D118 Verified Multiple Choice and Conceptual
Actual Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. ACIP recommends zoster vaccine for adults without contraindications who are:
A. 40 years of age or older.
B. 50 years of age or older.
C. 60 years of age or older.
D. 70 years of age or older. - ANSWER B. 50 years of age or older. RVZ is
recommended, and preferred, over zoster vaccine live by ACIO for the prevention
of herpes zoster and related complications for immunocompetent adults aged 50
and older.
2. Which age group is typically at highest risk for death related to seasonal
influenza infection?
A. Adults 65 years of age and older
B. Persons 18 through 64 years of age
C. Persons aged 5 through 49 years of age
D. Children older than 5 years of age - ANSWER A. Adults 65 years of age and
older account for 70-90% of all deaths attributed to pneumonia and influenza.
3. Live, attenuated influenza vaccine is indicated for use in pregnant women.
,A. True
B. False - ANSWER B. False. Pregnancy is a contraindication for vaccination
with live attenuated influenza vaccine (LAIV).
4. Which statement is accurate and included in the inactivated seasonal influenza
Vaccine Information Statement?
A. Adults 65 years of age and older should receive 2 doses of influenza vaccine
each season.
B. Children 6 months through 8 years of age might need two doses during one
year.
C. Persons who have had a severe allergic reaction to eggs should not be given
influenza vaccine.
D. Pregnant women and persons who are immunosuppressed should not receive
influenza vaccine. - ANSWER B. This is the only accurate statement that is
included in the inactivated seasonal influenza VIS.
5. A patient who is planning international travel to a developing country asks the
provider about vaccinations. Which is true about pre-travel vaccinations?
A. Country specific guidelines are provided by individual embassies
B. Malaria vaccine is the most important vaccine for worldwide travel
C. Requirements should be reviewed at least 4 to 6 weeks prior to travel
D. There are at least five required vaccines for entry into certain countries -
ANSWER C. Patients seeking immunizations prior to international travel should
have these reviewed at least four to six weeks prior so that anybody responses
and completion of vaccines series may occur. Country specific guidelines may be
found on the CDC website. Malaria is not prevented by vaccine, but by
prophylactic antimalarial drugs. There are only two vaccines that are required
,6. The nurse practitioner is establishing a plan for routine health maintenance for
a new patient who is 80 years old. The patient has never smoked and has been in
good health. What will the Nurse practitioner include in routine care for this
patient? Select all that apply
A. Annual hypertension screening
B. Baseline abdominal aorta ultrasound
C. Colonoscopy every 10 years
D. One time hepatitis B vaccine
E. Pneumovax vaccine if not previously given
F. Yearly influenza vaccine - ANSWER E-F. For older patients a one-time
pneumovax is given after age 65. Influenza vaccine should be given every year.
Hypertension screening should be performed at each office visit not just annually.
An abdominal aorta ultrasound is performed once for every smoking male .
colonoscopy is performed every 10 years after age 50 but not after age 74
7. A pregnant woman reports not having had any vaccinations as a child but
requests vaccines during her pregnancy. Which vaccines may be given? Select all
that apply
A. Human papillomavirus HPV
B. Inactivated influenza
C. Live attenuated influenza
D. Measles months and rubella MMR
E. Tetanus diphtheria and ancellular pertussis Tdap
F. Varicella - ANSWER B-E. Tdap is recommended to pregnant women,
optimally between 27 and 36 weeks gestation. Inactivated is strongly
, recommended and may be given at any point during the pregnancy. Hepatitis B is
given to women at risk if needed. Live, attenuated influenza vaccine, MMR, and
varicella vaccines are not recommended during pregnancy
8. A 76 year old patient is being seen in the clinic to establish care. She reports
smoking for 20 years but quit 15 years ago with no current respiratory complaints
but also not seeing a medical provider in many years. Which priority screening
would the FNP recommend based on USPSTF guidelines?
A. Colonoscopy
B. Lung cancer screening
C. Osteoporosis screening
D. Pulmonary function tests - ANSWER C. The USPSTF recommends screening
for osteoporosis with bone measurement testing to prevent osteoporotic
fractures in women 65 years and older.
9. You are a nurse practitioner working at an addiction clinic. Today, a 45-year-old
male presents to your clinic with the chief complaint, "I am about to lose my
family; I have to stop drinking." You understand that it is important to fully screen
this patient and you decide to use a tool to do so. The most common tool used in
screening for alcohol abuse in this particular patient age group and setting is:
A. audit
B. cage
C. cows
D. crafft - ANSWER B. CAGE C: Need to cut down on your drinking? A: People
been annoyed by you mentioning drinking? G: Bad/or guilty about drinking? E:
Have you had a drink the first thing in the morning to steady your nerves? Others:
AUDIT: Alcohol Use disorders identification test S-MAST: Short Michigan
Actual Exam Questions With Reviewed 100%
Correct Detailed Answers
Guaranteed Pass!!Current Update
1. ACIP recommends zoster vaccine for adults without contraindications who are:
A. 40 years of age or older.
B. 50 years of age or older.
C. 60 years of age or older.
D. 70 years of age or older. - ANSWER B. 50 years of age or older. RVZ is
recommended, and preferred, over zoster vaccine live by ACIO for the prevention
of herpes zoster and related complications for immunocompetent adults aged 50
and older.
