Question 1

The nurse explains to a client who is at risk for hepatitis B and is being encouraged to take the vaccine that the virus is transmitted by contaminated&#10;A) water.&#10;B) blood.&#10;C) food.&#10;D) shellfish.&#10;

Accepted Answer

Hepatitis B is primarily transmitted through exposure to infected blood or body fluids, including sexual contact and sharing of needles. It can also be transmitted from mother to baby during childbirth, and less commonly through other bodily fluids such as saliva or breast milk. It is not transmitted through contaminated water or food, nor is it associated with shellfish.

Question 2

The nurse working in a flu clinic determines that a healthy client of which of the following ages can safely receive the nasal influenza virus vaccine (FluMist)?&#10;A) 6 years&#10;B) 17 years&#10;C) 45 years&#10;D) 59 years&#10;

Accepted Answer

45 years

Question 3

The nurse explains to a client with a kidney transplant to avoid contact for how long with a sister who just received a live influenza vaccine?&#10;A) 7 days&#10;B) 14 days&#10;C) 21 days&#10;D) 28 days&#10;

Accepted Answer

21 days

Question 4

The nurse would assess for allergy to which of the following substances before administering a dose of influenza vaccine (Fluvirin)to a client?&#10;A) Eggs&#10;B) Mercury&#10;C) Yeast&#10;D) Penicillin&#10;

Accepted Answer

Influenza vaccine (Fluvirin) is made from chicken eggs, therefore the nurse must assess for allergy to eggs before administering the vaccine.

Question 5

The nurse determines that which of the following clients would be in greatest need of a hepatitis A vaccine based on risk?&#10;A) An adult intravenous drug user&#10;B) A child who attends elementary school&#10;C) A client in a monogamous relationship&#10;D) A client who works in a bank&#10;

Accepted Answer

The greatest risk factor for hepatitis A is exposure to contaminated food or water, or direct contact with an infected person. Due to the increased risk for exposure through injection drug use and potential high-risk behaviors associated with that population, an adult intravenous drug user would be in greatest need of a hepatitis A vaccine. Children who attend elementary school may be at some risk but can receive the vaccine through routine childhood immunizations. Being in a monogamous relationship or working in a bank does not increase one's risk for hepatitis A.

Question 6

The nurse should explain to a client who is considering immunization with the live nasal influenza vaccine that it should be avoided if the client has a history of which of the following?&#10;A) Guillain-Barr&#233; syndrome&#10;B) Renal failure&#10;C) Hepatotoxicity&#10;D) Cardiomegaly&#10;

Accepted Answer

The live nasal influenza vaccine is contraindicated for individuals with a history of Guillain-Barré syndrome. This is because there has been a rare association between the influenza vaccine and the syndrome, which is a serious neurological disorder.

Question 7

The nurse would assess for possible allergy to which of the following before administering a dose of Haemophilus B conjugate vaccine (PedvaxHIB)to a client?&#10;A) Zinc&#10;B) Thimerosal&#10;C) Titanium&#10;D) Iodine&#10;

Accepted Answer

Thimerosal is a mercury-containing preservative that is present in some vaccines, including PedvaxHIB. It is important to assess for possible allergy to thimerosal before administering the vaccine. There is no known allergy to zinc, titanium or iodine associated with this vaccine.

Question 8

The nurse would assess for possible allergy to which of the following before administering a dose of hepatitis B vaccine (Recombivax-HB)to a client?&#10;A) Eggs&#10;B) Mercury&#10;C) Yeast&#10;D) Penicillin&#10;

Accepted Answer

The hepatitis B vaccine (Recombivax-HB) is produced using yeast cells. Therefore, individuals with a known allergy to yeast should not receive this vaccine due to the risk of an allergic reaction.

Question 9

The nurse would refuse to administer the diphtheria/pertussis/tetanus vaccine if the client had which of the following when presenting to the clinic?&#10;A) Fever&#10;B) Runny nose&#10;C) Sneezing&#10;D) Watery eyes&#10;

Accepted Answer

The nurse should not administer the vaccine to a client with a fever, as this may indicate an active infection that could be exacerbated by the vaccine. Runny nose, sneezing, and watery eyes are not contraindications for the vaccine.

Question 10

Toxoids differ from vaccines in which of the following ways?&#10;A) They are composed of whole microbes that are attenuated&#10;B) They are composed of whole microbes that are dead&#10;C) They cannot induce the formation of antibodies&#10;D) They contain detoxified microbe byproducts&#10;

Accepted Answer

Toxoids contain detoxified microbe byproducts, while vaccines are composed of whole microbes that are either attenuated or dead and can induce the formation of antibodies.

Question 11

A nurse provides anticipatory guidance to a client receiving a vaccine by encouraging the client to treat minor expected reactions to a vaccine with which of the following?&#10;A) Acetaminophen and rest&#10;B) Acetaminophen and sponge baths&#10;C) Aspirin and rest&#10;D) Aspirin and sponge baths&#10;

Accepted Answer

The answer of A nurse provides anticipatory guidance to a...

