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Chapter 70: The Immune System and Immunizations Test Bank

Chapter 70: The Immune System and Immunizations Test Bank

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Chapter 70: The Immune System and Immunizations
Test Bank
MULTIPLE CHOICE
1.   The parents of a 2-month-old infant ask the primary care nurse practitioner (NP) if they can immunize their child by giving one or two immunizations per month instead of following the recommended immunization schedule for vaccines at 2, 4, 6, 12, and 15 months of age. The NP should:
a.

respect the parents’ wishes and agree to the revised schedule for immunizations.

b.

explain that prolonging the vaccine regimen will lead to a decrease in final antibody concentrations.

c.

tell the parents that protection from diseases may be delayed until all immunizations have been given.

d.

inform the parents that a prolonged interval between some vaccines may require restarting the series for those vaccines.

 
2.   The primary care NP sees a 5-year-old child for a prekindergarten physical examination. The child’s parents do not have immunization records, and a local record search does not provide proof of vaccinations, although the parent thinks the child may have had some vaccines several years ago. The NP’s initial action will be to:
a.

perform serologic tests for measles, rubella, and tetanus antigens.

b.

administer TdaP, MMR, Varivax, PCV13, hepatitis A, hepatitis B, and IPV vaccines.

c.

administer DTaP, Hib, hepatitis A, hepatitis B, MMR, Varivax, IPV, RV, and PCV13 vaccines.

d.

ask the parent to look for immunization records and schedule an appointment for vaccines when those are found.

 
3.   The primary care NP sees a 6-month-old infant for a routine physical examination and notes that the infant has a runny nose and a cough. The parents report a 2-day history of a temperature of 99° F to 100° F and two to three loose stools per day. Other family members have similar symptoms. The infant has had two sets of immunizations at 2 and 4 months of age. The NP should:
a.

administer the 6-month immunizations at this visit today.

b.

schedule an appointment in 2 weeks for 6-month immunizations.

c.

administer DTaP, Hib, IPV, hepatitis B, and PCV13 today and RV in 2 weeks.

d.

withhold all immunizations until the infant’s temperature returns to normal and the cough is gone.

 
4.   A woman who is pregnant and is planning to breastfeed tells the primary care NP that she has never had chickenpox. The NP should:
a.

administer the Varivax vaccine today.

b.

administer the varicella-zoster immune globulin.

c.

recommend the Varivax vaccine as soon as possible after her baby is born.

d.

instruct her to receive the Varivax vaccine after her baby has been weaned.

 
5.   The primary care NP is performing a physical examination on a 6-month-old infant with cerebral palsy who has not had previous immunizations. The NP plans to begin vaccinations and should include:
a.

DTaP vaccine.

b.

TdaP vaccine.

c.

TD vaccine only.

d.

tetanus vaccine only.


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