Solution 2025/2026 | Complete Nursing Study
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Joseph is a 28-year-old man who presents to your practice with a 2 h history of a superficial laceration
on his forearm that is approximately 5 cm (2") that happened when he was replacing a windowpane and
was cut by the glass. Physical examination is consistent with history.His record notes a Tdap vaccine
given approximately 2 years ago and documentation of a primary tetanus series.
When considering his needs for tetanus immunization today, the NP appreciates that today Joseph
should receive:
A Td (tetanus, diphtheria) booster.
A Tdap (tetanus, diphtheria, acellular pertussis) booster.
A dose of TIG (tetanus immune globulin).
No tetanus vaccine. correct answer✔✔Ans:
No tetanus vaccine.
In a community undergoing a disaster, the use of select vaccines will be prioritized. Match the type of
disaster with the priority vaccine:
Immunization against tetanus
Immunization against influenza
Immunization against Hepatitis A
,1. Uninjured adults and children evacuated to a crowded group setting __
2. Adults with multiple deep lacerations from flying debris __
3. A community exposed to unsafe water supply after a hurricane __
1. Immunization against tetanus 2. Immunization against influenza 3. Immunization against Hepatitis A
1. Immunization against influenza 2. Immunization against tetanus 3. Immunization against Hepatitis A
1. Immunization against tetanus 2. Immunization against Hepatitis A 3. Immunization against influenza
1. Immunization against Hepatitis A 2. Immunization against tetanus 3. Immunization against influenza
correct answer✔✔1. Immunization against influenza 2. Immunization against tetanus 3. Immunization
against Hepatitis A
True or False?
1. Immune globulin is a concentrated solution of antibodies derived from pooled donated blood. __
2. Tdap (tetanus, diphtheria, acellular pertussis [Adacel®, Boostrix®]) vaccine should replace a single
dose of Td (tetanus, diphtheria) vaccine for most adults who have not previously received a dose of
Tdap in order to provide additional protection against pertussis. __
3. Previously unvaccinated adults age 19 through 59 years with diabetes mellitus type 1 or type 2 should
be vaccinated against hepatitis B as soon as possible after the diabetes diagnosis is made. __
1. True 2. True 3. False
,1. True 2. True 3. True
1. False 2. True 3. False
1. True 2. False 3. False correct answer✔✔Ans: 1. True 2. True 3. True
A 67-year-old man with well-controlled hypertension and dyslipidemia who received one dose of
PPSV23 (Pneumovax®) 1 year ago asks about a "new pneumonia shot" he heard about in a TV
promotion. You advise that:
He is adequately immunized against pneumococcal disease.
That there is another pneumococcal vaccine available but its use is not advised in older adults due to its
adverse effect profile.
He is eligible for a dose of PCV13 (Prevnar®) today to be optimally protected against pneumococcal
disease.
In 4 more years, he should receive a second dose of PPSV23. correct answer✔✔Ans:
He is eligible for a dose of PCV13 (Prevnar®) today to be optimally protected against pneumococcal
disease.
Which of the following influenza vaccines is most appropriate for a 67-year-old man with no reported
allergic reactions?
Quadrivalent live attenuated influenza vaccine (LAIV)
High-dose trivalent IIV
Intradermal quadrivalent IIV
, Cell cultured-based quadrivalent IIV correct answer✔✔Ans: High-dose trivalent IIV
While counseling a 32-year-old man in good health about influenza vaccination, he reports that he
occasionally experiences hives when consuming eggs (e.g., scrambled eggs), but has no reaction when
consuming foods that contain eggs (e.g., cake). The NP considers the best course of action is to:
Note the allergy in his records so that immunization will not be offered in the future.
Offer vaccination with trivalent recombinant influenza vaccine (RIV3).
Offer vaccination with live attenuated influenza vaccine (LAIV).
Refer him to a specialist for allergy testing prior to immunization with high-dose trivalent inactivated
influenza vaccine (IIV3). correct answer✔✔Ans: Offer vaccination with trivalent recombinant influenza
vaccine (RIV3).
When considering influenza vaccination for an adult who claims to experience a hive-form reaction
when exposed to eggs without a history of angioedema or respiratory distress, which of the following is
most appropriate?
Administer any vaccine appropriate for his age and health status
Only offer the recombinant influenza vaccine (RIV3)
Referral for vaccination at an allergy practice.
Do not administer vaccine as it is contraindicated for this patient correct answer✔✔Ans: Administer
any vaccine appropriate for his age and health status