Vaccine Healthcare Centers Network
Competency Course Module Post Test
ANTHRAX
Primary vaccination with anthrax vaccine consists of six doses.
The first three are given at 0 weeks, weeks, The next three doses
are given at months, months, and months.
4, 6, 12, 18
A person who is hospitalized with acute pneumonia. (anthrax)
No
A person who is receiving long-term immunosuppressant
therapy after a transplant. (routine anthrax vaccination today)
No
A multidose vial of anthrax vaccine is removed from the freezer.
After thawing, the vial is shaken thoroughly to evenly suspend the
vaccine during withdrawal. After administering the needed doses
of anthrax vaccine, the vial is labeled with the date, refrozen, and
discarded after 30 days.
NO
Which statement would be most correct to give a woman who
has just received her first routine anthrax vaccination?
Up to 50% of people develop minor local reactions, but these
reactions generally last only a few days.
HEP A/B TWINRIX HAVRIX HIB VAQTA RECOMBIVAX
You are giving Havrix to a 17 month old
720, 0.5
People who receive hepatitis B vaccine in the deltoid muscle
No
You are giving Vaqta to an 18 year old
25, 0.5 =
You are giving Vaqta to a 25 year old.
50, 1
A 44-year-old man receives a 0.5 mL booster dose of
Vaqta 50 units intramuscularly into a dorsogluteal site
NO
How many doses of single-antigen hepatitis A vaccine will he need
to receive to complete his primary series for hepatitis A?
2
How many doses of single-antigen hepatitis B vaccine will
he need to complete his primary series for hepatitis B?
2
For which person is Hib vaccine LEAST likely to be recommended?
A pediatrician who does volunteer work in developing countries.
What is the recommended dose and route of administration for Hib
vaccination of most adolescents and adults for whom the vaccine
is indicated?
One 0.5 mL dose administered intramuscularly into the deltoid.
Children who receive their first dose of Hib vaccine when they are
7 months of age or older still need at least four doses of vaccine.
False
Children who receive their first dose of Hib vaccine when they are
7 months of age or older still need at least four doses of vaccine.
False
Recombivax HB for a 52 year old.
Yes
Recombivax HB for a 15 year old receiving 2 doses.
10, 1
You are giving Havrix to a 32 year old.
1440, 1
For which family members is routine vaccination
for hepatitis A recommended?
Only the 12 year old and the 17 year old.
INFLUENZIA FLU LAIV
Fill in the number of milliliters (mL) in one dose of intramuscular
inactivated influenza vaccine for people 3 years of age or older,
and click on "Submit".
0.5
Which statement is correct about inactivated influenza vaccine
according to its Vaccine Information Statement (VIS)?
Influenza vaccine is kept up-to-date each year by replacing at least one of the vaccine virus strains with a strain currently causing illness.
The most common adverse reaction following LAIV vaccination
a mild systemic reaction, such as cough and chills.
True
A healthy 29-year-old emergency medical technician. (inactivated influenza)
LAIV/IV
What is the correct dose and route for administering LAIV?
0.1 mL intranasally into each nostril.
Multidose vials of inactivated influenza vaccine arrive at the
administration site in an insulated container.
The multidose vials that are not used
are transported back to the administration site in the insulated
container, which contains chilled coolant packs. Open vials are
dated and all vials are placed back into the refrigerator.
Yes
Fill in the number of influenza vaccine doses that should be given
each year to an adolescent or adult, and click on "Submit".
1
IXIARO JEV
A woman from the United States who will be spending three
weeks in a rural Southeast Asian village in August.
Yes
What is the recommended schedule for Ixiaro?
Days 0 and 28.
What is the correct dose and route for Ixiaro?
0.5 mL intramuscularly
A patient calls and reports that she has a headache and muscle pain.
She received her first dose of Ixiaro 2 days ago.
You should advise her that
this is a common side effect and an over-the-counter
medication can be taken relieve the discomfort.
How effective are 2 doses of Ixiaro at preventing Japanese
encephalitis when the doses are administered according to
the recommended schedule?
About 95%.
MMR MEASLES MUMBS RUBELLA
The Advisory Committee on Immunization Practices (ACIP)
recommends that combined measles, mumps, and rubella
vaccine be given whenever a person needs mumps vaccine.
TRUE
A man born in March of 1969 who, according to his medical record,
was vaccinated with a single dose of rubella-containing vaccine in
January of 1970.
NO
MMRV (ProQuad) vaccine is licensed for use in children
1 through 12 years of age.
True
Which person has a valid contraindication to receiving rubella
vaccine today?
