ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 49 : Immunizing Drugs Questions
Question 1 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 2 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.
Question 3 of 5
A health care worker will be receiving hepatitis B immunoglobulin, 0.6 mL/kg IM now and repeated in 30 days as part of hepatitis B prophylaxis after a needle stick accident. The patient weighs 242 pounds. Identify how many milliliters the patient will receive for each dose. (Record answer using one decimal place.)
Correct Answer: 6.6 Ml
Rationale: Convert pounds to kilograms: 242 ?· 2.2 = 110 kg. Calculate mL/kg: 0.6 mL/kg/dose ?? 110 kg = 6.6 mL/dose.
Question 4 of 5
Two patients arrive at the clinic; one is a young boy with sickle cell anemia, and another is a 57-year-old woman with early stages of Hodgkin's disease. The nurse notices that both patients need the same vaccine. What vaccine would that be?
Correct Answer: D
Rationale: H. influenzae type b conjugate vaccine is usually given to patients with one of these disorders: sickle cell anemia, an immunodeficiency syndrome, Hodgkin's disease, and others. The other options are incorrect.
Question 5 of 5
The nurse is reviewing principles of immunization. What type of immunization occurs when antibodies pass from mother to infant during breastfeeding or through the placenta during pregnancy?
Correct Answer: C
Rationale: Natural passive immunization occurs when antibodies are transferred from the mother to her infant in breast milk or through the bloodstream via the placenta during pregnancy. Artificial active immunization causes an antigen-antibody response and stimulates the body's defenses to resist any subsequent exposures. Artificial passive immunization is conferred by bypassing the host's immune system and injecting the person with antiserum or concentrated antibodies obtained from other humans or animals.