Chapter 19: Immunologic Medications

Chapter 19: Immunologic Medications

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which term refers to a medication containing a weakened or dead antigen?

ANS:  B

Laboratories can produce vaccines that contain either attenuated or killed antigens so that people can be immunized to prevent them from getting the disease.

DIF:    Cognitive Level: Remember            REF:   p. 400             OBJ:   1

TOP:   Vaccines        KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

2. TD (tetanus and diphtheria) boosters are recommended at which interval?

ANS:  C

TD (tetanus and diphtheria) boosters are recommended every 10 years.

DIF:    Cognitive Level: Remember            REF:   p. 401 | Table 19-1

OBJ:   3                    TOP:   Immunization Schedule

KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

3. A patient comes into the clinic with complaints of a cold. He is also there for a flu shot. Which represents the reason a flu shot is not recommended in this case?

ANS:  A

The best policy is that immunizations should not be given to patients with active infection, severe febrile illness, or history of a serious side effect from previous vaccinations.

DIF:    Cognitive Level: Understand            REF:   p. 403             OBJ:   4

TOP:   Immunizations                                 KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

4. The nurse would recommend a yearly influenza virus vaccine to which person?

ANS:  D

Older adults are at high risk for pneumonia and flu, so it is recommended that this patient population receive the annual flu vaccine to prevent infection.

DIF:    Cognitive Level: Understand            REF:   p. 402             OBJ:   3

TOP:   Vaccines        KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

5. Protection from which infectious disease can be offered by routine immunization with PCV (children) or PPV (adults) vaccine?

ANS:  A

Pneumococcal conjugate vaccine (PCV) for children and pneumococcal polysaccharide vaccine (PPV) for adults produce immunity against a variety of pneumococcal infections. Since Streptococcus pneumoniae is responsible for illnesses ranging from ear infections to meningitis, blood infections, and pneumonia, the Centers for Disease Control and Prevention recommend the polyvalent pneumococcal vaccines for all children and susceptible adults.

DIF:    Cognitive Level: Understand            REF:   p. 403 | Table 19-1

OBJ:   3                    TOP:   Vaccines        KEY:  Nursing Process Step: Diagnosis

MSC:   NCLEX: Physiological Integrity