NR 328
Communicable Diseases and
Immunizations Advanced Assessment
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328: Communicable Diseases and Immunizations Advanced Assessment 2026/2027
UPDATE – Chamberlain College
1. A nurse is evaluating a 4-year-old child’s immunization record. Which combination of live-
attenuated vaccines, if administered on the same day, is considered acceptable according to
CDC guidelines?
A. MMR and Varicella
B. MMR and DTaP
C. All of the above
D. Varicella and IPV
Answer: C
Rationale: Live vaccines (like MMR and Varicella) can be administered on the same day. If
not given on the same day, they must be spaced at least 28 days apart. Inactivated vaccines
(DTaP, IPV) have no such spacing requirement relative to live vaccines.
2. Which type of immunity is achieved when a newborn receives antibodies from their
mother through the placenta?
A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
, D. Passive artificial immunity
Answer: C
Rationale: Passive natural immunity occurs when antibodies are transferred from person
to person naturally, such as from mother to fetus via the placenta or to the infant via breast
milk.
3. A child presents with a high fever, cough, coryza, conjunctivitis, and small white spots on
the buccal mucosa. What is the most likely diagnosis?
A. Rubella
B. Roseola
C. Rubeola
D. Varicella
Answer: C
Rationale: Rubeola (Measles) is characterized by the ‘three Cs’ (cough, coryza,
conjunctivitis) and Koplik spots (white spots on the buccal mucosa).
4. What is the primary rationale for administering the Hepatitis B vaccine within 24 hours of
birth?
A. To prevent vertical transmission from an infected mother
B. To ensure long-term immunity before the child enters daycare
C. To prevent horizontal transmission from siblings
Communicable Diseases and
Immunizations Advanced Assessment
Comprehensive Study Guide
UPDATE
Actual Questions & Verified Answers
with Detailed Clinical Rationales
Practice Questions with Rationales
Chamberlain University
NR 328
✓ 100% Verified Answers
✓ Complete Rationales Included
Exam (elaborations)
Instant PDF Download • Ready for Study
,NR 328: Communicable Diseases and Immunizations Advanced Assessment 2026/2027
UPDATE – Chamberlain College
1. A nurse is evaluating a 4-year-old child’s immunization record. Which combination of live-
attenuated vaccines, if administered on the same day, is considered acceptable according to
CDC guidelines?
A. MMR and Varicella
B. MMR and DTaP
C. All of the above
D. Varicella and IPV
Answer: C
Rationale: Live vaccines (like MMR and Varicella) can be administered on the same day. If
not given on the same day, they must be spaced at least 28 days apart. Inactivated vaccines
(DTaP, IPV) have no such spacing requirement relative to live vaccines.
2. Which type of immunity is achieved when a newborn receives antibodies from their
mother through the placenta?
A. Active natural immunity
B. Active artificial immunity
C. Passive natural immunity
, D. Passive artificial immunity
Answer: C
Rationale: Passive natural immunity occurs when antibodies are transferred from person
to person naturally, such as from mother to fetus via the placenta or to the infant via breast
milk.
3. A child presents with a high fever, cough, coryza, conjunctivitis, and small white spots on
the buccal mucosa. What is the most likely diagnosis?
A. Rubella
B. Roseola
C. Rubeola
D. Varicella
Answer: C
Rationale: Rubeola (Measles) is characterized by the ‘three Cs’ (cough, coryza,
conjunctivitis) and Koplik spots (white spots on the buccal mucosa).
4. What is the primary rationale for administering the Hepatitis B vaccine within 24 hours of
birth?
A. To prevent vertical transmission from an infected mother
B. To ensure long-term immunity before the child enters daycare
C. To prevent horizontal transmission from siblings
