MSN 621 ACTUAL EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Influenza vaccine indications and key points. Answer: -Everyone older
than 6 months, annually
-Highest priority = pregnant, elderly, chronic disease, healthcare workers
-give annually due to antigenic drift
-egg allergy does not mean contraindications (except for severe
anaphylaxis) use RIV
▶ Herpes Zoster Vaccine ( Shingrix ). Answer: -Age 50 or older
-can still vaccinate with prior shingles
-dosing is 2 doses, 2-6 months apart
-type = Recombinant (not live)
-preferred over Zostavax which is no longer used in U.S.
-can be given to immunocompromised adults
▶ Vaccination of close family/contacts. Answer: Goal = cocooning
vulnerable patients
-important for pregnant, infants and immunocompromised
Examples = Flu vaccine for household contacts and Tdap for caregivers of
newborns
▶ Travel related vaccines. Answer: Ebola: limited to outbreak response,
healthcare workers
West Nile Virus: no human vaccine
Other common vaccine for travelers = Yellow fever, Typhoid, Hepatitis
A&B, Japanese encephalitis
*Always assess destination and activities
▶ HIV & Antiretroviral therapy. Answer: HAART (ART): indicated for all
patients with HIV
Use in pregnancy, non-pregnant adults
Goal=undetectable viral load
-ART reduces mother to child transmission to less than 1%
QUESTIONS WITH SOLUTIONS GRADED A+
▶ Influenza vaccine indications and key points. Answer: -Everyone older
than 6 months, annually
-Highest priority = pregnant, elderly, chronic disease, healthcare workers
-give annually due to antigenic drift
-egg allergy does not mean contraindications (except for severe
anaphylaxis) use RIV
▶ Herpes Zoster Vaccine ( Shingrix ). Answer: -Age 50 or older
-can still vaccinate with prior shingles
-dosing is 2 doses, 2-6 months apart
-type = Recombinant (not live)
-preferred over Zostavax which is no longer used in U.S.
-can be given to immunocompromised adults
▶ Vaccination of close family/contacts. Answer: Goal = cocooning
vulnerable patients
-important for pregnant, infants and immunocompromised
Examples = Flu vaccine for household contacts and Tdap for caregivers of
newborns
▶ Travel related vaccines. Answer: Ebola: limited to outbreak response,
healthcare workers
West Nile Virus: no human vaccine
Other common vaccine for travelers = Yellow fever, Typhoid, Hepatitis
A&B, Japanese encephalitis
*Always assess destination and activities
▶ HIV & Antiretroviral therapy. Answer: HAART (ART): indicated for all
patients with HIV
Use in pregnancy, non-pregnant adults
Goal=undetectable viral load
-ART reduces mother to child transmission to less than 1%