An 18 year old who just found out she is pregnant.
Which modern vaccine contains weakened virus?
MMR
Human papillomavirus vaccine for an adolescent who received
MMR vaccine two weeks ago.
Yes
How many doses of rubella vaccine or MMR vaccine are
recommended for children 1 year of age and older?
Two
A single-dose vial of MMRV vaccine is stored in the
refrigerator with the diluent. It is then reconstituted
and placed back in the refrigerator. Six hours later,
the vial is removed and the dose is drawn up and
administered.
No
A man is beginning work in the housekeeping department of
a medical facility. During screening the following information
is obtained:
The man was born in 1952.
The man says his mother told him he had measles as a
child.
His PPD done 3 days ago was negative.
His wife is immune suppressed because of chemotherapy
treatments.
Vaccine administration personnel give him one dose of MMR
vaccine.
Yes
Which person does not need two doses of MMR vaccine?
30-year-old man who is a computer programmer
Fill in the number of milliliters (mL) in one dose
of MMR vaccine, and click on "Submit."
0.5
What type of adverse reaction are you most likely to see in
adolescent and adult men after injection of rubella vaccine?
Fever and rash.
What type of adverse reaction are you most likely to see
in adolescent and adult women after injection of measles
vaccine?
Fever and rash.
Which person should not receive mumps vaccine today?
A 16 year old who received antibody-containing blood products
4 weeks ago.
The recommended dose for M-M-R II is:
0.5 mL.
In the Armed Forces, which personnel are required
to have measles immunity?
All personnel
MENINGOCOCCAL
A 38-year-old college professor who teaches freshman English.
No
A healthy 12-year-old girl. (meningococcal)
YES
Which person has a valid contraindication to receiving
meningococcal vaccine today?
Someone hospitalized with acute bronchitis.
Which person should not receive meningococcal conjugate vaccine?
A 60-year-old woman traveling to West Africa.
What type of vaccine are Menveo and Menactra?
Conjugate polysaccharide.
An 11-year-old boy needs to receive meningococcal vaccine.
He has HIV infection. What is the correct schedule?
Two doses given 2 months apart and a booster dose at age 16.
A 5 year old who had his spleen removed last year
following an automobile accident.
YES
A single-dose vial of meningococcal polysaccharide vaccine is
reconstituted using the diluent provided and then placed back
in the refrigerator. Four hours later, the vial is removed and the
dose is drawn up and administered.
NO
Which is the correct dose for subcutaneous administration of
meningococcal polysaccharide vaccine?
0.5 mL.
MULTIPLE DOSES
A man needs MMR, varicella vaccine, and poliovirus vaccine. He
would like to receive all three today. Which statement is accurate?
All three vaccines can be given today at different injection sites.
PAPILLOMAVIRUS
A vial of human papillomavirus vaccine is removed from the freezer.
The vial is shaken well to evenly suspend the vaccine during
withdrawal. After administering the vaccine the vial is disposed of
in the sharps container.
YES
Human papillomavirus vaccine for an adolescent who received
MMR vaccine two weeks ago.
Yes
PNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV)PNEUMOVAX PCV13 PPV23
For each person described, click on Yes if the person should be
vaccinated with PPV23 today, or on No if the person should
not be vaccinated with PPV23 today. In all cases, assume that
there are no valid contraindications to vaccine administration
Yes
(PCV13) A healthy 6-month-old.
Yes
Which statement is correct about pneumococcal polysaccharide
vaccine (PPV23)?
PPV23 vaccine is inactivated.
A 4 year old who is HIV positive. (PVC13)
Yes
A healthy 23 year old who is works in a long term
care facility for older adults and who smokes cigarettes.
YES
A 25 year old who will be receiving a cochlear implant in 3 weeks
YES
POLIO IPV
Which is the correct dose of IPV to administer
to a child, adolescent, or adult?
0.5 mL.
An adult who received two doses of polio vaccine as a child will be
leaving to travel to a country in which exposure to wild poliovirus
remains a threat. What additional IPV doses should this person receive before leaving?
Administer only one dose of vaccine.
Which person has a valid contraindication or precaution
to receiving polio vaccine today?
A woman with diarrhea and a high fever.
47. A healthy 2-year-old child. (polio)
Yes
A man had poliomyelitis disease as a child. What
type of immunity does he have against polio?
ACTIVE
A previously unvaccinated adult will be traveling to a country
in which exposure to wild poliovirus remains a threat. What is
the minimum interval between which doses can be given if an
accelerated schedule of IPV administration is needed?
4 weeks.
RABIES
If rabies is treated early and correctly, what
percentage of people will still die?
almost 100%.
