Vaccine/Medication Exam

For thicker solutions such as Depo-Provera, choose a larger gauge needle such as ___ G

20G

We begin giving injections to children in the DELTOID at ___ years of age

4

We begin giving injections to children in the GLUTEAL region at ___ years of age

3

If a child is under 3 years of age, what are is recommended for injection?

A) Deltoid

B) Gluteal region

C) Vastus lateralis

C) Vastus lateralis (deltoid for 4, gluteal for 3)

Maximum dose for SubQ injection is how many mL?

A) 1 mL

B) 1.5 mL

C) 2 mL

D) 3 mL

A) 1 mL

For infants/toddlers, what is the maximum dose for vastus lateralis injections?

Up to 2 mL

What gauge size is for ID injections?

26-27G

False positive PPD test may be due to:

A) Non-TB mycobacteria

B) Previous administration of BCG vaccine

C) A and B

C) A and B

Oral or buccal is parenteral or nonparenteral?

Non-parenteral

Inhalation is parenteral or nonparenteral?

Non-parenteral

Transdermal is parenteral or nonparenteral?

Non-parenteral

IM, SC, ID, IV are parenteral or nonparenteral?

Parenteral

For ear drops in CHILDREN, straighten the ear canal by pulling the auricle ___ and ___

Down and back

What are the side effects of nebulization therapy?

Lightheadedness, increased HR, tremors, severe coughing

The standard adult dose of Albuterol sulfate is ___?

2.5mg/3mL

For epinephrine and epi-pens, the normal amount given for an adult is ___ mL

0.3 mL

Epi-pens should be held firmly against the thigh for ____ after injection

3 seconds

Thimerosal is used in ___ vaccines

Multi-dose

Which vaccine is the only one that is stored in the FREEZER?

Varicella (Varivax)

How many doses is Varivax for pediatrics? For adults?

2 doses

Schedule for Varivax vaccine (PEDIATRICS)

Dose 1 = 12-15 months

Dose 2 = 4-6 years

Varivax age limit for PEDIATRICS:

12 months to 12 years

Schedule for Varivax vaccine (ADULTS):

Two doses, 28 days apart

Schedule for Hep A vaccine (PEDIATRICS):

A) 0, 1-2 months, 6 months

B) 0, 6 months

C) 1, 1-2 months, 12 months

B) 0, 6 months

Schedule for Hep A vaccine (ADULTS):

A) 0, 1-2 months, 6 months

B) 0, 6 months

C) 1, 1-2 months, 12 months

B) 0, 6 months

Hep A age limit for PEDIATRICS:

12 months to 18 years

Hep A age limit for ADULTS:

19 years and older

When would 1 mL of Hep A vaccine be given?

A) 18 year old

B) 19 year old

C) 20 year old

C) 19 year old

Schedule for Hep B vaccine (PEDIATRICS):

A) 0, 1-2 months, 6 months

B) 0, 6 months

C) 1, 1-2 months, 12 months

A) 0, 1-2 months, 6 months

Schedule for Hep B vaccine (ADULTS):

A) 0, 1-2 months, 6 months

B) 0, 6 months

C) 1, 1-2 months, 12 months

A) 0, 1-2 months, 6 months

Heplisav-B can be given to pediatrics:

A) Yes

B) No

B) No

Hep B age limit for PEDIATRICS:

Birth to 19 years

Hep B age limit for ADULTS:

20 years and older

Adult doses for both Hep A and Hep B vaccines are ___ mL

1 mL

HPV vaccine brand name is ___

Gardasil

Schedule for HPV vaccine:

9-14 years of age = 0, 6 months

15+ = 0, 1-2 months, 6 months

HPV vaccine is ___ doses for 9-14 years of age

2

HPV vaccine is ___ doses for 15+ years of age

3

There are 5 vaccines that require diluents, what are they?

Chickenpox, Hib, MMR/MMRV, Menveo two-vial, RZV

A 24 year old patient had her first dose of HPV vaccine when she was 16 years old. Does she need to restart her vaccine schedule?

No, she can just get 2 remaining doses to fulfill the 3 dose requirement for 15+ years of age

Which vaccines require SC route?

Chickenpox (Varivax), MMR/MMRV, IPV

PCV is a 4 dose series? What is the schedule?

Yes

2 months, 4 months, 6 months, 12-15 months

PCV age limit:

6 weeks and older

Rotavirus vaccine dosage is ___ mL

2 mL

Menveo single-vial age limit:

10 years to 55 years

2 months, 4 months, 6 months

Dtap x3, IPV x3, Hib x3, Hep B x3, PCV x3, Rotateq x3

12-15 months

Hib #4, Varicella #1, PCV #4, MMR #1, Dtap #4, Hep A #1

18 months

Hep A #2

4-6 years

IPV #4, Dtap #5, MMR #2, Varicella #2

11-13 years

Tdap, HPV #1, Menveo #1

16 years

Menveo #2

50 years and older

RZV

10 years and older

Tdap

IPV is a 4 dose series, true or false

True