APhA Immunization Training Questions with answers. Rated A

APhA Immunization Training Questions with answers. Rated A When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what d ...

APhA Immunization Training Questions with answers. Rated A When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what does the orange bar represent? a. Contraindicated. b. Precautions for vaccination. c. Recommended if an additional risk factor is present. d. Additional doses may be needed based on condition. - ✔✔b During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? a. Collect b. Assess c. Plan d. Implement - ✔✔b According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? a. ½ inch. b. ⅝ inch. c. 1 inch. d. 1½ inch. - ✔✔b Which of the following is most likely to result in an influenza pandemic? a. Antigenic drift in an influenza A virus. b. Antigenic shift in an influenza A virus. c. Antigenic drift in an influenza B virus d. Antigenic shift in an influenza C virus. - ✔✔b Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? a. It was shown to cause influenza in children and adolescents. b. Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons. c. Serious adverse events were reported with LAIV. d. There was concern about vaccine supply issues. - ✔✔b Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? a. Performing a medication review for a patient who has diabetes. b. Recommending vaccinations for a patient undergoing a splenectomy. c. Providing hospital discharge counseling to a patient. d. Providing vaccine information at a booth of a health fair. - ✔✔a What is the standard dose of epinephrine for managing anaphylaxis? a. 0.01 mg per kg body weight, up to a maximum of 0.5 mg. b. 0.1 mg per kg body weight, up to a maximum of 5 mg. c. 0.5 mg for all patients. d. 5 mg for all patients. - ✔✔a Which of the following tetanus booster vaccines would be most appropriate for administration to a 12-year-old boy who has completed a primary series with DTaP and has no known allergies? a. DTaP. b. DT. c. Td. d. Tdap. - ✔✔d HPV vaccine is recommended for which of the following individuals? a. 36-year-old woman b. 27-year-old woman. c. 12-year-old boy. d. 8-year-old girl - ✔✔c Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He leaves in 3 weeks and will be gone a month. He received his first dose of hepatitis A vaccine today. Alex should be counseled to return for his second dose of hepatitis A vaccine: a. In 4 weeks. b. In 6 months. c. In 2 years. d. Immediately after travel. - ✔✔b Which of the following statements is true regarding varicella-containing vaccines? a. The potency of HZV is greater than that of varicella vaccine. b. The potency of varicella vaccine is greater than that of HZV. c. The potency of varicella vaccine is the same as HZV. d. The vaccines are interchangeable. - ✔✔a Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? a. Inject subcutaneously at a 45° angle in the outer aspect of the upper arm. b. Inject intramuscularly at a 45° angle in the deltoid muscle. c. Inject subcutaneously at a 90° angle in the outer aspect of the upper arm. d. Inject intramuscularly at a 90° angle in the deltoid muscle. - ✔✔a HealthMap Vaccine Finder is a free online tool that allows pharmacists to: a. Order vaccines from multiple distributors through a centralized hub. b. Manage vaccine inventory during shortages. c. List their vaccination services so patients can find them when searching the website for nearby immunizers d. Order free print marketing materials. - ✔✔c Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: a. No doses of varicella vaccine because he can be considered immune to varicella b. 1 dose of varicella vaccine. c. 2 doses of varicella vaccine separated by at least 4 weeks. d. 2 doses of varicella vaccine separated by 3 months. - ✔✔c David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July prior to starting kindergarten. David's immunization record reveals that he has received the following vaccines: 3 doses of HepB 4 doses of PCV13 2 doses of HepA 3 doses of IPV 2 doses of rotavirus 1 dose of MMRV 4 doses of DTaP 4 doses of Hib Which vaccines should David receive at this visit? a. DTaP, IPV, MMR, and varicella. b. DTaP, MMR, and MCV4. c. DTaP, MMR, rotavirus, and IPV. d. MMR and varicella. - ✔✔a What is the time interval for which the development of Guillain-Barré syndrome following influenza vaccination would result in a precaution for future influenza vaccines? a. Within 6 weeks b. Within 6 months c. Within a year d. Within 5 years - ✔✔a If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? a. Dispose of it as biohazardous waste immediately. b. Refrigerate immediately and use within 30 days. c. Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance. d. Mark "do not use," place in the freezer, and call the manufacturer for further guidance. - ✔✔c Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? a. Pertussis. b. Diphtheria. c. Haemophilus influenzae type b. d. Meningitis. - ✔✔b A 69 year-old man received Td vaccination 4 years ago. He is preparing to travel to see his newborn granddaughter next month. Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most appropriate for him? a. Td. b. Tdap. c. He is over 64 years of age; neither Td or Tdap are recommended at this time. d. It is too soon to administer any tetanus-containing vaccines. - ✔✔b Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? a. 5 years. b. 10 years. c. 20 years. d. For the patient's lifetime. - ✔✔d Which viruses are associated with the development of cancer? a. Human papillomavirus and hepatitis B virus. b. Varicella virus and hepatitis A virus. c. Hepatitis A and herpes zoster. d. Rubella and varicella virus. - ✔✔a A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B-positive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides: a. Long-term protection b. Both short- and long-term protection c. A booster effect for the vaccine d. Prompt immunity - ✔✔d Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? a. Inject subcutaneously at a 45° angle in the outer aspect of the upper arm. b. Inject intramuscularly at a 45° angle in the deltoid muscle. c. Inject subcutaneously at a 90° angle in the outer aspect of the upper arm. d. Inject intramuscularly at a 90° angle in the deltoid muscle. - ✔✔d Which of the following immunization strategies is preferred for adults under the age of 65 years with immunocompromising conditions who require both PCV13 and PPSV23? a. PCV13 first, followed by PPSV23 at least 8 weeks later. b. PCV13 first, followed by PPSV23 at least 1 year later. c. PPSV23 first, followed by PCV13 at least 8 weeks later. d. PPSV23 first, followed by PCV13 at least 6 months later. - ✔✔a In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? a. Tdap b. MMR c. Meningococcal (MenACWY) d. HPV - ✔✔d What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? a. Active immunity b. Acquired immunity c. Cell-mediated immunity d. Passive immunity - ✔✔d Upon giving a VIS to a patient who is to receive a vaccine cover under the National Childhood Vaccine Injury Act, what must be documented? a. The date the VIS was given to the patient or caregiver and the title of the VIS. b. The date printed on the VIS and signed confirmation that the patient has read the VIS. c. The date the VIS was given to the patient or caregiver and the date printed on the VIS. d. Signed confirmation that the patient has read the VIS and the title of the VIS. - ✔✔c Which of these vaccines is an inactivated vaccine? a. LAIV. b. Varicella. c. MMR. d. Tdap. - ✔✔d According to the Advisory Committee on Immunization Practices (ACIP), which of the following would be considered adequate evidence of immunity to varicella, indicating that administration of varicella vaccine is unnecessary? a. Patient self-reported case of chickenpox. b. Patient self-reported case of herpes zoster. c. Birth in the United States after 1990. d. Diagnosis of chickenpox by a health care provider. - ✔✔d Which entity determines the specific vaccines that a pharmacist may administer? a. States through laws and regulations b. U.S. Food and Drug Administration c. Local health departments d. Advisory Committee on Immunization Practices - ✔✔a Tom is a 9-year old boy who has never had an influenza vaccine. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. What dose and schedule of IIV should be administered to Tom? a. Inject 0.5 mL now and again in 4 weeks b. Inject 0.25 mL now and again in 1 year c. Inject 0.25 mL now and again in 4 weeks d. Inject 0.5 mL; one dose only - ✔✔d Kimberly is a 34 year-old woman who is 30 weeks pregnant. She received a Td booster dose 1 year ago when she cut her hand while working in the kitchen. She has no documentation of receiving a Tdap vaccine. The most appropriate recommendation would be to administer: a. Tdap as soon as possible. b. Tdap immediately postpartum. c. DTaP as soon as possible. d. Td in 9 years. - ✔✔a Alan is a 47-year-old man who has no documentation of a primary series of tetanus-containing vaccine. Which of the following would be an appropriate primary series for Alan? a. DTaP today; Td in 4 weeks; Td 6 months after the second dose. b. Tdap today; Tdap in 4 weeks; Tdap 6 months after the second dose. c. DTaP today; DTaP in 4 weeks, DTaP 6 months after the second dose. d. Tdap today; Td in 4 weeks; Td 6 months after the second dose. - ✔✔d With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: a. Is finishing a course of antibiotics. b. Is breastfeeding. c. Is immunosuppressed. d. Received another live vaccine 6 weeks ago. - ✔✔c According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: a. 18 years and older. b. 50 years and older. - FDA c. 60 years and older. - ACIP d. 65 years and older. - ✔✔c Kyle is a 5-year-old boy who is up to date with his vaccinations. He has never experienced any adverse effects from vaccinations. At his next well-child check-up, Kyle will be receiving the following vaccines: IPV, MMR, varicella vaccine, and a tetanus-containing vaccine. Which of the following tetanus-containing vaccines would be appropriate for him? a. DTaP. b. DT. c. Td. d. Tdap. - ✔✔a Which of these vaccines is a live attenuated vaccine? a. IIV4. b. Zoster. c. PPSV23. d. Td. - ✔✔b If a patient received the first dose of HepB but did not return for the remaining doses in the series, under what circumstances should the HepB series be restarted? a. If more than 2 months have passed since the second dose was due. b. If more than 1 year has passed since the second dose was due. c. If more than 5 years have passed since the second dose was due. d. The series should not be restarted; resume the series where it was interrupted. - ✔✔d