ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 49 : Immunizing Drugs Questions
Question 1 of 5
A sanitation worker has experienced a needle stick by a contaminated needle that was placed in a trash can. The employee health nurse expects that which drug will be used to provide passive immunity to hepatitis B infection?
Correct Answer: C
Rationale: Hepatitis B immunoglobulin provides passive immunity for individuals exposed to hepatitis B, such as through a needle stick. The hepatitis B virus vaccine promotes active immunity, not passive. The other options are not appropriate for this situation.
Question 2 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 3 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 4 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 5 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.