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Content text DIAGNOSTIC EXAM - NP1 (KEY)


TOP RANK REVIEW ACADEMY, INC. Page 2 | the following vaccines may be stored at the body of the refrigerator, except: A. BCG B. DPT C. OPV D. Hepatitis B 12. A primigravid woman asks you about the importance of having tetanus toxoid immunization during her pregnancy. The following are true of this infection, except: A. Tetanus infection causes muscular spasm of the muscles only in the extremities, which could affect its development in children. B. This may be acquired if the newborn’s umbilical cord becomes contaminated postpartum. C. On her first pregnancy, the mother is expected to receive at most two doses of tetanus toxoid vaccine. D. Clostridium tetani is found in the soil or in fecal matter. 13. You are to request for supply of DPT vaccine. When tasked to conduct a health teaching of the infections this vaccine will cover, the following must be included when diphtheria is discussed, except: A. If a mother acquires diphtheria during her pregnancy, the child she will give birth to will be born immune to the disease. B. If a lactating mother has an active diphtheria infection, the bacteria may be passed through her milk. C. Its distinct manifestation is a wound with patches of grayish membrane on the respiratory tract. D. Diphtheria is transmitted via droplet transmission. 14. James, a 13 week old child, was brought by his mother to the health center for a check-up. Which of the following vaccinations would you expect to be administered to him prior to his visit today? A. BCG, OPV 2 , DPT 2 , HepB 2 B. BCG, OPV 1 , DPT 1 , HepB 1 C. BCG, OPV 1 , DPT 2 , HepB 2 D. BCG, OPV 2 , DPT 1 , HepB 2 15. What regions were covered by the launch of dengue vaccine administration in elementary public schools? A. NCR, Region III, Region IVA B. Region I, II, III C. NCR, Region III, Region II D. Region VII, VIII, IX 16. The DOH recognizes immunization as a key element in reducing the burden of childhood mortality and morbidity with the new inclusion of the IPV. Which of the following statements are inappropriate regarding IPV? A. IPV protects against polio type 1 and type 3 B. IPV protects against outbreaks of wild or vaccine-derived polio virus type 2 C. IPV will be given in addition to oral polio vaccine when a child is 14 weeks old D. IPV an inactivated polio vaccine also known as the Sabin vaccine 17. A clinical instructor is supervising her student giving immunization. During OPV administration the student nurse opens the child’s mouth by squeezing the cheeks gently between her finger and put drops of vaccine from the dropper to the child’s tongue; however the child spits it out. The instructor reminds her student to; A. Advise the mother to maintain child’s upright position while breast feeding B. Wipe child’s mouth and position baby to supine C. Repeat OPV dose and breastfeed immediately D. Put two drops of vaccine straight from the dropper on child’s mouth but precaution not to allow the dropper touch child’s tongue. 18. Mrs. De Leon, mother of a 6 month old baby, asks the PHN about the new Pentavalent vaccine and Rotavirus vaccine. Which among the following information should be excluded? A. Pentavalent vaccine will be injected in three doses together with DPT and OPV B. Pentavalent vaccine is given to children which starts when the child is six weeks old C. Rotavirus vaccine is given in two doses, the first dose is given when the child is six weeks old to less than 15 weeks old D. For the Rotavirus vaccine, the priority will be given to 4 P’s PantawidPamilya Pilipino program beneficiaries 19. Prior to administration of Pentavalent vaccine by the PHN, Mrs. De Leon admits some gaps of information. Which of the following statements by the mother should be corrected? A. I understand that the Pentavalent vaccine has the same schedule as DPT B. I’m glad this vaccine provides more protection for babies with less jabs C. The need to give the birth dose of Hepatitis B vaccine will be unnecessary when you a. give the Pentavalent vaccine D. It is still imperative to submit my child for OPV and measles vaccine and should not be missed from the schedule 20. Ryan, a 9 year old boy, was rushed to the rural health unit because his parents suspect that he has dengue. He has had high-grade fever for two days, with retroocular and joint pains, and controlled epistaxis. While waiting for the results of his Rumpel Leads test and blood test, his mother asked you about the management of a dengue case. The following are true of treatment for dengue, except: A. Paracetamol is prescribed for muscle pains. B. Ryan may receive ORESOL or fluid replacement via intravenous route, depending on the severity of fluid loss. C. Aspirin is an alternative if paracetamol is not available for muscle pains. D. The treatment for dengue is symptomatic. Situation: Current epidemiological studies have revealed rent outbreaks of certain dormant diseases. The following questions are relevant: 21. Dengvaxia ™ (CYD-TDV) is the first dengue vaccine to be licensed in Mexico in 2015 for use in individuals 9-45 years of age living in endemic areas. This was developed by Sanofi Pasteur. What is the route of administration for this vaccine? A. Intravenous B. Oral

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