Which person is LEAST likely to need
pre-exposure vaccination for rabies?
A man taking a business trip to Singapore and Hong Kong
A woman who received her first dose of pre-exposure rabies
vaccine yesterday calls to report redness and swelling at the
vaccine injection site. She should be told that this is
common and will go away, and that she can take an over-the-
counter pain reliever for the discomfort.
What is the recommended dose of rabies vaccine
when it is given intramuscularly?
1 mL.
Engerix-B for a 5 year old
10, 0.5
What percent of healthy people develop protective antibodies
against rabies when rabies vaccine is administered correctly?
100%
ROTAVIRUS
Rotavirus vaccine for a 3-month old who has
a high fever and severe diarrhea.
No
SHIPPING HANDLING STORAGE
A shipment of vaccine has been delivered to your vaccine
administration site. What would be the correct initial action
to take?
Check the condition of the vaccine and make sure the cold chain
has been maintained during shipping.
Expressed as degrees Centigrade, type in the temperature
at which vaccine storage freezers should be maintained.
-15
At a minimum, how many times a day should the temperature
in a vaccine storage unit be checked and logged?
Twice
Which statement about vaccine inventory and storage is correct?
Place extra water bottles in the refrigerator door and coolant
packs in the freezer to provide additional insulation.
SMALLPOX VACCINIA IMMUNE GLOBULIN (VIG)
As part of a pre-outbreak vaccination program, which Service
Member presenting for smallpox vaccination today should not
be given the vaccine? One who
is of childbearing age and who has had unprotected intercourse
since her last period.
As part of a pre-outbreak smallpox vaccination program, for which
person would smallpox vaccine most likely be contraindicated? A
person who answers "yes" to the question:
Have you ever had an itchy rash in the creases of your elbows or knees?
Which person has the most significant risk factor for a severe
immune system-related smallpox vaccine complication? A person
who
has had sexual contact with a person who is HIV-positive.
What is the correct action to take if, after dipping the bifurcated
needle into the smallpox vaccine vial, you do not see a droplet of
vaccine between the prongs?
Re-dip the needle perpendicularly into the vial.
Which person would be at greatest risk for development
of myopericardiditis following smallpox vaccination?
55-year-old woman with congestive heart failure.
Which measure is most important in preventing the most
frequent adverse event following smallpox vaccination?
Hand washing.
As part of a pre-outbreak smallpox vaccination program, for which
person would smallpox vaccine most likely be contraindicated? A
person who answers "yes" to the question:
Have you ever had an itchy rash in the creases of your elbows or knees?
Vaccinia immune globulin (VIG) use would
be indicated for a person with
progressive vaccinia.
There are an estimated 27 million people in the United States
who have atopic dermatitis. Why should these people not receive
smallpox vaccine, unless they have been exposed to smallpox virus
or are a contact of a person with smallpox? These people are at
risk for eczema vaccinatum, a severe reaction to smallpox vaccine
What is the correct action to take if, after dipping the bifurcated
needle into the smallpox vaccine vial, you do not see a droplet of
vaccine between the prongs?
Re-dip the needle perpendicularly into the vial
TD TDAP
What is recommended schedule for giving ACTHib vaccine
to an infant?
2, 4, 6, and 12-15 months of age
A 30-year-old Service Member has a deep cut that is
contaminated with dirt. He completed the primary Td
series six years ago. The wound is cleaned and sutured.
What additional treatment is needed to prevent tetanus?
Tdap booster dose today.
What is Td?
A toxoid vaccine made from altered tetanus and diphtheria toxins
In which person is Tdap contraindicated? Assume all people
are due for a Td booster dose.
41 year old who had encephalopathy 3 days after a dose of DTP
with no known cause.
A 24-year-old woman is 4 months pregnant. She has never
received Td or DTaP. What would be the recommended
schedule for her?
Td today, Td in 1 month, and Tdap 6 months after Td-2.
Which statement about Tdap is accurate?
Tdap should be given as a single-booster dose to people 10 - 64 years
of age.
Td vaccine for a woman who has not had a booster dose in 5 years.
NO
Pediarix can be used for infants and children 6 weeks to 7 years of age.
TRUE
Which vaccine requires multiple doses
before active immunity results?
Tetanus.
A woman cut her hand with a knife while slicing an apple. She
cannot recall whether she ever had a tetanus shot, but thinks
she may have had one dose. The wound is cleaned and sutured.
What additional treatment is needed to prevent tetanus?
Td primary series, with first dose today.
Which statement about Tdap is accurate?
