NR 442 Week 7 Vaccine quiz
Student Name
Chamberlain University
NR-442 Community Health Nursing
Prof. Name
Date
Vaccine Quiz – Instructions
Please select the correct answer for each question. The following material reviews essential concepts related to safe and effective vaccine administration, including best practices, common errors, and legal requirements.
1. Which of the following is NOT one of the Rights of Medication Administration Adapted for Vaccines?
Options:
a. Right patient
b. Right vaccine with correct diluent (if required)
c. Right documentation
d. Right dosage
e. Right route, needle length, and technique
f. Right time, including correct age, proper interval, and vaccine/diluent not expired
g. Right clinic
h. Right site
Answer: g. Right clinic
Explanation:
In vaccine administration, the “Rights” are adapted from medication safety principles to ensure accuracy, safety, and efficacy. The recognized vaccine rights include correct patient, vaccine/diluent, documentation, dosage, route/needle/technique, timing, and injection site. The “right clinic” is not part of the standard safety checklist.
2. Patients should be screened for contraindications and precautions:
Options:
a. At the first visit
b. Only when vaccinating infants and children
c. Every time a vaccine dose is administered
Answer: c. Every time a vaccine dose is administered
Explanation:
Screening for contraindications and precautions before every vaccine dose is essential to prevent adverse events and ensure patient safety (CDC, 2024).
3. Immunization schedules are updated only when new vaccines are recommended.
Options:
a. True
b. False
Answer: b. False
Explanation:
Immunization schedules may be updated due to changes in recommended timing, dose intervals, or safety data, not solely because of new vaccine introductions.
NR 442 Week 7 Vaccine quiz
4. The childhood immunization schedule is for children:
| Option | Age Range |
|---|---|
| a. | Birth–5 years |
| b. | 2–12 years |
| c. | Birth–18 years |
| d. | 5–12 years |
Answer: c. Birth through 18 years of age
Explanation:
The CDC’s recommended schedule applies from birth up to 18 years, ensuring coverage across early childhood, school age, and adolescence.
5. After-care instructions should include information on:
Options:
a. When to seek medical attention
b. Fever
c. Injection site pain
d. Fussiness
e. All of the above
Answer: e. All of the above
Explanation:
Post-vaccination guidance should address all possible mild reactions and clearly outline when to seek urgent care.
6. ACIP recommends providers observe a patient for:
Answer: a. 15 minutes after vaccine administration
Explanation:
Observation is crucial to monitor for immediate adverse reactions, such as anaphylaxis. For individuals with a history of severe allergic reactions, 30 minutes is advised.
7. Vaccine Information Statements (VISs):
Answer: b. Should be given when any vaccine dose is administered to a child or adult
Explanation:
Federal law mandates that the current VIS must be provided prior to each dose, regardless of whether it is the first or subsequent dose.
8. Strategies to decrease pain during injection include:
Answer: d. All of the above
Explanation:
Pain management may involve breastfeeding, distraction, and avoiding aspiration, improving patient comfort and compliance.
9. Which is not part of vaccine preparation?
Answer: a. Ordering vaccine from the manufacturer
Explanation:
While ordering is part of inventory management, preparation focuses on selecting correct vaccine/diluent, checking expiration, and using sterile equipment.
10. Rotavirus vaccine is administered by:
Answer: d. Oral (PO)
11. The intradermal route is abbreviated:
Answer: c. ID
12. Recommended subcutaneous site for adults:
Answer: c. Fatty tissue over the triceps area of the upper arm
13. IM injection needle angle:
Answer: c. 90-degree angle
14. Subcutaneous injection needle angle:
Answer: a. 45-degree angle
15. IM injection site for a 9-month-old:
Answer: b. Vastus lateralis muscle (anterolateral thigh)
16. Needle length for Juan’s daughter:
Answer: a. 1 inch
17. Recommended IM site for an adult:
Answer: b. Deltoid muscle (upper arm)
18. Needle length for an adult weighing 190 lbs:
Answer: b. 1 ½ inch
19. Maria, age 4, needs multiple vaccines:
Answer: b. Administering combination vaccines when possible can decrease the number of injections
20. Federal law requires all documentation EXCEPT:
Answer: e. Time the vaccine was administered
21. Common vaccine administration errors include:
Answer: d. All of the above
22. Best practices to prevent errors:
Answer: b. Checking expiration dates and removing expired vaccine from inventory
23. Before giving Emma’s vaccines, you should:
Answer: d. All of the above
24. Screening for contraindications is unnecessary for second 9vHPV dose.
Answer: b. False
25. Correct statement about administration routes:
Answer: a. Tdap, MCV4, and 9vHPV are given IM, and VAR is given Subcut
References
Centers for Disease Control and Prevention. (2024). General best practice guidelines for immunization: Best practices guidance of the Advisory Committee on Immunization Practices (ACIP). https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html
NR 442 Week 7 Vaccine quiz
World Health Organization. (2023). Immunization in practice: A practical guide for health staff. WHO Press. https://www.who.int/publications