PEDS (APEA) EXAM QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS

PEDS (APEA) EXAM QUESTIONS COMPLETE WITH 100% VERIFIED ANSWERS 1. A mother brings her 12-month-old child to the clinic for immunizations. The child has never received the Hepatitis A vaccine. What is the correct immunization schedule for Hepatitis A? A) Single dose at 12 months, booster at 18 months B) First dose at 1 year, second dose after 6 months C) First dose at 9 months, second dose at 15 months D) Two doses given 2 months apart starting at 12 months Answer: B - The Hepatitis A immunization schedule is first dose at 1 year (12 months) and second dose after 6 months. This provides optimal protection against Hepatitis A virus. ________________________________________ 2. A newborn is delivered to a mother who is HBsAg positive. What is the appropriate management within the first 12 hours of life? A) Administer Hep B vaccine only B) Administer Hep B immunoglobulin only C) Administer Hep B vaccine and Hep B immunoglobulin D) No intervention needed until 24 hours Answer: C - Newborns of HBsAg-positive mothers should receive both Hep B vaccine and Hep B immunoglobulin within 12 hours of birth to prevent perinatal transmission of Hepatitis B. ________________________________________ 3. How many doses are included in the complete DTaP vaccine series? A) 3 doses B) 4 doses C) 5 doses D) 6 doses Answer: C - The DTaP series consists of 5 doses given at 2, 4, 6, 15-18 months, and 4-6 years of age. ________________________________________ 4. A pregnant patient at 30 weeks gestation asks about the Tdap vaccine. What is the current recommendation? A) One dose of Tdap during each pregnancy, preferably at 27-36 weeks B) Tdap only if previously unvaccinated C) Tdap only during the third trimester if influenza season D) No Tdap recommended during pregnancy Answer: A - The CDC recommends one dose of Tdap during each pregnancy, preferably at 27-36 weeks gestation to maximize passive antibody transfer to the infant. ________________________________________ 5. How many doses of the pneumococcal conjugate vaccine (PCV) are recommended for children? A) 2 doses B) 3 doses C) 4 doses D) 5 doses Answer: C - PCV is given as a 4-dose series at 2, 4, 6, and 12-15 months of age. ________________________________________ 6. A child develops a fever and rash 7 days after receiving the MMR vaccine. What does this indicate? A) Anaphylactic reaction to the vaccine B) Reaction to viral replication, not the vaccine itself C) The child has developed measles from the vaccine D) The vaccine was improperly administered Answer: B - Fever and rash after live attenuated vaccines like MMR indicate viral replication and an immune response, not an actual infection from the vaccine. ________________________________________ 7. Which of the following is a live attenuated vaccine? A) Hepatitis B vaccine B) DTaP C) MMR D) IPV Answer: C - MMR (Measles, Mumps, Rubella) is a live attenuated vaccine. Hepatitis B, DTaP, and IPV are inactivated vaccines. ________________________________________ 8. A 13-month-old child receives the MMR and varicella vaccines. When should the second dose be administered? A) Immediately at the same visit B) One month after the first dose C) At 4 years of age D) At 6 years of age Answer: B - After the first dose of MMR and varicella at 12 months, the second dose must be given at least one month later. ________________________________________ 9. What is the earliest age at which a child can receive the influenza vaccine? A) 2 months B) 4 months C) 6 months D) 12 months Answer: C - The influenza vaccine can be given to children starting at 6 months of age. ________________________________________ 10. A 1-year-old child with an egg allergy that produces only hives is brought for vaccination. How should the influenza vaccine be handled? A) The influenza vaccine should be given B) The influenza vaccine should be avoided C) A skin test should be performed first D) The vaccine should be given only in a hospital setting Answer: A - Current guidelines state that children with egg allergy who experience only hives can safely receive the influenza vaccine without special precautions. ________________________________________ 11. A 15-year-old sexually active female presents for her first HPV vaccine. How should the nurse practitioner proceed? A) Administer the vaccine today without checking pregnancy status B) Perform a pregnancy test before administration C) Delay vaccination until she is 18 years old D) Administer only if she is not sexually active Answer: A - The HPV vaccine can be administered without pregnancy testing. It is recommended for all adolescents regardless of sexual activity status. ________________________________________ 12. A child receives immunizations in the clinic. How long should the CDC recommend monitoring the child after immunization? A) 5 minutes B) 10 minutes C) 15 minutes D) 30 minutes Answer: C - The CDC recommends monitoring children for 15 minutes after immunization to observe for any immediate adverse reactions. ________________________________________ 13. During which developmental period is diabetes mellitus most commonly diagnosed in children?