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Vaccine Administration

1. The foundation of medication administration is application of the “Rights of Medication Administration,” which should be applied to each encounter when vaccines are administered, and include:

A. The right patient

B. The right route

C. The right site

D. All of the above


2. All patients should be screened for contraindications and precautions prior to administering any vaccine, even if the patient has previously received that vaccine.

A. True

B. False


3. The prophylactic use of antipyretics before or at the time of vaccination is recommended.

A. True

B. False


4. Research supports the belief that children are less fearful and experience less pain when receiving an injection if they are lying down rather than sitting up.

A. True

B. False


5. The Advisory Committee on Immunization Practices recommends that the patient is observed while seated or lying down for _____ minutes after vaccination.

A. 5

B. 10

C. 15

D. 20


6. Sweet tasting liquids are an analgesic for infants up to what age?

A. 6 months

B. 12 months

C. 18 months

D. 24 months


7. Use of shorter needles has been associated with less redness or swelling than occurs with longer needles.

A. True

B. False


8. Vaccines should be reconstituted according to manufacturer guidelines using only the specific diluent supplied by the manufacturer for that vaccine, as each diluent is specific to the corresponding vaccine in all of the following, except:

A. Density

B. Sterility

C. pH

D. Chemical balance


9. Whenever solution and container permit, the vaccine should be visually inspected for which of the following?

A. Discoloration

B. Precipitation

C. Unable to be re-suspended

D. All of the above


10. ACIP does not recommend readministering a dose of rotavirus vaccine to an infant who regurgitates, spits out, or vomits during or after administration.

A. True

B. False


11. A 1-inch needle should be used for which of the following?

A. Males and females less than 130 pounds.

B. Males and females between 130 and 152 pounds.

C. Males between 153 and 260 pounds and females between 153 and 200 pounds.

D. Males greater than 260 pounds and females greater than 200 pounds.


12. During an intramuscular injection, the needle should be inserted fully into the muscle at a 45 degree angle.

A. True

B. False


13. When vaccinating persons with bleeding disorders, a 23-gauge or finer needle should be used along with which of the following?

A. Firm pressure

B. Rubbing

C. Massaging

D. All of the above


14. Which of the following is a sign or symptom of anaphylaxis that will usually begin within minutes of vaccination?

A. Flushing

B. Facial edema

C. Wheezing

D. All of the above


15. Although there is no national law, it is important to document when parents or adult patients refuse vaccine despite the immunization providers’ recommendation.

A. True

B. False


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