Question 1

The nurse observes the arm of a patient who was given the Mantoux skin test for tuberculosis.There is induration of 3 mm.The nurse documents the results as which of the following?&#10;A) Negative&#10;B) Questionable&#10;C) Positive for exposure&#10;D) Positive for TB

Accepted Answer

The Mantoux test is designed to identify people with active tuberculosis,with exposure to tuberculosis,or needing further testing.Positive reaction must have erythema and induration of 9 mm or more in size;a reaction of 5 to 9 mm is questionable,and areas under 5 mm are negative.

Question 2

Which of the following terms refers to a medication containing a weakened or dead antigen?&#10;A) Toxoid&#10;B) Vaccine&#10;C) Antiserum&#10;D) Antidote

Accepted Answer

Laboratories can produce vaccines that contain either attenuated or killed antigens so that people can be immunized to prevent them from getting the disease.

Question 3

Which of the following people is at high risk for needing a booster injection of vaccine?&#10;A) A 45-year-old high school cook&#10;B) A second-grade student&#10;C) A teacher just finishing college&#10;D) A soldier on active duty

Accepted Answer

Few adults obtain the booster immunization they need unless they are in the military,travel to foreign countries,or work in the food industry.

Question 4

Which of the following is an appropriate intervention to relieve local discomfort from an immunization?&#10;A) Application of emollients&#10;B) Application of ice&#10;C) Application of lidocaine ointment&#10;D) Acetaminophen

Accepted Answer

Localized discomfort may be relieved by treating the symptoms using warm compresses to the area,acetaminophen,rest,and sometimes antihistamines.

Question 5

The development of immunity to the chickenpox virus after having the disease is an example of which of the following kinds of immunity?&#10;A) Passive&#10;B) Artificial&#10;C) Natural&#10;D) Antigen

Accepted Answer

After getting chickenpox,a child develops antibodies to the virus that travel around in the bloodstream for the rest of the person's lifetime.

Question 6

Protection from which of the following can be offered by routine immunization with PCV (children)or PPV (adults)vaccine?&#10;A) Streptococcus pneumoniae&#10;B) Typhoid&#10;C) Cholera&#10;D) Toxoid

Accepted Answer

Pneumococcal conjugate vaccine (PCV)for children and pneumococcal polysaccharide vaccine (PPV)for adults produce immunity against a variety of pneumococcal infections.Since Streptococcus pneumoniae is responsible for illnesses ranging from ear infections to meningitis,blood infections,and pneumonia,the Centers for Disease Control and Prevention recommend the polyvalent pneumococcal vaccines for all children and susceptible adults.

Question 7

Which of the following biologic agents are used in a routine schedule for active immunizations?&#10;A) PPD&#10;B) Toxoids&#10;C) Antigens&#10;D) Toxins

Accepted Answer

Toxoids are biologic agents used in the routine schedule of active immunizations for adults and children.

Question 8

It is important for the nurse giving a vaccine to know whether the patient has an allergy to eggs and feathers for which of the following reasons?&#10;A) Many biologic agents come from chick embryos.&#10;B) Viruses are found in all eggs.&#10;C) Chicken egg cells are close to human cells.&#10;D) There is clotted blood in egg cells.

Accepted Answer

Many biologic agents are prepared with animal serum or chick embryos;thus people with known allergies may have sensitivity reactions to these preparations.

Question 9

A mother has concerns about the immunization scheduled for this clinic visit having adverse effects on her child.Which of the following would be the nurse's best response to the mother?&#10;A) &#34;The doctor wants the child to have the shot.&#34;&#10;B) &#34;We will give the injection at the next visit.&#34;&#10;C) &#34;More complications are caused by the disease than the immunization.&#34;&#10;D) &#34;Side effects are expected,and there is nothing to worry about.&#34;

Accepted Answer

Although some parents are afraid of adverse effects from immunizations,their children are statistically more likely to have complications from the disease than they are to experience serious side effects from the immunization.

Question 10

Which of the following is the nurse's best means of determining whether a patient is immunized against a certain disease?&#10;A) Ask the patient for records.&#10;B) Look for vaccination scars.&#10;C) Call the health department.&#10;D) Obtain a blood titer.

Accepted Answer

Occasionally,determining antibody blood titers before vaccine administration is helpful to assess antibody development.

Question 11

A child is scheduled for immunizations,but the mother states that his temperature has been 100.2&#176; F all day.The nurse will take which of the following actions?&#10;A) Tell the mother to go home.&#10;B) Give the immunizations.&#10;C) Give a higher dose because of the fever.&#10;D) Tell the mother to wait 1 month.

Accepted Answer

The answer of A child is scheduled for immunizations,but the...

Question 12

Which of the following is an example of artificially acquired active immunity?&#10;A) Developing chickenpox as a child&#10;B) Developing measles as an adult&#10;C) Receiving a PPD yearly&#10;D) Receiving prophylactic vaccines

Accepted Answer

The answer of Which of the following is an example...

