FNP 1 Exam Study Guide for NURS 5432
ACTUAL UPDATED Questions and
CORRECT Answers
Vaccinations - CORRECT ANSWER - Should not be delayed due to minor illnesses, even
if they illicit low-grade fever. However, for moderate to severe infections, vaccinations could be
postponed.
Premature infants immunization schedule - CORRECT ANSWER - Should follow a
schedule for immunizations based on their chronological age, not their gestational age.
Vaccine dose adjustment for premature or low-birthweight patients - CORRECT
ANSWER - Vaccine doses should not be adjusted (reduced) for these patients.
Chronic diseases and vaccinations - CORRECT ANSWER - Chronic diseases are not
outright contra-indications; however, vaccination with DTaP should be deferred until the
neurologic condition has been clarified and/or is stable.
Rotarix vaccine schedule - CORRECT ANSWER - Doses should be given 28 days apart -
for infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - CORRECT ANSWER - 3 doses completed by 32 weeks of
age.
Immunodeficient children and live-virus vaccines - CORRECT ANSWER - Should not be
given live-virus vaccines.
Examples of live-virus vaccines - CORRECT ANSWER - Oral polio vaccine [OPV, not
available in the United States], Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live
attenuated), Live-bacteria vaccines (BCG or live typhoid fever vaccine).
,Live virus vaccine eligibility for children with malignancy - CORRECT ANSWER - If
malignancy is in remission or chemo hasn't been administered within 90 days they can receive
live virus vaccine.
Known allergies and vaccines - CORRECT ANSWER - MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these antibiotics should not be
given these vaccines.
Egg antigens in vaccines - CORRECT ANSWER - Trace quantities of egg antigens may
be present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies - CORRECT ANSWER -
Guidelines for influenza vaccination in children with egg allergies have recently changed.
Egg protein allergy - CORRECT ANSWER - Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - CORRECT ANSWER - Children with severe egg allergy
can be vaccinated with influenza vaccine with no special precautions beyond those for any other
vaccine.
RV vaccine - CORRECT ANSWER - Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - CORRECT ANSWER - RV1 should not be given to
infants with a severe latex allergy; container for RV1 med has latex.
SCID and RV vaccines - CORRECT ANSWER - Both vaccines (RV1 + RV5) are
contraindicated in infants with severe combined immunodeficiency (SCID).
Biologic response modifier - CORRECT ANSWER - RV vaccines should be avoided in
infants whose mother received a biologic response modifier (eg, etanercept) during pregnancy.
,Acute gastroenteritis and vaccination - CORRECT ANSWER - Vaccination should be
deferred in infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - CORRECT ANSWER - They can lift their heads
with good control.
Developmental milestones at 6 months - CORRECT ANSWER - Sit independently.
Developmental milestones at 4 months - CORRECT ANSWER - Roll over from front to
back by 6 months.
Hand to hand transfer - CORRECT ANSWER - Occurs at 5-6 months.
Pincer grasp - CORRECT ANSWER - Develops at 8-10 months.
Crawling - CORRECT ANSWER - Occurs at 9 months.
Pinch grasp - CORRECT ANSWER - Occurs at 12 months.
Walking - CORRECT ANSWER - Occurs at 1 year.
Child learning to walk - CORRECT ANSWER - Has a wide based gait at first, then walks
with legs closer together, develops heel toe gait, and arms swing symmetrically by 18-24
months.
Self-feeding - CORRECT ANSWER - Occurs by 15 months.
Scoop with a spoon - CORRECT ANSWER - Occurs at 18 months.
, Running - CORRECT ANSWER - Occurs by 18 months.
Speech at 12 months - CORRECT ANSWER - Babbling reaches a peak.
Expressive vocabulary at 2 years - CORRECT ANSWER - Children are putting 2-3 words
into flexible phrases, 50% of which strangers can understand.
Understanding language by kindergarten - CORRECT ANSWER - Children can
understand 100% of the language.
Speech intelligibility at 3 years - CORRECT ANSWER - Approximately 75% of speech is
understandable.
Speech intelligibility at 4 years - CORRECT ANSWER - About 100% of speech is
understandable.
Tanner Stages - CORRECT ANSWER - System for describing predictable steps during
sexual maturation.
Stage 1 Tanner - CORRECT ANSWER - Pre-pubertal with no pubic hair, either sex.
Stage 2 Tanner - CORRECT ANSWER - Soft pubic hair, both sexes; males have
measurable testes enlargement, females have breast buds appear.
Stage 3 Tanner - CORRECT ANSWER - Pubic hair becomes coarser; males' penis begins
to enlarge in size, length; females' breast mounds form.
Stage 4 Tanner - CORRECT ANSWER - Pubic hair begins to cover the pubic area; males'
penis begins to widen; females' breast enlargement forms 'mound on mound' breast contour.
