EXAM Burns' Pediatric Primary Care (7th ed) ch 22: Immunizations 2025
1. A 2 month old infant has a staccato cough and fever. B. Immunization history
Which aspect of the history is most important in deter-
mining the diagnosis?
a. Day care attendance
b. Immunization history
c. Medication history
d. Past medical history
2. When reviewing a white blood cell (WBC) count, the C. Lymphocytes
primary care pediatric nurse practitioner suspects a
viral infection when which WBC element is elevated?
a. Bands
b. Leukocytes
c. Lymphocytes
d. Neutrophils
3. Which lab value is most concerning in an infant with A. Creactive protein of 11.5
fever and a suspected bacterial infection? mg/L
a. Creactive protein of 11.5 mg/L
b. Lymphocyte count of 8.7
c. Platelet count of 475
d. White blood cell count of 14
4. A toddler is receiving longterm antibiotics to treat os- B. Erythrocyte sedimenta-
teomyelitis. Which laboratory test will the primary care tion rate (ESR)
pediatric nurse practitioner order to monitor response
to therapy in this child?
a. Blood cultures
b. Erythrocyte sedimentation rate (ESR)
c. Serum procalcitonin (ProCT)
d. White blood count (WBC)
, EXAM Burns' Pediatric Primary Care (7th ed) ch 22: Immunizations 2025
5. According to recent research, which populations may B. Those with higher rates
have higher rates of under immunization than others/ of graduate degrees
a. Those with higher rates of Asians
b. Those with higher rates of graduate degrees
c. Those with lower rates of poverty
d. Those with lower rates of primary providers
6. The parent of a 2 month old infant is reluctant to have C. Question the parent's
the baby vaccinated. What is an initial step in respond- reasons for concern about
ing to these concerns? immunizations
a. Inform the parent that all vaccines may be given
without thimerosal
b. Providing Vaccine Information Statements for the
parent to review
c. Question the parent's reasons for concern about
immunizations
d. Remind the parent that the infant is exposed to
thousands of germs each day
7. A parent is concerned about vaccine adverse reactions. B. The MMR may be linked
Based on an Institute of Medicine report, what will to febrile seizures in im-
the primary care pediatric nurse practitioner tell the munocompromised chil-
parent? dren
a. Administering multiple vaccines may trigger the de-
velopment of type 1 diabetes
b. The MMR may be linked to febrile seizures in im-
munocompromised children
c. There is some risk of CNS disorders associated with
the hepatitis B vaccine
d. Vaccines containing thimerosal are linked to perva-
sive developmental disorders
1. A 2 month old infant has a staccato cough and fever. B. Immunization history
Which aspect of the history is most important in deter-
mining the diagnosis?
a. Day care attendance
b. Immunization history
c. Medication history
d. Past medical history
2. When reviewing a white blood cell (WBC) count, the C. Lymphocytes
primary care pediatric nurse practitioner suspects a
viral infection when which WBC element is elevated?
a. Bands
b. Leukocytes
c. Lymphocytes
d. Neutrophils
3. Which lab value is most concerning in an infant with A. Creactive protein of 11.5
fever and a suspected bacterial infection? mg/L
a. Creactive protein of 11.5 mg/L
b. Lymphocyte count of 8.7
c. Platelet count of 475
d. White blood cell count of 14
4. A toddler is receiving longterm antibiotics to treat os- B. Erythrocyte sedimenta-
teomyelitis. Which laboratory test will the primary care tion rate (ESR)
pediatric nurse practitioner order to monitor response
to therapy in this child?
a. Blood cultures
b. Erythrocyte sedimentation rate (ESR)
c. Serum procalcitonin (ProCT)
d. White blood count (WBC)
, EXAM Burns' Pediatric Primary Care (7th ed) ch 22: Immunizations 2025
5. According to recent research, which populations may B. Those with higher rates
have higher rates of under immunization than others/ of graduate degrees
a. Those with higher rates of Asians
b. Those with higher rates of graduate degrees
c. Those with lower rates of poverty
d. Those with lower rates of primary providers
6. The parent of a 2 month old infant is reluctant to have C. Question the parent's
the baby vaccinated. What is an initial step in respond- reasons for concern about
ing to these concerns? immunizations
a. Inform the parent that all vaccines may be given
without thimerosal
b. Providing Vaccine Information Statements for the
parent to review
c. Question the parent's reasons for concern about
immunizations
d. Remind the parent that the infant is exposed to
thousands of germs each day
7. A parent is concerned about vaccine adverse reactions. B. The MMR may be linked
Based on an Institute of Medicine report, what will to febrile seizures in im-
the primary care pediatric nurse practitioner tell the munocompromised chil-
parent? dren
a. Administering multiple vaccines may trigger the de-
velopment of type 1 diabetes
b. The MMR may be linked to febrile seizures in im-
munocompromised children
c. There is some risk of CNS disorders associated with
the hepatitis B vaccine
d. Vaccines containing thimerosal are linked to perva-
sive developmental disorders
