Question

1a: Olivia, a 9-year-old girl, has no record of ever receiving an influenza vaccination. She has a fear of needles. The only medication she receives on a regular basis is albuterol. Which of the following would be an appropriate recommendation for an influenza vaccination for Olivia?

A) Do not administer any influenza vaccine. B) Recommend one dose of IIV. C) Recommend one dose of LAIV D) Recommend two doses of IIV separated by 4 weeks.

1b: Which of the following is a provider factor associated with low vaccination rates in adults?

A) Unable to bill insurance. B) Limited familiarity with the adult schedule. C)Lack of effective reminder or recall systems D) Restricted by state regulations.

1c: Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard?

A) Employers must offer influenza and hepatitis B vaccines to employees free of charge. B) All needles must be recapped before placing them in a biohazard container. C) Use of universal precautions. D) All employees with potential bloodborne pathogen exposure must attend an OSHA training course once every other year.

1d: Which of the following statements best describes recommendations for vaccine administration during pregnancy?

A) No vaccines should be administered during the first trimester. B) Pregnant providers may administer live vaccines. C) Ideally, Tdap should be administered during the first trimester. D) Children should not receive live vaccines if their mother and/or caregiver is pregnant.

1e: Which of these vaccines is an inactivated vaccine?

A) VAR. B) MMR. C) RV5.D) DTaP.

Answer 1

1a. Ans:B) recommend one dose of IIV

1b. Ans: C) Lack of effective reminder or recall systems

Reason: other provider factors include lack of focus on preventive services and vaccine recommendations.

1c. Ans:D)all employees should with potential bloodborne pathogen exposure must attend an OSHA training course once every other year

Reason: influenza vaccination is not included in the standard as it is not considered a BBP exposure risk. Needles should not be recapped.

1d. Ans: B) pregnant providers may administer live vaccines.

Reason:there is no risk if the pregnant provider administer live vaccines. The other options are incorrect.

1e. Ans:D) DTap

Reason: Diphtheria and tetanus toxoids and acellular pertussis vaccine is an inactivated vaccine. Rest are live vaccines.