This quiz has 27 questions worth 3.7 each to equal 99.9%.

The grades are then calculated into 20

points. There are five assignments in this class, and each counts 20points or 20% of your grade. If you
made 80 on the quiz then the points adding into the total grade is 16.

Everyone gets credit on number 8 (if Hepatitis is in correct two places), 11, 13, 14

1. Which of the following vaccines require 4 (four) doses during the infant toddler period?
A. 4 doses of (DTaP), Hib, pneumococcal vaccine
B. 4 doses of polio vaccine, Hib, pneumococcal vaccine
C. 4 doses of hepatitis A vaccine, polio, and DTaP
D. 4 doses of hepatitis B vaccine, polio, and DTaP
Answer Key: A
Correct Feedback: The following vaccinations are recommended by age two and can be given over five
visits to a doctor or clinic:
4 doses of diphtheria, tetanus & pertussis vaccine (DTaP)
3-4 doses of Hib vaccine (depending on the brand used)
4 doses of pneumococcal vaccine
2. At age two months the baby should receive the following:
A. Hepatitis B, DTaP, IPV, PCV
B. Hepatitis B, DTaP, HIB, IPV
C. Hepatitis B, DTaP, IPV, PCV, MMR
D. Hepatitis B, DTaP, HIB, IPV, PCV
Answer Key: D
3. From 12 to 15 months, the toddler can receive the following:
A. Hepatitis, DtaP, HIB, MMR, IPV, Varicella, PCV
B. Hepatitis, DtaP, HIB, MMR, IPV, Varicella
C. Hepatitis, DtaP, HIB, MMR, IPV, PCV
D. Hepatitis, DtaP, HIB, IPV, Varicella, PCV
Answer Key: A
4. An eleven-year-old boy is brought to your office. He is adopted recently from Hungary, and his mother
does not know his shot record, but is sure he received vaccines in infancy. You should:
A. Try to obtain his shot records
B. Assume all infant shots were given and give him boosters of TD, MMR and the Hepatitis B series
C. Start as if he has had no immunizations and begin basic immunizations
D. Ask the mother to get the information from her adoption agency and give nothing until you know what
he has had
Answer Key: C
5. Although the possible association with MMR vaccine has received much public and political attention
and there are many who have derived their own conclusions based on personal experiences, the available
evidence does not support the hypothesis that MMR vaccine causes autism or associated disorders or IBD.
True
False
Answer Key: True
6. There is no known association between MMR vaccination and encephalitis, aseptic meningitis, or
autism.
True
False
Answer Key: True
7. The VFC program, which began October 1, 1994, represents an unprecedented approach to improving
vaccine availability nationwide by providing vaccine free of charge to VFC-eligible children through public
and private providers.
True
False
Answer Key: True
8. Match the following vaccines to their activity.
A. is given after age 12 months
B. is given after age 11 years
C. transmitted primarily by contact with blood, body fluids, sexual contact, and from mother to baby
D. a vaccine that begins at birth
E. protects against infections by Haemophilus influenza
1. Hepatitis B
2. Hib vaccine
3. Td
4. Hepatitis B
5. MMR
Answer Key: A:5, B:3, C:4, D:1, E:2
If the Hepatitis answers were switched, then the question was marked wrong, but I gave credit any time that
this happened.
9. A three month old comes in. She has missed her two months vaccinations but received Hepatitis B at
birth. You should:
A. Give all of her two months shots but delay the next set at 4 months until 5 months.
B. Give all of her shots that were due at two months and give her 4-month shots one month from now.
C. Give her no vaccine and have the mother return at 4 months
D. Give her one half of the due vaccines today and the other half at 4 months
Answer Key: B
10. A 12 month old comes in for immunizations but she has a cold and a cough that sounds harsh. You
should:
A. Give the immunizations that are due.
B.
Ask the mother to return next week.
C.
Skip the shots until her 15-month checkup.
D. Start antibiotics and give the immunizations.
Answer Key: A
11. All research has shown that premature infants should receive their
immunizations on the same schedule as any other infants with no
increased side effects or decreased response to the immunizations.
True
False
Answer Key: True
Can be either, depending, not counted wrong

12. The vaccine protects against Haemophilus influenza, which causes
meningitis (life-threatening), periorbital cellulitis
(life-threatening), and epiglottitis (life-threatening) as well as other
infections is
A. Hep B
B. HIB
C. MMR
D. Combo
Answer Key: B
13. The Public Health Service, the American Academy of Pediatrics (AAP),
and pharmaceutical companies agreed that thimerosal should be removed
from pediatric vaccines to reduce children's exposure to mercury.
True
False
Answer Key: True
This should be false
It WAS true in 2000, but has been since retracted
14. The National Childhood Vaccine Injury Act requires standardized consent forms given to parents. The
content on the form for the medical record includes the vaccine lot number, nurse signature, injection site,
and
A. parental signature
B. education provided
C. absence of contraindications
D. vaccine expiration date
Answer Key: A
Correct Feedback: parental signature required by law, NOT so since 2000

