Immunization and Vaccine Training
Varicella-zoster and BCG are examples of live attenuated vaccines. - true - false
true
What does VEARS stand for? - vaccine administration emergency reporting - vaccine adverse event reporting system - vaccine actions and effect reporting system - vaccine adverse emergency recall system
vaccine adverse event reporting system
Patients are provided with information about the vaccine they will receive from a - board of pharmacy website - FDA inspection database - DEA information statement - vaccine information statement
vaccine information statement
The ___ is the preferred injection site for infants and young children. - vastus medialis - vastus lateralis - vastus intermedius - rectus femoris
vastus lateralis
Which of these is not a distraction technique? - watch as shot is injected - talk to them about work, school and et cetera - sing a song - have books available for them to use
watch as shot is injected
What does the term reconstitution mean? - to reference the vaccine package insert - to give the patient the vaccine information statements (VISs) - when the freeze-dried vaccine powder or water in one vial is mixed with a diluent (liquid) in another vial - it's a technique used in vaccine administration
when the freeze-dried
Which of the following is not considered sharps? - syringe - needle - pathogen - lancets
lancets
When administering an intradermal injection, you should insert the needle at a ___-degree angle. - 10-15 - 30-45 - 45-60 - 60-90
10-15
The Varivax vaccine is given by injection to children between the ages of: - 4 and 8 months - 12 and 15 months - 3 and 4 years - 7 and 10 years
12 and 15 months
What is the estimated % of Americans who have a fear of needles? - 16% - 25% - 10% - 15%
25%
VAERS or Vaccine Adverse Event Reporting System is a program managed by ___ and the ___ to monitor the safety of all vaccines in the United States. - DCD and FDA - FDA and CDC - CDC and DEA - BOP and FDA
FDA and CDC
The payer's insurance can provide details about the information required to successfully process a claim when billing for immunizations. - true - false
true
Which of the following is the trade name of the measles/mumps vaccine? - Prevnar 13 - menveo - boostrix - ProQuad
ProQuad
Soft skills are ___. - machine operation - degree or certificate - interpersonal (people) skills - teachable abilities or skill sets that are easy to quantify
interpersonal (people) skills
What is the most accurate definition of Universal Precautions? - rules and regulations that apply to only hospital healthcare employees. - a set of guidelines for infection control requiring the employer and employee to assume that all human blood and specified human body fluids are infectious for HIV, HBV, and other blood-borne pathogens - policies and procedures that are different based on the employer - no answer text provided
a set of guidelines
An effective cold chain relies on three main elements: - a well-trained staff, reliable storage and temperature monitoring equipment and accurate vaccine inventory management - reliable storage and temp monitoring equip and accurate vaccine inventory management, and cost management - accurate vaccine inventory management, and cost management, DEA approval - reliable storage and temp monitoring equipment, untrained staff, and cost management
a well-trained staff
The following includes all of the aseptic techniques that must be used during vaccine preparation EXCEPT for: - storing - handling - preparing - injection equipment and supplies - administering
administering
Standard Precautions assume that: - all health care workers are at risk for exposure to infectious pathogens - all human blood and specified human body fluids are infectious - all patients have infectious diseases - all employers will provide gloves for any patient contact
all human blood and specified human body fluids are infectious
The parenteral route of administering medication: - is injection medication through the skin or directly into a vein or artery - involves increased costs - involves increased risks - all of the above
all of the above
What should be done prior to giving an injection? - wash hands with soap and water - put on protective equipment - ensure they know how to use the equipment - all of the above
all of the above
Intradermal injections are used in ___ and tuberculin testing. - pregnancy - allergy - hepatitis - cancer
allergy
An antigen is defined as: - the study of immune responses - a rapid cellular response to infection - a vaccine that is prepared from endotoxins that have been inactivated or made nontoxic by heat or chemicals - any foreign organic substance that stimulates the production of antibodies
any foreign organic substance that stimulates the production of antibodies
Inactivated vaccines: - are produced from viruses or bacteria in a laboratory - is a condition in a recipient that greatly increases the chance of a serious adverse reaction - is a condition in a recipient that may increase the chance of an adverse event - are composed of whole viruses, bacteria, or fractions of either, which have been rendered noninfectious
are composed of whole
Live attenuated vaccines: - are produced from viruses or bacteria in a laboratory - is a condition in a recipient that greatly increases the chance of a serious adverse reaction - is a condition in a recipient that may increase the chance of an adverse event - are composed of whole viruses, bacteria, or fractions or either, which have been rendered noninfectious
