Immunization Schedules & Vaccine Administration 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 Immunization Schedules & Vaccine Administration flashcards as text
A healthcare worker received their last Td booster 8 years ago and steps on a rusty nail. What is the correct tetanus prophylaxis?
Answer: Tdap, since booster is overdue and Tdap provides pertussis coverage
A Tdap booster is preferred over Td when the last booster was given more than 5 years ago for wound prophylaxis and when pertussis protection is desired.
Which statement about the ACIP catch-up immunization schedule is correct?
Answer: A dose given up to 4 days before the minimum age or interval is considered valid
ACIP's '4-day grace period' allows doses administered up to 4 days before the minimum age or interval to be counted as valid.
What action should a provider take after administering a vaccine to document the event?
Answer: Record the lot number, expiration date, site, and route in the patient's chart and the VIS edition date
Federal law (NCVIA) requires providers to record the vaccine name, lot number, expiration date, date given, site and route, and the VIS publication date in the permanent medical record.
A child is behind on DTaP vaccines and has already received 4 doses. The 4th dose was given at 15 months. When can the 5th (final) dose be given?
Answer: At 4–6 years of age
The 5th DTaP dose is recommended at age 4–6 years unless the 4th dose was given at age 4 or older, in which case the 5th dose is not required.
Which condition is a TRUE contraindication to all routine vaccines?
Answer: Severe allergic reaction (anaphylaxis) to a previous dose of the same vaccine
A prior anaphylactic reaction to a vaccine or one of its components is a true contraindication to subsequent doses of that vaccine.
A patient presents with moderate-to-severe acute illness and a fever of 103°F. What is the appropriate course of action regarding scheduled vaccines?
Answer: Defer non-urgent vaccines until the acute illness resolves
Moderate-to-severe acute illness with or without fever is a precaution and generally warrants deferral of vaccination until the patient recovers.
A Vaccine Information Statement (VIS) must be provided to the patient or legal representative before administration of which vaccines?
Answer: Only vaccines covered by the National Childhood Vaccine Injury Act (NCVIA)
Federal law requires VIS distribution prior to administration of vaccines covered under the NCVIA, which includes DTaP, IPV, MMR, varicella, HepA, HepB, Hib, PCV, and influenza.