Deck 46: Immunizing Agents

Question 1

The mother asks the nurse why her child must have three doses of a certain vaccine over the next few months.The nurse would correctly educate the mother by stating:
1)"The drug level must be high enough to prevent disease."
2)"For some diseases, multiple doses are needed over time to allow the development of full immunity."
3)"It is prophylactic because not all parents get the immunizations at the correct time."
4)"We are not certain, but more doses have proved more effective."

Answer 1

2

Question 2

Passive immunity can be acquired from: (Select all that apply.)
1)Maternal antibodies.
2)Immunizations.
3)Immunoglobulin.
4)1nnoculation.
5)Blood transfusions.

Answer 2

1, 3

Question 3

Which statement is true regarding active immunity?
1)Individuals are born with active immunity.
2)Only active immunity processes respond to antigens.
3)Active immunity occurs in response to a pathogen.
4)Once acquired, active immunity lasts for the life of the host.

Answer 3

3

Question 4

The nursing student questioned the faculty member regarding the need to obtain a hepatitis titer B.The faculty member is correct saying the purpose of a titer is to measure:
1)The amount of antigen in the bloodstream.
2)The amount of vaccine present in the bloodstream.
3)The amount of antibodies in the bloodstream.
4)The degree of risk for future infections.

Question 5

The mother asks the nurse who establishes immunization schedules.The nurse would correctly educate the mother by stating:
1)"The Food and Drug Administration (FDA)."
2)"The American Medical Association."
3)"The American Academy of Pediatrics."
4)"The Centers for Disease Control and Prevention."

Question 6

The nurse would correctly administer the pertussis vaccine to which client?
1)3-month-old
2)15-month-old
3)2-year-old
4)5-year-old

Question 7

The placement of a foreign substance on or in an individual for the purpose of disease prevention is called:
1)Immunity.
2)Inoculation.
3)Eradication.
4)Vaccination.

Question 8

The nurse correctly understands that the diphtheria toxoid is created by adding which substance to the diphtheria toxin?
1)Formalin
2)Mercury
3)Mold
4)Yeast

Question 9

The mother asks the nurse why the vaccine gardisal is administered at age 11 or 12 rather than earlier, as with other vaccines.The nurse would correctly educate the mother by stating:
1)"There are too many side effects if given too early."
2)"The virus is spread by sexual contact, which occurs during the teen years."
3)"The vaccine requires the onset of puberty to be effective."
4)"Other vaccines must be given first to establish immunity, upon which this immunization is based."

Question 10

What is the goal of active immunity?
1)Prevention of illness
2)Augmentation of the allergic response
3)Completion the process of passive immunity
4)Reduction of disease symptoms

Question 11

The nurse would correctly question the order to administer the measles, mumps, and rubella vaccine in which client?
1)One with a history of asthma
2)The child in reverse isolation receiving chemotherapy
3)The student entering nursing school
4)One with a history of heart disease

Question 12

In which client should the hepatitis B vaccine be withheld?
1)One with an active infection
2)One with hypertension
3)One with arthritis
4)One with anemia

Question 13

The nurse would correctly educate parents that the most common adverse effects of vaccine administration are?
1)Development of a full-body rash.
2)Cough and runny nose.
3)Pain, swelling, and redness at injection sites.
4)Fever of 101°F or greater.

Question 14

As a result of vaccination, which of the following cells are formed?
1)Alpha and beta
2)Immunoglobulins
3)Antigens
4)B and T cells.

Question 15

The first disease to be prevented by inoculation was:
1)Polio.
2)Smallpox.
3)Anthrax.
4)Measles.

Question 16

Active immunity is a response to:
1)A true pathogen.
2)Immunoglobulins.
3)Antigens.
4)An allergy.

Question 17

The nurse correctly understands the primary diagnostic characteristic of pertussis is:
1)Raised red rash.
2)A whoop sound on inspiration.
3)Tightening of the jaw muscles.
4)Gagging and vomiting.

Question 18

In which client would the MMR vaccine be contraindicated?
1)One with an allergy to eggs
2)One with an allergy to yeast
3)One with an allergy to mold
4)One with an allergy to neomycin

Question 19

Smallpox vaccine was discovered in which century?
1)16^th
2)17^th
3)18^th
4)19^th

Question 20

Almost all vaccines are pregnancy category:
1)B.
2)C.
3)D.
4)X.

Question 21

The nurse correctly understands the administration of the PCV vaccine should occur at which ages?
1)15 and 18 months
2)2, 4, and 6 months
3)Birth and 15 months
4)15 months

Question 22

After administering vaccines to a 15-month-old child, the nurse should counsel the parent to control temperature elevation with:
1)Aspirin.
2)Sponge baths.
3)Acetaminophen.
4)Ibuprofen.

Question 23

The nurse would expect antibodies for passive immunity to be administered when: (Select all that apply.)
1)The client has already been exposed to a virulent pathogen.
2)The client is at great risk to exposure.
3)There is not sufficient time to develop active immunity.
4)The initial immunization failed.
5)The client has undergone bone marrow transplant.

Question 24

A nurse caring for a client whose immune system is compromised has just administered hepatitis B immune globulin.The client asks, "How long it will take until I'm protected against hepatitis?" The nurse's response is based on the understanding that:
1)It takes several months for the immune system to respond to the antibodies
2)Active immunity will occur in ten days to two weeks.
3)The client is protected immediately.
4)It is impossible to determine, but blood tests will be performed.

Question 25

The client who has received intravenous immune globulin must wait what length of time before receiving active immunization?
1)One month
2)Two months
3)Four months
4)One year

Question 26

Examples of whole-agent vaccines include:
1)Measles and mumps.
2)HPV and pertussis.
3)Influenza and hepatitis A.
4)Diphtheria and tetanus.

Question 27

The nurse would expect RhoGAM to be administered to which client?
1)An HIV-positive client
2)An immunosuppressed client
3)A client at 28 weeks' gestation
4)A client undergoing kidney transplant

Question 28

The nurse correctly understands that the administration of the meningococcal vaccine should occur at which ages?
1)15 and 18 months
2)2, 4, and 6 months
3)Within 12 hours of birth
4)11 years old

Question 29

The nurse correctly identifies the neurological symptoms of meningococcus as: (Select all that apply.)
1)Nuchal rigidity.
2)Headache.
3)Photophobia.
4)Seizures.
5)Vomiting.

Question 30

The nurse correctly teaches nursing students that to maintain immunity, the booster for tetanus prevention should be given to adults every:
1)Two years.
2)Five years.
3)Eight years.
4)Ten years.

Question 31

The development of a recombinant form of the hepatitis B vaccine was due to concerns regarding:
1)Allergic response.
2)Virus inactivation by antibodies.
3)Risk of HIV transmission.
4)Liver immaturity of newborns.

Question 32

Which population should receive the Zostavax vaccine?
1)Pregnant women
2)Children at 15 months
3)College students
4)Adults over 60

Question 33

Infected animals carry the rabies virus in their:
1)Feces.
2)Red blood cells.
3)Immunoglobulins.
4)Saliva.