ACTUAL UPDATED Questions and
CORRECT Answers
Vaccinations - CORRECT ANSWER - Should not be delayed due to minor illnesses, even
if they illicit low-grade fever. However, for moderate to severe infections, vaccinations could be
postponed.
Premature infants immunization schedule - CORRECT ANSWER - Should follow a
schedule for immunizations based on their chronological age, not their gestational age.
Vaccine dose adjustment for premature or low-birthweight patients - CORRECT
ANSWER - Vaccine doses should not be adjusted (reduced) for these patients.
Chronic diseases and vaccinations - CORRECT ANSWER - Chronic diseases are not
outright contra-indications; however, vaccination with DTaP should be deferred until the
neurologic condition has been clarified and/or is stable.
Rotarix vaccine schedule - CORRECT ANSWER - Doses should be given 28 days apart -
for infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - CORRECT ANSWER - 3 doses completed by 32 weeks of
age.
Immunodeficient children and live-virus vaccines - CORRECT ANSWER - Should not be
given live-virus vaccines.
Examples of live-virus vaccines - CORRECT ANSWER - Oral polio vaccine [OPV, not
available in the United States], Rotavirus, MMR, VAR, MMRV, yellow fever, LAIV (live
attenuated), Live-bacteria vaccines (BCG or live typhoid fever vaccine).
,Live virus vaccine eligibility for children with malignancy - CORRECT ANSWER - If
malignancy is in remission or chemo hasn't been administered within 90 days they can receive
live virus vaccine.
Known allergies and vaccines - CORRECT ANSWER - MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts of streptomycin and
polymyxin B; children with known anaphylactic responses to these antibiotics should not be
given these vaccines.
Egg antigens in vaccines - CORRECT ANSWER - Trace quantities of egg antigens may
be present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies - CORRECT ANSWER -
Guidelines for influenza vaccination in children with egg allergies have recently changed.
Egg protein allergy - CORRECT ANSWER - Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - CORRECT ANSWER - Children with severe egg allergy
can be vaccinated with influenza vaccine with no special precautions beyond those for any other
vaccine.
RV vaccine - CORRECT ANSWER - Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - CORRECT ANSWER - RV1 should not be given to
infants with a severe latex allergy; container for RV1 med has latex.
SCID and RV vaccines - CORRECT ANSWER - Both vaccines (RV1 + RV5) are
contraindicated in infants with severe combined immunodeficiency (SCID).
Biologic response modifier - CORRECT ANSWER - RV vaccines should be avoided in
infants whose mother received a biologic response modifier (eg, etanercept) during pregnancy.
,Acute gastroenteritis and vaccination - CORRECT ANSWER - Vaccination should be
deferred in infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - CORRECT ANSWER - They can lift their heads
with good control.
Developmental milestones at 6 months - CORRECT ANSWER - Sit independently.
Developmental milestones at 4 months - CORRECT ANSWER - Roll over from front to
back by 6 months.
Hand to hand transfer - CORRECT ANSWER - Occurs at 5-6 months.
Pincer grasp - CORRECT ANSWER - Develops at 8-10 months.
Crawling - CORRECT ANSWER - Occurs at 9 months.
Pinch grasp - CORRECT ANSWER - Occurs at 12 months.
Walking - CORRECT ANSWER - Occurs at 1 year.
Child learning to walk - CORRECT ANSWER - Has a wide based gait at first, then walks
with legs closer together, develops heel toe gait, and arms swing symmetrically by 18-24
months.
Self-feeding - CORRECT ANSWER - Occurs by 15 months.
Scoop with a spoon - CORRECT ANSWER - Occurs at 18 months.
, Running - CORRECT ANSWER - Occurs by 18 months.
Speech at 12 months - CORRECT ANSWER - Babbling reaches a peak.
Expressive vocabulary at 2 years - CORRECT ANSWER - Children are putting 2-3 words
into flexible phrases, 50% of which strangers can understand.
Understanding language by kindergarten - CORRECT ANSWER - Children can
understand 100% of the language.
Speech intelligibility at 3 years - CORRECT ANSWER - Approximately 75% of speech is
understandable.
Speech intelligibility at 4 years - CORRECT ANSWER - About 100% of speech is
understandable.
Tanner Stages - CORRECT ANSWER - System for describing predictable steps during
sexual maturation.
Stage 1 Tanner - CORRECT ANSWER - Pre-pubertal with no pubic hair, either sex.
Stage 2 Tanner - CORRECT ANSWER - Soft pubic hair, both sexes; males have
measurable testes enlargement, females have breast buds appear.
Stage 3 Tanner - CORRECT ANSWER - Pubic hair becomes coarser; males' penis begins
to enlarge in size, length; females' breast mounds form.
Stage 4 Tanner - CORRECT ANSWER - Pubic hair begins to cover the pubic area; males'
penis begins to widen; females' breast enlargement forms 'mound on mound' breast contour.