2. Which age group is typically at highest risk for death related to seasonal
influenza infection?
A. Adults 65 years of age and older
B. Persons 18 through 64 years of age
C. Persons aged 5 through 49 years of age
D. Children older than 5 years of age - ANSWER A. Adults 65 years of age and
older account for 70-90% of all deaths attributed to pneumonia and influenza.
3. Live, attenuated influenza vaccine is indicated for use in pregnant women.
,A. True
B. False - ANSWER B. False. Pregnancy is a contraindication for vaccination
with live attenuated influenza vaccine (LAIV).
4. Which statement is accurate and included in the inactivated seasonal influenza
Vaccine Information Statement?
A. Adults 65 years of age and older should receive 2 doses of influenza vaccine
each season.
B. Children 6 months through 8 years of age might need two doses during one
year.
C. Persons who have had a severe allergic reaction to eggs should not be given
influenza vaccine.
D. Pregnant women and persons who are immunosuppressed should not receive
influenza vaccine. - ANSWER B. This is the only accurate statement that is
included in the inactivated seasonal influenza VIS.
5. A patient who is planning international travel to a developing country asks the
provider about vaccinations. Which is true about pre-travel vaccinations?
A. Country specific guidelines are provided by individual embassies
B. Malaria vaccine is the most important vaccine for worldwide travel
C. Requirements should be reviewed at least 4 to 6 weeks prior to travel
D. There are at least five required vaccines for entry into certain countries -
ANSWER C. Patients seeking immunizations prior to international travel should
have these reviewed at least four to six weeks prior so that anybody responses
and completion of vaccines series may occur. Country specific guidelines may be
found on the CDC website. Malaria is not prevented by vaccine, but by
prophylactic antimalarial drugs. There are only two vaccines that are required
,6. The nurse practitioner is establishing a plan for routine health maintenance for
a new patient who is 80 years old. The patient has never smoked and has been in
good health. What will the Nurse practitioner include in routine care for this
patient? Select all that apply
A. Annual hypertension screening
B. Baseline abdominal aorta ultrasound
C. Colonoscopy every 10 years
D. One time hepatitis B vaccine
E. Pneumovax vaccine if not previously given
F. Yearly influenza vaccine - ANSWER E-F. For older patients a one-time
pneumovax is given after age 65. Influenza vaccine should be given every year.
Hypertension screening should be performed at each office visit not just annually.
An abdominal aorta ultrasound is performed once for every smoking male .
colonoscopy is performed every 10 years after age 50 but not after age 74
7. A pregnant woman reports not having had any vaccinations as a child but
requests vaccines during her pregnancy. Which vaccines may be given? Select all
that apply
A. Human papillomavirus HPV
B. Inactivated influenza
C. Live attenuated influenza
D. Measles months and rubella MMR
E. Tetanus diphtheria and ancellular pertussis Tdap
F. Varicella - ANSWER B-E. Tdap is recommended to pregnant women,
optimally between 27 and 36 weeks gestation. Inactivated is strongly
, recommended and may be given at any point during the pregnancy. Hepatitis B is
given to women at risk if needed. Live, attenuated influenza vaccine, MMR, and
varicella vaccines are not recommended during pregnancy
8. A 76 year old patient is being seen in the clinic to establish care. She reports
smoking for 20 years but quit 15 years ago with no current respiratory complaints
but also not seeing a medical provider in many years. Which priority screening
would the FNP recommend based on USPSTF guidelines?
A. Colonoscopy
B. Lung cancer screening
C. Osteoporosis screening
D. Pulmonary function tests - ANSWER C. The USPSTF recommends screening
for osteoporosis with bone measurement testing to prevent osteoporotic
fractures in women 65 years and older.
9. You are a nurse practitioner working at an addiction clinic. Today, a 45-year-old
male presents to your clinic with the chief complaint, "I am about to lose my
family; I have to stop drinking." You understand that it is important to fully screen
this patient and you decide to use a tool to do so. The most common tool used in
screening for alcohol abuse in this particular patient age group and setting is:
A. audit
B. cage
C. cows
D. crafft - ANSWER B. CAGE C: Need to cut down on your drinking? A: People
been annoyed by you mentioning drinking? G: Bad/or guilty about drinking? E:
Have you had a drink the first thing in the morning to steady your nerves? Others:
AUDIT: Alcohol Use disorders identification test S-MAST: Short Michigan