Question 13

A patient asks the nurse why she needs a booster of tetanus toxoid after she cut her finger,since she already had a shot when she was a child.The nurse would tell the patient that it is needed to produce which of the following?

A) Active immunity
B) Natural immunity
C) Protective antibodies
D) Passive immunity

Accepted Answer

The answer of A patient asks the nurse why she...

Question 14

TD (tetanus and diphtheria)boosters are recommended at which of the following intervals?&#10;A) Every 5 years&#10;B) Every 7 years&#10;C) Every 10 years&#10;D) Every 15 years

Accepted Answer

The answer of TD (tetanus and diphtheria)boosters are recommended at...

Question 15

There is an increased risk in using immunologic agents in people with compromised immune status.Which of the following people is most at risk for a compromised immune status?&#10;A) A postal worker&#10;B) A college student&#10;C) A neonate&#10;D) A pilot

Accepted Answer

The answer of There is an increased risk in using...

Question 16

Which of the following patients should take the varicella vaccine?&#10;A) A child who stepped on a rusty nail&#10;B) An adult who has never been immunized&#10;C) A health care worker&#10;D) Any child under 1 year of age

Accepted Answer

The answer of Which of the following patients should take...

Question 17

A patient comes into the clinic with complaints of a cold.He is also there for a flu shot.Which of the following represents the reason a flu shot is not recommended in this case?&#10;A) Active infection is present.&#10;B) WBCs are too low.&#10;C) CBCs are high.&#10;D) Susceptibility is down.

Accepted Answer

The answer of A patient comes into the clinic with...

Question 18

The nurse would recommend a yearly influenza virus vaccine to which of the following people?&#10;A) Teenager&#10;B) Young mother&#10;C) Middle-aged man&#10;D) Older adult woman

Accepted Answer

The answer of The nurse would recommend a yearly influenza...

Question 19

Which of the following circumstances indicates that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?&#10;A) She will cry and hurt too much.&#10;B) Her father is chronically ill at home.&#10;C) She has another year before she needs them.&#10;D) Her mother passed immunity to her at birth.

Accepted Answer

The answer of Which of the following circumstances indicates that...

Question 20

The biologic agent purified protein derivative (PPD)is used to screen for exposure to which of the following diseases?&#10;A) Tuberculosis&#10;B) Yellow fever&#10;C) Pneumonia&#10;D) Cholera

Accepted Answer

The answer of The biologic agent purified protein derivative (PPD)is...

Question 21

Pneumococcal vaccine produces immunity against which of the following illnesses? (Select all that apply. )&#10;A) Pneumonitis&#10;B) Meningitis&#10;C) Pneumonia&#10;D) Pertussis

Accepted Answer

The answer of Pneumococcal vaccine produces immunity against which of...

Question 22

Foreign substances in the bloodstream are removed from the body by which of the following?&#10;A) The filtering system of the liver&#10;B) Water in the large intestine&#10;C) Urine moving though the ureters&#10;D) The lymphatic system

Accepted Answer

The answer of Foreign substances in the bloodstream are removed...

Question 23

A 25-year-old patient believed that he still had immunity to childhood illnesses until he developed chickenpox.The nurse can best explain this situation to the patient in which of the following ways?&#10;A) He never had an injection for immunity.&#10;B) Artificially-acquired active immunity doesn't always confer lifelong immunity.&#10;C) He never got a booster as a child.&#10;D) There was no immunity injection for this disease.

Accepted Answer

The answer of A 25-year-old patient believed that he still...

Question 24

Which of the following may be used to relieve localized discomfort after immunization injections? (Select all that apply. )&#10;A) Warm compresses&#10;B) Acetaminophen&#10;C) Antihistamines&#10;D) Decongestants

Accepted Answer

The answer of Which of the following may be used...

Question 25

Patients receiving immune serums should be evaluated for which of the following effects of the serums?&#10;A) Headaches&#10;B) Skin rash&#10;C) Disease suppression&#10;D) Numbness in the fingers

Accepted Answer

The answer of Patients receiving immune serums should be evaluated...

Question 26

Infants and children are immunized to prevent which of the following diseases? (Select all that apply. )&#10;A) Hepatitis B&#10;B) Hepatitis C&#10;C) Polio&#10;D) Varicella

Accepted Answer

The answer of Infants and children are immunized to prevent...

Question 27

Which of the following is correct concerning vaccines and toxoids? (Select all that apply. )&#10;A) They are biologic agents that produce active immunization.&#10;B) They are biologic agents that produce passive immunization.&#10;C) They are prepared with animal serum.&#10;D) They are considered a blood product.

Accepted Answer

The answer of Which of the following is correct concerning...

Deck 22: Immunologic Medications