FNP PEDIATRICS BOARD LATEST 2024 ACTUAL
EXAM TEST BANK
When giving influenza vaccine to a 7-year-old who has not received this
immunization in the past, the NP considers that:
A. two doses 4 weeks or more apart should be given.
B. a single dose is adequate.
C. children in this age group have the highest rate of influenza-related
hospitalization.
D. the vaccine should not be given to a child with shellfish allergy. –
ANSWER- A
Which of the following should not receive vaccination against
influenza?
A. a 19 year old with a history of hive-form reaction to eating eggs
B. A 24-year-old woman who is 8 weeks pregnant
C. a 4-month-old infant who was born at 32 weeks’ gestation
D. A 28-year-old woman who is breastfeeding a 2 week old –
ANSWER- C
The CDC recommends that all members of the population age _ months and older should receive annual immunization against seasonal influenza (Table 17-6). – ANSWER- 6 When a child younger than years receives influenza vaccine for the
first time, two doses 4 or more weeks apart should be given. –
ANSWER- 8
T/F: Flu vaccine is not safe to give during lactation. – ANSWER- False
T/F: Having a mild illness or taking an antibiotic are contraindications to
any immunization, including influenza. – ANSWER- False
The flu vaccine, also known as live attenuated influenza
vaccine (LAIV), differs from the injectable influenza vaccine or “flu
shot” because it contains weakened live influenza viruses instead of
killed viruses. – ANSWER- nasal-spray
The viruses in the LAIV are cold adapted and temperature sensitive. As
a result, the viruses can grow in the but not in the lower
respiratory tract, where the temperature is higher. – ANSWER- nose and
throat
LAIV is currently approved for use in healthy people to _ years
old. – ANSWER- 2 to 49
Should the following receive the LAIV:
Chronic heart or lung disease, such as asthma or reactive airway disease
Patients with immunosuppression
Children or adolescents receiving long-term aspirin therapy
People with a history of Guillain-Barré syndrome
pregnant women
History of allergy to any of the components of LAIV. – ANSWER- No
Until relatively recently, _ allergy was considered a
contraindication to receiving all forms of influenza vaccine. Current
recommendations advise that most individuals with an egg allergy can
safely receive the influenza vaccine – ANSWER- egg
You are making rounds in the nursery and examine the neonate of a
mother who is HBsAg-positive. Your most appropriate action is to:
A. administer hepatitis B immune globulin (HBIG).
B. isolate the infant.
C. administer hepatitis B immunization.
D. give hepatitis B immunization and HBIG. – ANSWER- D
Infants who have been infected perinatally with HBV have an estimated
25% lifetime chance of developing hepatocellular carcinoma or
. – ANSWER- cirrhosis
In healthy children, the second and third doses of the HBV vaccine
should be separated by at least how much time?
A. 4 weeks B. 8 weeks C. 6 months D. 1 year – ANSWER- B
Jason is a healthy 18 year old who presents for primary care. According
to his immunization record, he received two doses of HBV vaccine 1
month apart at age 14 years. What is HBV vaccination needs? –
ANSWER- He should receive a single dose of HBV vaccine now
He should receive a single dose of HBV vaccine now – ANSWER- 1991
HBV vaccine is recommended routinely for all infants and is
administered in a three-injection series at , , & _ months of age. – ANSWER- 0, 1, and 6 If the HBV vaccine series is interrupted after the first dose, the second dose should be administered _. The second and third doses
should be separated by an interval of at least 8 weeks. – ANSWER- as
soon as possible.
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