C HAPTER 49: I MMUNIZING D RUGS
Lilley: Pharmacology and the Nursing Proce ss, 10th Edition
MULTIPLE CHOICE
1. 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 immunit y to hepatitis B
infection?
a. Haemophilus influenzae t ype b
b. Varicella virus vaccine
c. Hepatitis B immunoglobulin
d. Hepatitis B virus vaccine (inactivated)
ANS: C
Recombivax HB promotes active immunity to hepatitis B infection in
people who are considered to be at high risk for potential exposure to
the virus, whereas hepatitis B immunoglobulin provides passive
immunit y for the prophylaxis and postexposure treatment of people
exposed to hepatitis B virus or HBs -Ag–positive materials, such as
blood, plasma, or serum. Hib and Varivax vaccines are not appropriate
for this situation.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Health Promotion and Maintenance
, 2. A nurse is working in an immunization clinic. A new colleague asks,
“When is the first dose of the diphtheria, tetanus, and acellular pertussis
given? ” The nurse knows that this series is started at what age?
a. At birth
b. 6 weeks
c. 3 months
d. 1 year
ANS: B
The first dose of the series of three injections is given at 6 weeks of
age. The other options are incorrect.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Assessment
MSC: NC LEX: Health Promotion and Maintenance
3. 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?
a. Live vaccine
b. Antivenins or antisera
c. Tetanus immune globulin
d. Active immunizing drug
ANS: B
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.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
Lilley: Pharmacology and the Nursing Proce ss, 10th Edition
MULTIPLE CHOICE
1. 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 immunit y to hepatitis B
infection?
a. Haemophilus influenzae t ype b
b. Varicella virus vaccine
c. Hepatitis B immunoglobulin
d. Hepatitis B virus vaccine (inactivated)
ANS: C
Recombivax HB promotes active immunity to hepatitis B infection in
people who are considered to be at high risk for potential exposure to
the virus, whereas hepatitis B immunoglobulin provides passive
immunit y for the prophylaxis and postexposure treatment of people
exposed to hepatitis B virus or HBs -Ag–positive materials, such as
blood, plasma, or serum. Hib and Varivax vaccines are not appropriate
for this situation.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Health Promotion and Maintenance
, 2. A nurse is working in an immunization clinic. A new colleague asks,
“When is the first dose of the diphtheria, tetanus, and acellular pertussis
given? ” The nurse knows that this series is started at what age?
a. At birth
b. 6 weeks
c. 3 months
d. 1 year
ANS: B
The first dose of the series of three injections is given at 6 weeks of
age. The other options are incorrect.
DIF: Cognitive Level: Remembering (Knowledge)
TOP: Nursing Process: Assessment
MSC: NC LEX: Health Promotion and Maintenance
3. 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?
a. Live vaccine
b. Antivenins or antisera
c. Tetanus immune globulin
d. Active immunizing drug
ANS: B
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.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Implementation
