NUR 511 EXAM 1 QUESTIONS AND ANSWERS
What is done on an HP exam ages 3-5? - Answer -Ht, Wt, BP, vision, developmental
milestones
How long is head circumference measured? - Answer -Age 3
What diseases are a newborn tested for per USPSTF guidelines? - Answer -Congenital
hypothyroid, PKU, sickle cell, CF; optional MCA coA, toxoplasmosis, biotinidase
deficiency
What are some dental care reccomendations? - Answer -Regular check ups, brush with
fluoride toothpaste
What does a HP exam for children 5 - 10 consist of? - Answer -Ht, Wt, BP,
nutritional/learning/developmental problems, developmental milestones; injury
prevention, substance abuse, sexual safety (good touch / bad touch); Multivitamin
What does a HP exam for an 11-24 yo consist of? - Answer -Ht, Wt, BP, PAP/STD
screen, drinking screening; counsel on injury prevention, substance abuse, sexual
behavior
What screenings are performed for people ages 25-64? - Answer -ht, wt, bp,
cholesterol, BS (if overweight), PAP/pelvic, Mammo + CBE, AFOB/scope, rubella for
childbearing women, cancer screenings, subs abuse, vision, dental
When do women begin mammograms? - Answer -40-49 if risk factors present, 50-75;
BSE at 20
When do women receive the MMR vax? - Answer -1 month before pregnancy or after.
Which vaccine should be given during pregnancy? - Answer -TDAP
What screenings are performed for a HP exam ages 65+? - Answer -ht, wt, bp,
FOB/scope, mammo/CBE, pelvic/pap, STDs, vision/hearing, subs abuse, rall risk, skin
cancer, MSE
When can you stop getting paps? - Answer -70-74 yo
What immunizations are prevalent for people ages 65+? - Answer -PCV, flu, tdap,
shingles, Hep A / B, Covid19
What are some basic approaches to counseling patients on hp? - Answer -assess pts
knowledge, evaluate their belief system, match teaching to pts perception, inform
patient of purpose / benefit of intervention, give patient a timeline, suggest small
, changes, give specific information, consider adding positive behaviors rather than
quitting bad behaviors, like desired behavior with established behavior, give
personalized message regarding risk, ask for commitment from pt
How can a clinician reinforce counseling? - Answer -Use combination of teaching
strategies, strive for interdisciplinary approach, maintain frequent contact with pt, expect
gains and setbacks, be positive, don't preach
Which flu vaccine is safe for people with egg allergies? - Answer -Recombinant flu
RIV4
Who cannot have the live flu vaccine? - Answer -Pregnant, asthmatic, RAD, CPD, CV,
hepatic, neuro or hematologic disorders, immunosuppressed people, those on long term
ASA therapy
Who should be cautious in getting the flu vaccine? - Answer -Those with hx GB
syndrome or those with moderate to severe illness
What infections does the HIB vaccine protect you from? - Answer -Meningitis, PNA,
epiglotittis
Which RV vaccine is three doses? Which is two? - Answer -Rotateq - 3, Rotarix - 2
Which populations are included in RV precautions? - Answer -Immunodeficient, hx
intussusception, actively il
What are the poss sfx of the RV vaccine? - Answer -irritability, GI distress, severe =
intussusception, anaphylaxis
Which bacteria causes 25% of pneumonia? - Answer -Strep pna
Can PCV be used interchangeably? - Answer -yes
What age should pna vax series be given by? What do you do when it has passed? -
Answer -2 years old. Sometimes given if older, not vaccinated, and have medical
condition
Who should be revaccinated with pcv? - Answer -five years after initial vaccine with
some immunocompromising conditions
What are the precautions for PCV? - Answer -actively ill, blood, plasma, or IG in the
last 11 mo; hx thrombocytopenia
How is polio transmitted? - Answer -fecal oral
What is done on an HP exam ages 3-5? - Answer -Ht, Wt, BP, vision, developmental
milestones
How long is head circumference measured? - Answer -Age 3
What diseases are a newborn tested for per USPSTF guidelines? - Answer -Congenital
hypothyroid, PKU, sickle cell, CF; optional MCA coA, toxoplasmosis, biotinidase
deficiency
What are some dental care reccomendations? - Answer -Regular check ups, brush with
fluoride toothpaste
What does a HP exam for children 5 - 10 consist of? - Answer -Ht, Wt, BP,
nutritional/learning/developmental problems, developmental milestones; injury
prevention, substance abuse, sexual safety (good touch / bad touch); Multivitamin
What does a HP exam for an 11-24 yo consist of? - Answer -Ht, Wt, BP, PAP/STD
screen, drinking screening; counsel on injury prevention, substance abuse, sexual
behavior
What screenings are performed for people ages 25-64? - Answer -ht, wt, bp,
cholesterol, BS (if overweight), PAP/pelvic, Mammo + CBE, AFOB/scope, rubella for
childbearing women, cancer screenings, subs abuse, vision, dental
When do women begin mammograms? - Answer -40-49 if risk factors present, 50-75;
BSE at 20
When do women receive the MMR vax? - Answer -1 month before pregnancy or after.
Which vaccine should be given during pregnancy? - Answer -TDAP
What screenings are performed for a HP exam ages 65+? - Answer -ht, wt, bp,
FOB/scope, mammo/CBE, pelvic/pap, STDs, vision/hearing, subs abuse, rall risk, skin
cancer, MSE
When can you stop getting paps? - Answer -70-74 yo
What immunizations are prevalent for people ages 65+? - Answer -PCV, flu, tdap,
shingles, Hep A / B, Covid19
What are some basic approaches to counseling patients on hp? - Answer -assess pts
knowledge, evaluate their belief system, match teaching to pts perception, inform
patient of purpose / benefit of intervention, give patient a timeline, suggest small
, changes, give specific information, consider adding positive behaviors rather than
quitting bad behaviors, like desired behavior with established behavior, give
personalized message regarding risk, ask for commitment from pt
How can a clinician reinforce counseling? - Answer -Use combination of teaching
strategies, strive for interdisciplinary approach, maintain frequent contact with pt, expect
gains and setbacks, be positive, don't preach
Which flu vaccine is safe for people with egg allergies? - Answer -Recombinant flu
RIV4
Who cannot have the live flu vaccine? - Answer -Pregnant, asthmatic, RAD, CPD, CV,
hepatic, neuro or hematologic disorders, immunosuppressed people, those on long term
ASA therapy
Who should be cautious in getting the flu vaccine? - Answer -Those with hx GB
syndrome or those with moderate to severe illness
What infections does the HIB vaccine protect you from? - Answer -Meningitis, PNA,
epiglotittis
Which RV vaccine is three doses? Which is two? - Answer -Rotateq - 3, Rotarix - 2
Which populations are included in RV precautions? - Answer -Immunodeficient, hx
intussusception, actively il
What are the poss sfx of the RV vaccine? - Answer -irritability, GI distress, severe =
intussusception, anaphylaxis
Which bacteria causes 25% of pneumonia? - Answer -Strep pna
Can PCV be used interchangeably? - Answer -yes
What age should pna vax series be given by? What do you do when it has passed? -
Answer -2 years old. Sometimes given if older, not vaccinated, and have medical
condition
Who should be revaccinated with pcv? - Answer -five years after initial vaccine with
some immunocompromising conditions
What are the precautions for PCV? - Answer -actively ill, blood, plasma, or IG in the
last 11 mo; hx thrombocytopenia
How is polio transmitted? - Answer -fecal oral
