NURSE PRACTITIONER (FNP) EXAM HEALTH PROMOTION/ IMMUNIZATIONS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NURSE PRACTITIONER (FNP) EXAM HEALTH PROMOTION/ IMMUNIZATIONS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 Which of the following is true about the MMR vaccine? A. It contains inactivated virus. B. Its use is contraindicated in patients with a history of egg allergy. C. Revaccination of an immune person is associated with risk of significant systemic allergic reaction. D. Two doses at least 1 month apart are recommended for young adults who have not been previously immunized. - ANSWER D A 30-year-old man with HIV lives with his two preschool-aged children. Which of the following statements best represents advice you should give him about immunizing his children? A. Immunizations should take place without regard for his health status. B. The children should not receive influenza vaccine. C. MMR vaccine should not be given. D. The children should not receive poliovirus immunization. - ANSWER A A 44-year-old woman with asthma presents asking for a "flu shot." She is seen today for an urgent care visit, is diagnosed with a lower urinary tract infection, and is prescribed trimethoprim-sulfamethoxazole. She is without fever or gastrointestinal upset with stable respiratory status. You inform her that she: A. should return for the immunization after completing her antibiotic therapy. B. would likely develop a significant reaction if immunized today. C. can receive the immunization today. D. is not a candidate for any form of influenza vaccin - ANSWER C Which of the following should not receive vaccination against influenza? A. a 19 year-old with a history of hive-form reaction to eating eggs B. a 24-year-old woman who is 8 weeks pregnant C. a 4-month-old infant who was born at 32 weeks of gestation D. a 28-year-old woman who is breastfeeding a 2 week old. - ANSWER C You see a 48-year-old patient who started taking varenicline (Chantix) 4 weeks ago to aid in smoking cessation. Which of the following is the most important question to ask during today's visit? A. "How many cigarettes a day are you currently smoking?" B. "On a scale of 0 to 10, how strong is your desire to smoke?" C. "Have you noticed any changes in your mood?" D. "Are you having any trouble sleeping?" - ANSWER C Active immunity is defined as: A. resistance developed in response to an antigen. B. immunity conferred by an antibody produced in another host. C. the resistance of a group to an infectious agent. D. defense against disease acquired naturally by the infant from the mother. - ANSWER A Influenza protection options for a 62-year-old man with hypertension, dyslipidemia, and type 2 diabetes mellitus include receiving: A. live attenuated influenza vaccine via nasal spray. B. high-dose trivalent inactivated vaccine (TIV) via intramuscular injection C. trivalent inactivated vaccine (TIV) in standard dose via intramuscular injection. D. appropriate antiviral medication as the initial onset of influenza-like illness. - ANSWER C Usual treatment for an adult with acute hepatitis A includes: A. interferon-alfa therapy. B. high-dose ribavirin. C. parenteral acyclovir. D. supportive care - ANSWER D