Exam 1 Review- N371

A 5 year old is undergoing chemotherapy. The mother tells the nurse the child is not up to date on the required immunizations for school. What is the best response by the nurse? A. "By this time your child has developed sufficient antibodies to provide immunity." B. "Maintaining current immunizations is critical. Make sure the series is completed." C."This isn't the best time to finish the immunizations, because your child's immune system is suppressed." D. It's important to complete the immunizations because your child needs to be protected from childhood diseases that could be fatal."

C

A nurse is teaching a class on immunizations to members of a grammar school's Parent-Teacher Association. Which childhood disease does the nurse describe as a viral disease that starts with malaise and a highly pruritic rash that begins on the abdomen and spreads to the face and proximal extremities and can result in grave complications? A. Rubella B. Measles C. Chickenpox D. Scarlet Fever

C

In addition to hepatitis B, pneumococcal, H. influenza type B, and varicella vaccines, what should the nurse expect a 20-month-old child who has been receiving immunizations on schedule to have had? A. Two DTaps, two IPVs, and one MMR B. Three DTaps, two IPVs, and two MMRs C. Four DTaps, three IPVs, and one MMR D. Three DTaPs, three IPVs, and three MMRs

C

A nurse is reviewing the immunization schedule of a 5-month-old infant. What immunizations does the nurse expect the infant to have already received? A. Rubella, polio, tuberculosis, rotavirus, varicella, pertussis B. Pertussis, tetanus, polio, rotavirus, pneumococcal, measles C. Measles, mumps, rubella, rotavirus, pertussis, tuberculosis D. Rotavirus, DTaP, Haemophilus influenzae, polio, pneumococcal

D

An 18-month-old child has received all required immunizations. What immunization should the nurse explain to a parent will be one of the vaccines required between 4 and 6 years of age? A. Rotavirus B. Hepatitis B C. HiB D. Inactivated Polio

D

Toxoid

DTaP (diphtheria, tetanus, and pertussis)

Subunit/conjugate

Hep B Pertussis H. influenzae type B Pneumococcal Meningococcal HPV Influenza (IM)

Route of Tdap

IM

A school nurse is teaching the parents of school-aged children about the importance of immunizations for the childhood communicable diseases. What preventable disease may have the complication of encephalitis? A. Scarlet Fever B. Varicella C. Poliomyelitis D. Whooping Cough

B

A 5-year-old child who is HIV positive is taken to the health department for immunizations before the start of school. The CD4 count shows severe immunosuppression. What immunizations can the child be given safely at this time? Select all that apply. A. Varicella B. Hep A C. Polio Vaccine D. MMR E. DTaP

B, C, E

live attenuated

MMR, Varicella, Influenza(oral), and Rotavirus

Route of Rotavirus

Oral

Inactivated

Polio and Hep A

Route of Varicella

Subcut

route of MMR

Subcut

Route of live influenza

Intra-nasal spray