Administration Techniques & Routes Flashcards
7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Administration Techniques & Routes flashcards as text
Which of the following vaccines is approved for intradermal administration as a dose-sparing strategy?
Answer: Inactivated influenza vaccine (Fluzone ID)
Fluzone Intradermal is an FDA-approved inactivated influenza vaccine specifically formulated for intradermal injection as a lower-volume dose.
When administering two IM injections in the same limb during the same visit, what minimum distance should separate the injection sites?
Answer: 1 inch (2.5 cm)
When two IM injections must be given in the same limb, they should be separated by at least 1 inch to allow differentiation of local reactions.
A nurse is preparing to administer Shingrix (recombinant zoster vaccine, RZV) to a 65-year-old. Which route is correct?
Answer: Intramuscular in the deltoid
Shingrix (RZV) is administered intramuscularly in the deltoid region of the upper arm.
When reconstituting a lyophilized (freeze-dried) vaccine, what action is most critical to ensure vaccine safety and potency?
Answer: Use only the specific diluent supplied or approved for that vaccine
Only the specific diluent provided or approved by the manufacturer must be used, as other fluids can destroy the vaccine or cause adverse reactions.
A 12-year-old is receiving Menactra (MenACWY-D) and Tdap at the same visit. If both must be given in the deltoid, what is the best approach?
Answer: Administer one in each deltoid (one per arm)
When possible, simultaneous vaccines should be given in separate limbs; administering one in each arm is preferred for adolescents receiving multiple deltoid injections.
What is the appropriate action if a vaccine is accidentally injected into the wrong anatomic site (e.g., deltoid used instead of thigh for an infant)?
Answer: Document the error, monitor for adverse events, and consult current guidance on dose validity
Administration errors should be documented and evaluated against current ACIP guidance; most doses given in incorrect sites are still valid, but clinical assessment is required.
Which of the following best describes the ventrogluteal site for IM vaccine administration?
Answer: A site on the lateral hip formed by the gluteus medius, bounded by the iliac crest and greater trochanter
The ventrogluteal site is located in the gluteus medius muscle, identified by placing the hand on the greater trochanter and directing the index finger to the anterior superior iliac spine.