ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 49 : Immunizing Drugs Questions
Question 1 of 5
A nurse is working in an immunization clinic. A new colleague asks, 'When is the first dose of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine given?' The nurse knows that this series is started at what age?
Correct Answer: B
Rationale: The first dose of the DTaP vaccine series is given at 6 weeks of age. The other options are incorrect.
Question 2 of 5
A patient is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat this injury?
Correct Answer: B
Rationale: Antivenins, also known as antisera, are used to prevent or minimize the effects of poisoning by poisonous snakes and spiders. They provide the person who has been bitten with the substance needed to overcome the effects of the venom.
Question 3 of 5
A 30-year-old woman is in the clinic for her yearly gynecologic exam and asks the nurse about the 'new vaccine that prevents HPV.' She wants to receive the papillomavirus vaccine. Which response by the nurse is most appropriate?
Correct Answer: A
Rationale: The guidelines recommend the HPV vaccine (Gardasil) for women 13 to 26 years of age. It is important to ensure the patient is not pregnant and that the vaccine involves three injections, but the patient's age of 30 years makes her ineligible for the vaccine.
Question 4 of 5
The nurse is reviewing the health history of a new patient who may need immunizations. Active immunizations are usually contraindicated in which patients? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Contraindications to the administration of immunizing drugs include a history of reactions to or serious adverse effects resulting from the drugs, and patients who are already immunosuppressed (patients with AIDS and patients receiving chemotherapy). Immunizations are best deferred until after a febrile illness. Children younger than 1 year of age and the elderly may receive immunizing drugs.
Question 5 of 5
A patient who received the Zostavax herpes zoster vaccine 5 years ago is asking about the newer Shingrix vaccine. The nurse is reviewing the information with the patient. Which statements about the Shingrix vaccine are true? (Select all that apply.)
Correct Answer: B,E
Rationale: The Shingrix (herpes zoster vaccine, recombinant) is used to prevent shingles. It is given to adults, and it is a two-dose vaccine. It is not given to prevent chickenpox or given to children. It provides active immunity against the herpes zoster virus. It is not contraindicated in patients who have had the Zostavax vaccine.