15. The mother of a 15 year old is concerned that her daughter has never had the chicken pox disease and
wants her daughter vaccinated. The recommendations are
A. not recommended for children over 12
B. a one time dose
C. three doses 2 months apart
D. two doses 4 - 8 weeks apart
Answer Key: D
16. Consultation with a mother of an 18 month old who has had no immunizations reveals that the child
was exposed to measles 48 hours earlier prior to the visit. The PNP would?
A. discharge the child with care instructions
B. administerlive attenuated vaccine
C. Administer 0.5 ml/kg immunoglobulin G (IgG)
D. Administer half the regular measles vaccine
Answer Key: B
Correct Feedback: the live vaccine would provide protection if given within 72 hours of exposure, the IgG
if given would bewithin 6 days of exposure and the does would be 0.25ml/kg
Incorrect Feedback: the live vaccine would provide protection if given within 72 hours of exposure, the IgG
if given would bewithin 6 days of exposure and the does would be 0.25ml/kg
17. The PNP understands that the only contraindication to the Hepatitis B vaccine is
A. pregnancy and lactation
B. history of poliomyelitis
C. prior anaphylaxis or severe hypersensitivity
D. mild viral disease
Answer Key: C
Correct Feedback: OK in pregnancy or mild viral illness
Incorrect Feedback: OK in pregnancy or mild viral illness
18. Which of the following are live attenuated vaccines?
A. measles and rubella
B. mumps and Hepatitis B
C. Polio and Hepatitis B
D. Rubella and rabies
Answer Key: A
Correct Feedback: Hep B and rabies are NOT
Incorrect Feedback: Hep B and rabies are NOT
19. Children who have a high risk of adverse reaction are children who have severe reactions to:
A. fungi
B. pollen
C. pets
D. food
Answer Key: D
Correct Feedback: atopic children with food allergies are at high risk
Incorrect Feedback: atopic children with food allergies are at high risk
20. What type of immunity does a child develop after he has had the chicken pox disease?
A. actively acquired immunity
B. artificially aquired immunity
C. natural passive immunity
D. natural immunity
Answer Key: A
Correct Feedback: natural passive immunity is through the placenta
Incorrect Feedback: natural passive immunity is through the placenta
21. In considering a client situation, which of the following require an inactivated vaccine (not live)?
A. histoty of nonspecific allergies
B. immunocompromised client
C. concurrent antimicrobial therapy
D. mild acute illness
Answer Key: B
22. A two month old received his immunizations and 12 hours later his mother calls to say he has a fever of
101. what is the most likely cause of the fever?
A. vaccine for measles, mumps, rubella
B. vaccine for the diptheria and the polio
C. the presense of an infection when the vaccines were given
D. the pertussis vaccine
Answer Key: D
23. When does the fever associated with the MMR vaccine typically appear?
A. 5-12 days
B. within 24 hours
C. 1 to 3 weeks
D. does not generally cause fever
Answer Key: A
Correct Feedback: Rationale: 5-12 days post vaccination, most children will become febrile either due to
measles or rubella component of the vaccine. Joint pain typically occurs 1-3 weeks after vaccination
Incorrect Feedback: Rationale: 5-12 days post vaccination, most children will become febrile either due to
measles or rubella component of the vaccine. Joint pain typically occurs 1-3 weeks after vaccination
24. What vaccines can a patient with severe combined immunodeficiency disease (SCID) receive?
A. DTaP, Hib, hepatitis B, IPV, injectable influenza
B. intranasal influenza, MMR, oral polio
C. rotavirus and varicella
Answer Key: A
25. Should you administer vaccine to a child who is taking antibiotics?
A. Antibiotics decrease the effectiveness of vaccines
B. Treatment with antibiotics is not a valid reason to defer vaccination
C. vaccines should be administered even in severe acute illness
Answer Key: B
26. What additional side effect is noted particularly in teenage females from the MMR vaccine?
A. Arthritis/arthralgia
B. muscle hematoma
C. diarrhea
D. vesicular rash
Answer Key: A
Correct Feedback: 5-15% of teenaged girls can experience arthritis or arthralgias after the vaccination,
which is generally given as a booster at age 11-12 years. Rashes can occur but are generally not
vesicular. The MMR is given subcutaneous, whereas hematomas are unlikely.
Incorrect Feedback: 5-15% of teenaged girls can experience arthritis or arthralgias after the vaccination,
which is generally given as a booster at age 11-12 years. Rashes can occur but are generally not
vesicular. The MMR is given subcutaneous, whereas hematomas are unlikely.
27. When we are giving multiple injections in a limb, what is the best way to accurately document the
injection site? It is not unusual for us to give 4-6 injections to each infant/child that we see, and I want to
ensure that we are doing this safely and documenting it adequately
A. It is helpful if everyone in your office or clinic uses the same sites for each vaccine.
B. Use of a standardized site map can facilitate site choice for all personnel
C. Indicate if the vaccination was given either in the "upper" or "lower" portion of the injection area
selected
D. All are correct
Answer Key: D