NURS 535 Practice Exam Questions with
Verified Answers
VAERS - ✔✔Vaccine Adverse Event Reporting System
To report any adverse reactions after administration of any vaccine
Barriers to immunization - ✔✔Complexity of health care
system
Inconvenient scheduling
Language and cultural barriers
Expense
Parental misconceptions
Inaccurate record keeping
Reluctance of healthcare
workers to give more than one
vaccine at a visit
Lack of public awareness of
the need for immunizations
Antigen - ✔✔A protein that, when introduced in the blood, triggers the production of an
antibody
Antibody - ✔✔Protein produced by B cells to destroy antigens
Naturally acquired active immunity - ✔✔Develops after exposure to antigens in environment
,Naturally acquired passive immunity - ✔✔conferred by transfer of maternal antibodies across
placenta or in breast milk
Artificially acquired immunity - ✔✔Immunity that results from a vaccination
Live vaccines - ✔✔Attenuated organisms used to stimulate cell-mediated immunity and create
long term protection
Toxoid - ✔✔Inactivated toxin used in a vaccine
MMR, Varicella, nasal influenza
Inactivated virus - ✔✔A virus that is not able to replicate in a host.
DtaP, IPV, Hep B, and Influenza
Types of passive immunizations - ✔✔IVIG
IG - IM (Hepatitis A, B, RSV, Rabies, VZIG)
Hepatitis B - ✔✔B= blood and body fluids (hep c is the same)
Liver disease
Administrations of Hepatitis B - ✔✔Birth
2 months
4 months
18 months
SE: Low grade fever
,Newborn Hep B vaccine: - ✔✔HbsAG status of the mother
- HbsAg positive
• Vaccinate within 12 hours of birth and administer HBIG in
opposite limb
- HbsAg negative
• Vaccinate between birth and discharge
- HbsAg unknown
• Treat as if positive
Diphtheria - ✔✔An acute bacterial infection of the throat and upper respiratory tract
Airborne/Droplet transmission
Can cause severe damage to the kidneys, CNS, and heart
Tetanus - ✔✔Clostridium tetani, found in soil, dust, and animal feces
The toxin impairs motor neurons causing muscle stiffness and spasms
Pertussis - ✔✔Whooping cough; highly contagious bacterial infection of the pharynx, larynx,
and trachea caused by Bordetella pertussis
Highest incidence in spring and summer months
DtaP Vaccine - ✔✔Diphtheria and tetanus toxoids and accellular pertussis
Series of 5 injections given at 2, 4, 6 months
, Boosters at 15 - 18 months & 4 - 6 years
SE: Swelling, soreness at injection site, fever, restlessness, listlessness, seizures, inconsolable
crying
DtaP Recommendations - ✔✔Vaccination recommended for the 11-12 year
old who have completed their DTaP series
and not yet received a booster, a single dose
Tdap given
Adolescents 13-18 years of age who missed
11-12 year old booster should receive a single
dose of Tdap as their catch up booster vs Td
DtaP and Pregnancy - ✔✔Vaccination during the 3rd trimester or late in the second trimester
(after 20 week)
Use Tdap for routine tetanus and diptheria booster or wound management if no prior Tdap
dose
Contraindications to TdaP - ✔✔Life threatening allergic reaction
Neurological reaction: Seizure or brain or nervous system alteration within 7 days after a dose
Non-stop crying > 3 hrs of fever >105
Poliomyelitis - ✔✔A viral infection of the gray matter of the spinal cord
Polio vaccine - ✔✔Inactivated (killed) poliovirus
Series of four shots given at 2,4, and 6-18 months
Verified Answers
VAERS - ✔✔Vaccine Adverse Event Reporting System
To report any adverse reactions after administration of any vaccine
Barriers to immunization - ✔✔Complexity of health care
system
Inconvenient scheduling
Language and cultural barriers
Expense
Parental misconceptions
Inaccurate record keeping
Reluctance of healthcare
workers to give more than one
vaccine at a visit
Lack of public awareness of
the need for immunizations
Antigen - ✔✔A protein that, when introduced in the blood, triggers the production of an
antibody
Antibody - ✔✔Protein produced by B cells to destroy antigens
Naturally acquired active immunity - ✔✔Develops after exposure to antigens in environment
,Naturally acquired passive immunity - ✔✔conferred by transfer of maternal antibodies across
placenta or in breast milk
Artificially acquired immunity - ✔✔Immunity that results from a vaccination
Live vaccines - ✔✔Attenuated organisms used to stimulate cell-mediated immunity and create
long term protection
Toxoid - ✔✔Inactivated toxin used in a vaccine
MMR, Varicella, nasal influenza
Inactivated virus - ✔✔A virus that is not able to replicate in a host.
DtaP, IPV, Hep B, and Influenza
Types of passive immunizations - ✔✔IVIG
IG - IM (Hepatitis A, B, RSV, Rabies, VZIG)
Hepatitis B - ✔✔B= blood and body fluids (hep c is the same)
Liver disease
Administrations of Hepatitis B - ✔✔Birth
2 months
4 months
18 months
SE: Low grade fever
,Newborn Hep B vaccine: - ✔✔HbsAG status of the mother
- HbsAg positive
• Vaccinate within 12 hours of birth and administer HBIG in
opposite limb
- HbsAg negative
• Vaccinate between birth and discharge
- HbsAg unknown
• Treat as if positive
Diphtheria - ✔✔An acute bacterial infection of the throat and upper respiratory tract
Airborne/Droplet transmission
Can cause severe damage to the kidneys, CNS, and heart
Tetanus - ✔✔Clostridium tetani, found in soil, dust, and animal feces
The toxin impairs motor neurons causing muscle stiffness and spasms
Pertussis - ✔✔Whooping cough; highly contagious bacterial infection of the pharynx, larynx,
and trachea caused by Bordetella pertussis
Highest incidence in spring and summer months
DtaP Vaccine - ✔✔Diphtheria and tetanus toxoids and accellular pertussis
Series of 5 injections given at 2, 4, 6 months
, Boosters at 15 - 18 months & 4 - 6 years
SE: Swelling, soreness at injection site, fever, restlessness, listlessness, seizures, inconsolable
crying
DtaP Recommendations - ✔✔Vaccination recommended for the 11-12 year
old who have completed their DTaP series
and not yet received a booster, a single dose
Tdap given
Adolescents 13-18 years of age who missed
11-12 year old booster should receive a single
dose of Tdap as their catch up booster vs Td
DtaP and Pregnancy - ✔✔Vaccination during the 3rd trimester or late in the second trimester
(after 20 week)
Use Tdap for routine tetanus and diptheria booster or wound management if no prior Tdap
dose
Contraindications to TdaP - ✔✔Life threatening allergic reaction
Neurological reaction: Seizure or brain or nervous system alteration within 7 days after a dose
Non-stop crying > 3 hrs of fever >105
Poliomyelitis - ✔✔A viral infection of the gray matter of the spinal cord
Polio vaccine - ✔✔Inactivated (killed) poliovirus
Series of four shots given at 2,4, and 6-18 months