Tdap should be given as a single-booster dose to people 10 - 64 years of age.
TYPHOID TY21A VICPS PEDIARIX
What type of vaccine is Ty21a?
A live attenuated bacterial vaccine.
What is the correct dose, schedule, and
route of administration for Ty21a?
Four capsules taken by mouth on alternate days, each dose
taken one hour before a meal.
Which adverse reactions are most common following vaccination with ViCPS?
Pain and swelling at the injection site.
What is the correct dose, schedule, and route
of administration for ViCPS vaccine?
One 0.5 mL dose administered intramuscularly.
Pediarix can be used for infants and children 6 weeks to 7 years of age.
True
What is Td?
A toxoid vaccine made from altered tetanus and diphtheria toxins
For which person would typhoid fever vaccine be indicated?
A person traveling to the Indian subcontinent.
If he plans to continue this type of travel in the future, when is it
recommended that he be revaccinated against typhoid fever?
In five years.
For which person would ViCPS be the preferred
type of typhoid vaccine? One who
is taking an antibiotic.
VARICELLA
An 18-year-old Armed Forces recruit needs varicella vaccination
and a PPD. What is a correct way to administer these injections?
Administer the PPD and varicella vaccine simultaneously.
Which person should have varicella vaccination delayed?
A 40 year old who received a blood transfusion 10 days ago.
Varicella vaccine for a man who completed chemotherapy and
radiation treatment for testicular cancer 9 months ago.
Yes
A healthy teen received her second dose of varicella vaccine two
days ago. She calls the vaccine administration center complaining
of redness, soreness, and swelling at the injection site. She has no
fever and otherwise feels well. Which recommendation would be appropriate to include in your response to the woman about this adverse reaction?
Expect these symptoms to go away by themselves in a few days
Which person has a valid contraindication to receiving varicella vaccine today?
An HIV-infected 2 year old with a very low CD4+T-lymphocyte count
A healthy, 40-year-old man who is susceptible to varicella was
exposed to VZV 3 days ago. What action is recommended to
prevent or reduce the severity of varicella illness if this man is
infected with VZV?
Administer a dose of varicella vaccine today, followed by a second dose in 4 to 8 weeks.
YF-VAX/YELLOW FEVER
Which statement accurately represents information
contained in the yellow fever VIS?
Nursing mothers should avoid or postpone travel to a yellow
fever area, if possible.
After vaccination with YF-VAX, two groups of people have
demonstrated lower rates of immunity to yellow fever than
other people.
Pregnant women and people with impaired immunity.
Which response would be most correct? "For healthy
men in their 40s, the vaccine has been shown to be (yellow fever)
99% to 100% effective after one dose."
What is the recommended dose of YF-VAX?
0.5 mL.
Which person has a valid contraindication to receiving yellow
fever vaccine or should check with his or her healthcare provider
prior to receiving yellow fever vaccine today?
A 20 year old who had his thymus removed last year.
Which susceptible person should receive
yellow fever vaccine today?
An Armed Forces member being deployed to West Africa.
ZOSTER
A single-dose vial of zoster vaccine is stored in the freezer.
It is then reconstituted with room temperature diulent
and placed in the refrigerator. The next day, the vial is
removed and the dose is drawn up and administered.
No
Which person should not receive zoster vaccine today?
48-year-old woman who will be undergoing chemotherapy in two week
Zoster vaccine for a man who uses
a corticosteroid inhaler for asthma.
YES
OTHER
A 29-year-old nurse who works in a Naval hospital.
Yes
Which person most likely will fail to develop active immunity
following vaccination? The person who was given
hepatitis B immune globulin 2 months ago and MMR vaccine given today.
A previously unvaccinated adult will be traveling to a country in which exposure to wild poliovirus remains a threat. What is the minimum interval between which doses can be given if an accelerated schedule of IPV administration is needed?
Erection Infection. youre welcome
There are not any websites where the answers to the incredible journey worksheets are provided. There are study guides available, just not any answers to the worksheet itself.
Laughing reduces stress cells which in turn strengthens your immune system not helping me out in need 4 facts not helping me out either I need 5 interesting facts about the immune system by tonight my project is due tomorrow
No system is really damaged by JRA. It causes mostly damage of the joints. Basically, in JRA, your immune system is attacking itself.Hopefully that answers your question!
immune= rezistant
your immune system and your White blood cells produce antibodies
Immune generally takes to. Immune to corruption.
She was not immune to the flu.The immune system is part of the human anatomy.
mune or can say not immune
Your mother was never immune......
Monsters do not exist, therefore, they are not immune to shotguns, nor are they immune to shotguns.