Question 12

After administering the diphtheria/pertussis/tetanus vaccination in an infant,the nurse instructs the mother to notify the pediatrician's office if the infant cries for how long after the injection?&#10;A) 30 minutes&#10;B) 1 hour&#10;C) 2 hours&#10;D) 3 hours&#10;

Accepted Answer

The answer of After administering the diphtheria/pertussis/tetanus vaccination in an...

Question 13

The nurse monitoring for an anaphylactic reaction in a client who just received a vaccine understands that which of the following medications should be stored nearby?&#10;A) Meperidine (Demerol)&#10;B) Furosemide (Lasix)&#10;C) Propranolol (Inderal)&#10;D) Epinephrine (Adrenalin)&#10;

Accepted Answer

The answer of The nurse monitoring for an anaphylactic reaction...

Question 14

The nurse would assess for allergy to which of the following substances before administering a dose of measles/mumps/rubella vaccine to a client?&#10;A) Eggs&#10;B) Mercury&#10;C) Yeast&#10;D) Penicillin&#10;

Accepted Answer

The answer of The nurse would assess for allergy to...

Question 15

The nurse explains to the mother of a pediatric client that an advantage of the pneumococcal conjugate vaccine (Prevnar)for her child is that this may help to reduce the risk of which of the following infections?

A) Hepatitis
B) Otitis media
C) Strep throat
D) Meningitis

Accepted Answer

The answer of The nurse explains to the mother of...

Question 16

The nurse explains to a client about to receive a hepatitis A vaccine (Havrix)that which of the following is an anticipated adverse effect to the vaccine?&#10;A) Sneezing&#10;B) Abdominal pain&#10;C) Headache&#10;D) Slight oozing at the injection site&#10;

Accepted Answer

The answer of The nurse explains to a client about...

Question 17

Which of the following is a process by which resistance to an infectious disease is induced by immune antisera and globulin?&#10;A) Antibody titer&#10;B) Immunocompromise&#10;C) Active immunization&#10;D) Passive immunization&#10;

Accepted Answer

The answer of Which of the following is a process...

Question 18

The nurse determines that well infants or children of which of the following ages are appropriate for receiving the Haemophilus B conjugate vaccine (PedvaxHIB)?&#10;A) 1 month&#10;B) 2 years&#10;C) 7 years&#10;D) 15 years&#10;

Accepted Answer

The answer of The nurse determines that well infants or...

Question 19

The nurse would administer an ordered dose of meningococcal polysaccharide vaccine (Menomune)to a client at risk as long as the client is older than which of the following ages?&#10;A) 3 months&#10;B) 12 months&#10;C) 2 years&#10;D) 5 years&#10;

Accepted Answer

The answer of The nurse would administer an ordered dose...

Question 20

The nurse recommends that a client receive a booster injection of tetanus vaccine at which of the following routine intervals?&#10;A) Every 2 years&#10;B) Every 5 years&#10;C) Every 10 years&#10;D) Every 15 years&#10;

Accepted Answer

The answer of The nurse recommends that a client receive...

Question 21

The nurse preparing to administer a dose of hepatitis B immune globulin (BayRab)to a health care worker with a contaminated needlestick wound explains that this drug will provide what type of immunity?

A) Naturally acquired active immunity
B) Naturally acquired passive immunity
C) Artificially acquired active immunity
D) Artificially acquired passive immunity

Accepted Answer

The answer of The nurse preparing to administer a dose...

Question 22

The nurse concludes that which of the following clients is at highest risk for exposure to rabies and subsequent vaccination?&#10;A) A health care worker&#10;B) An employee in a jail&#10;C) A veterinarian&#10;D) A child care worker&#10;

Accepted Answer

The answer of The nurse concludes that which of the...

Question 23

The nurse would withhold the injection of inactivated poliovirus vaccine (IPOL)if the mother of the client reported an allergy to which of the following?&#10;A) Eggs&#10;B) Mercury&#10;C) Neomycin&#10;D) Yeast&#10;

Accepted Answer

The answer of The nurse would withhold the injection of...

Question 24

The nurse explains to a parent of a child who just received the varicella virus vaccine that which of the following is the most common adverse effect besides local reaction at the injection site?&#10;A) Chills&#10;B) Rash&#10;C) Fever&#10;D) Insomnia&#10;

Accepted Answer

The answer of The nurse explains to a parent of...

Question 25

The nurse would withhold a scheduled dose of varicella virus vaccine after learning that the client has an allergy to which of the following?&#10;A) Eggs&#10;B) Yeast&#10;C) Penicillin&#10;D) Neomycin&#10;

Accepted Answer

The answer of The nurse would withhold a scheduled dose...

Deck 62: Serums, vaccines, and Other Immunizing Agents