Reporting System (VAERS)
,-vaccination schedules created by: ACIP of the CDC, AAP,
AAFP...children 0-6, 7-18, catch up schedule for those 4 mo-
18yrs who start delayed/unknown hx vaccine
guidelines
-if 2 live virus vaccines given less than 28 days apart, vaccine
given 2nd should be disregarded & given at least 4 wks later
-do not aspirate syringe before injection
-when mult. vaccines given on same extremity, give 1 inch apart,
anterolateral aspect of thigh preferred
-use written, dated recors
-re-immunization is not harmful
-do not reduce/divide doses
-accelerated schedule is available from ACIP in special
circumstances
-major contraindication is anaphylaxis to a prior dose or vaccine
component vaccines for children (VFC)
-program enables PCPs to obtain ACIP-recommended vaccines
without cost
-provided free to children younger than 19 years old who are
Medicaid-eligible, are uninsured, or who are Native American
or Alaska Native
-pays for 50% of all vaccines administered to children in the
, United States younger than 6 years old
-children without immunization insurance coverage are eligible to
receive vaccines at federally qualified health centers (FQHCs)
and rural health clinics
-All states receive a set level of federal VFC funds
-Providers wishing to participate need only contact their local
state Medicaid office to enroll; they need not be
Medicaidparticipating providers
-also covers administrative fee and shipping costs PVC13
given to children 2 mos to 5 yrs old, 2-6 year olds with
uncomplicated vaccinations, and immunocompromised 6-18
yearolds
PVC23
-2 doses of PCV23 should also be given to high risk 2-18 year-old
vulnerable population -infant <2 years old
-elderly >65 years old
-infants most at risk for RSV
meningococcal vaccine (2 doses) -11
through 21 yrs with a booster at 16 yrs
-highest risk late high school/college
Human Papillomavirus (HPV) (2 doses)
-ages 9-26
