NURS 5432 Final Exam Question and Answer (2026/2027) | Comprehensive Review | Detailed Rationales

NURS 5432 Final Exam Question and
Answer (2026/2027) | Comprehensive
Review | Detailed Rationales
• Vaccinations . CORRECT ANSWER: Immunizations should not be delayed for
minor illnesses.


• Rotavirus Vaccines . CORRECT ANSWER: Two types: Rotarix and Rotateq with
specific dosing.


• Immunodeficient Children . CORRECT ANSWER: Live-virus vaccines are
contraindicated for these patients.


• Known Allergies . CORRECT ANSWER: Children with allergies may need vaccine
adjustments.


• RV Vaccine . CORRECT ANSWER: Rare intussusception risk; avoid in certain
conditions.


• Developmental Milestones . CORRECT ANSWER: Key skills children should
achieve by specific ages.


• Tanner Stages . CORRECT ANSWER: System for assessing sexual maturation
stages.


• Stage 1 Tanner . CORRECT ANSWER: Pre-pubertal stage with no pubic hair.

,• Stage 2 Tanner . CORRECT ANSWER: Soft pubic hair; breast buds in females.


• Stage 3 Tanner . CORRECT ANSWER: Coarser pubic hair; penis enlargement in
males.


• Stage 4 Tanner . CORRECT ANSWER: Pubic hair covers area; breast mound
development.


• Stage 5 Tanner . CORRECT ANSWER: Adult stage; full development of genitalia.


• Autism . CORRECT ANSWER: Symptoms typically present before age 3.


• AUB Classification . CORRECT ANSWER: Describes abnormal uterine bleeding
patterns.


• PAP Screening Guidelines . CORRECT ANSWER: Recommendations for cervical
cancer screening ages.


• Chronic Diseases . CORRECT ANSWER: Not outright contraindications for
vaccinations.


• Premature Infants . CORRECT ANSWER: Immunization schedule based on
chronological age.


• Live Virus Vaccines . CORRECT ANSWER: Contraindicated in
immunocompromised children.

,• Neomycin Allergy . CORRECT ANSWER: Avoid MMR, IPV, VAR in allergic
children.


• Egg Allergy . CORRECT ANSWER: Influenza vaccine can be given with
precautions.


• Developmental Control . CORRECT ANSWER: Head control by 3 months; sitting
by 6 months.


• Pincer Grasp . CORRECT ANSWER: Develops between 8-10 months of age.


• Walking Milestone . CORRECT ANSWER: Typically achieved by 1 year of age.


• Babbling . CORRECT ANSWER: Peaks at 12 months; begins word usage.


• Expressive Vocabulary . CORRECT ANSWER: Expands significantly from 12 to 24
months.


• Speech Comprehension . CORRECT ANSWER: 100% comprehension by
kindergarten age.


• Hospitalized Children . CORRECT ANSWER: Vaccination deferred until post-
discharge.

, • Severe Combined Immunodeficiency . CORRECT ANSWER: Contraindicates RV
vaccines in infants.


• Gastroenteritis . CORRECT ANSWER: Vaccination deferred in acute moderate or
severe cases.


• PAP test . CORRECT ANSWER: Screening for cervical cancer; first at age 21.


• HPV testing . CORRECT ANSWER: Determines subtype of human papillomavirus.


• Colposcopy . CORRECT ANSWER: Examination of cervix after abnormal PAP
results.


• Vaginal candidiasis treatment . CORRECT ANSWER: Topical or oral antifungals
like Clotrimazole.


• Bartholin's gland cyst management . CORRECT ANSWER: Incision and drainage;
word catheter for 4-6 weeks.


• PALM-COEIN . CORRECT ANSWER: Acronym for causes of abnormal uterine
bleeding.


• Polyp . CORRECT ANSWER: Benign growth in the uterine lining.


• Adenomyosis . CORRECT ANSWER: Endometrial tissue grows into uterine
muscle.