are produced from viruses or bacteria in a laboratory
Any material that has come in contact with blood or body fluids is treated as personal protective equipment ___. - biohazardous waste - solid waste - medical waste - trash
biohazardous waste
The use of ___ instruments when working with human blood or giving injections minimizes the need for sanitation, disinfection, and sterilization. - disposable - injectable - reusable - sterile
disposable
Which type of injection is used for tuberculin skin test or allergy test? - intradermal - subcutaneous - intramuscular - all of the above
intradermal
Which is designed to minimize the risk of exposure to infectious material and bloodline disease? - hazard communication plan - fire safety plan - exposure control plan - safety data sheets (SDS)
exposure control plan
All of the following are needed for proper vaccine administration EXCEPT for: - vaccine to be administered - the vaccine information statements - face masks - immunization documentation - medical emergency supplies - needles and syringes
face masks
Vaccines must be kept at room temperature between 68 and 77 F. - true - false
false
OSHA requires that all health care workers be immunized against: - smallpox - varicella - anthrax - hepatitis B
hepatitis B
OSHA regulations require that all healthcare workers be immunized against which vaccines because they are at risk for exposure to blood-borne pathogens? - hepatits B - influenza - COVID-19 - no vaccines required
hepatits B
Which of the following vaccines is injected subcutaneously? - hepatitis A - anthrax - menigococcal - herpes zoster (shingles)
herpes zoster (shingles)
Cervarix and Gardasil are vaccines for: - hepatitis A - hepatits B - human papillomavirus - human immunodeficiency virus
human pappillomavirus
Which is true regarding the immunization of health care workers at risk? - it is required even if the employee declines - the employer may charge small fee for immunization to those at risk - immunization must be given to those at risk within 10 days of employment - if the employee initially refuses, he may be charged if immunized at a later date
immunization must be given to those at risk within 10 days of employment
Antibody and ___ are often used interchangeably. - immunoglobulin - antigen - immunogen - adaptive immune response
immunoglobulin
How should an infant be held prior to receiving a shot? - sitting on lap - held over shoulder - in breastfeeding position
in breastfeeding position
Immunity is defined as: - susceptibility to disease - inborn or acquired resistance to disease - sensitive to disease - easily prone to disease
inborn or acquired resistance to disease
Which of the following begins the adaptive immune response? - innate immunity - acquired immunity - antigens - immunogens
innate immunity
When administering an IM injection by the Z-track method, after expelling the medication you should remove the needle quickly and: - massage the area - squeeze the injection site gently - hold your bare finger over the injection site to encourage clotting - let go of the skin quickly
let go of the skin quickly
You should recap a needle: - after the injection - before placing in the sharps container - before the injection while preparing the patient and injection site - never
never
How long is the needle used to administer intramuscular injections? - smaller than one inch - no longer than two inches - one to three inches or longer - five to seven inches or longer
one to three inches or longer
When a person receives antibodies, resulting in temporary immune protection, this is known as ___ acquired immunity. - inactive - aggressive - live - passive
passive
When administering a subcutaneous injection, if blood appears in the syringe, you should: - pull the needle out opposite to the angle of entry - pull the needle out at the angle of entry - continue with the injection because it is normal for this to occur - push the needle in further to move past the blood vessel
pull the needle out at the angle of entry
CDC recommends vaccines be stored in a purpose-built or pharmaceutical-grade units designed to ___. - fluctuate temperature between warm and cold temperature - maintain room temperature - warm or heat up biologics - refrigerate or freeze biologics
refrigerate or freeze biologics
What method should be used if recapping a needle is necessary? - handheld - use of tongs - scoop
scoop
Passive acquired immunity is defined as: - a rapid cellular response to infection - the results from antibodies that are transmitted - when the antibodies are released within a person's body - receiving the antibodies that were produced by another person or animal
the results from antibodies that are transmitted
Why is it important to follow the proper preparation guidelines for vaccine preparation? - to prevent infections and microbial contamination - to prepare the vaccines days before they need to be administered - to decide on the proper route of administration - to prepare the medical emergency supplies
to prevent infections and microbial contamination
A vaccine that stimulates the immune system to produce antibodies to a specific illness-causing toxin is called a toxoid vaccine - true - false
true
Manufacturers recommend that fully discharged vaccine vials are discarded in sharps containers. - true - false
true