APHA Immunization Exam 106 Questions with Verified Answers
Which of the following vaccines is recommended for infants to receive at birth? - CORRECT ANSWER Hepatitis B
The documentation system that health care prov
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APHA Immunization Exam 106 Questions with Verified Answers
Which of the following vaccines is recommended for infants to receive at birth? - CORRECT ANSWER Hepatitis B
The documentation system that health care providers should use to report serious adverse events after vaccination is: - CORRECT ANSWER VAERS.
Which of the following is most likely to result in an influenza pandemic? - CORRECT ANSWER Antigenic shift in an influenza A virus
Barbara is a 60-year-old woman who presents to the pharmacy for two vaccines: HZV and IIV. Which of the following are the appropriate doses and routes for administering these vaccines to this patient? - CORRECT ANSWER HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly.
According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - CORRECT ANSWER ⅝ inch.
Which of the following statements is true regarding varicella-containing vaccines? - CORRECT ANSWER The potency of HZV is greater than that of varicella vaccine
All Medicare Part B enrollees are covered for which vaccines? - CORRECT ANSWER Influenza and pneumococcal.
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? - CORRECT ANSWER DTaP
Which of the following is a requirement of Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - CORRECT ANSWER Health care providers must use safety devices when administering injectable vaccines.
Where should vaccines that require refrigeration be stored? - CORRECT ANSWER In the middle of the refrigerator.
What is the minimum needle length is recommended for administering HepB vaccine to an adult patient weighing 130 lb? - CORRECT ANSWER 1 inch.
Which of the following statements would be accurate when responding to a patient's concerns about vaccines? - CORRECT ANSWER The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time.
Which type of immune response targets pathogens that have entered the cells of the host? - CORRECT ANSWER Cell-mediated immunity.
Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? - CORRECT ANSWER Performing a medication review for a patient who has diabetes.
In the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to: - CORRECT ANSWER Comfort the child and engage in quiet activities.
RotaTeq should be administered as a: - CORRECT ANSWER 3-dose series to infants at 2, 4, and 6 months of age.
Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered by the NCVIA? - CORRECT ANSWER VIS.
A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER Varicella.
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He received his first dose of hepatitis A vaccine today. Alex should be counseled to return for his second dose of hepatitis A vaccine: - CORRECT ANSWER A second dose of vaccine is not recommended for this patient.
HZV should not be administered to a patient with a history of anaphylaxis to: - CORRECT ANSWER Gelatin.
Which of the following key questions is important to ask a patient before administering IIV? - CORRECT ANSWER Are you sick today?
Which of the following vaccine-preventable diseases had the highest incidence in the United States in 2012? - CORRECT ANSWER Pertussis.
According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? - CORRECT ANSWER 3 doses
Robert is a 48-year-old pharmacist who is preparing to provide immunizations in his pharmacy for the first time next fall. He has no documentation of receiving the hepatitis B vaccine and would like to be vaccinated before administering vaccines in his practice. What is the recommended routine schedule for vaccination against hepatitis B? - CORRECT ANSWER 0, 1, and 6 months.
Herd immunity refers to which of the following situations? - CORRECT ANSWER Vaccination of enough individuals in a community to prevent disease from circulating.
Which of the following statements is true regarding administration of LAIV? - CORRECT ANSWER Administer with the patient's head tilted slightly backward.
Live vaccines are contraindicated in a patient who: - CORRECT ANSWER Is immunosuppressed.
Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? - CORRECT ANSWER Smallpox
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 PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
4 doses of DTaP
1 dose of varicella
4 doses of Hib
Which vaccines should David receive at this visit? - CORRECT ANSWER DTaP, IPV, MMR, and varicella.
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? - CORRECT ANSWER The series should not be restarted; resume the series where it was interrupted.
Which of the following statements is true regarding how vaccines evoke an immune response? - CORRECT ANSWER The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - CORRECT ANSWER 60 years and older.
Which disease was the leading cause of acquired mental retardation before introduction of a vaccine? - CORRECT ANSWER Rubella.
HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - CORRECT ANSWER List their vaccination services so patients can find them when searching the website for nearby immunizers.
The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? - CORRECT ANSWER Measles.
Mark, a 65-year-old man, is a candidate for the following vaccines: IIV3 or IIV4, PPSV23, zoster, and a booster dose of Td. Which of these vaccines is a live attenuated vaccine? - CORRECT ANSWER Zoster.
According to ACIP, which of the following is a contraindication to receiving HZV? - CORRECT ANSWER Current treatment for lymphoma.
Which of the following statements about pharmacy-based vaccination programs is true? - CORRECT ANSWER Administratively, billing for vaccines covered by Medicare Part D may be easier for pharmacists than physicians.
Federal law makes offering an influenza vaccination a requirement for continued federal funding in which setting? - CORRECT ANSWER Long-term care facilities.
John is a 46-year-old man with diabetes. He requests a refill of his diabetes testing supplies on October 21st. His immunization record indicates that he has completed the primary series of MMR, DTaP, HepA, and HepB vaccines. John has a documented history of chickenpox, and his last Td booster dose was 19 years ago. Which of the following vaccines should he receive? - CORRECT ANSWER PPSV23, Tdap, and IIV.
Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on November 1st. Kate's immunization record indicates that she completed the primary series of MMR, varicella, DTaP, HepA, and HepB vaccines, and she received a dose of Tdap 2 years ago. For complete coverage, which of the following vaccines should she receive? - CORRECT ANSWER PCV13 and IIV.
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? - CORRECT ANSWER Tdap.
Which entity determines the specific vaccines that a pharmacist may administer? - CORRECT ANSWER States through laws and regulations.
After reconstitution, within what time frame must HZV be administered? - CORRECT ANSWER 30 minutes.
Which of the following vaccines is a live vaccine? - CORRECT ANSWER Which of the following vaccines is a live vaccine?
Which of the following vaccines may be administered to boys and young men aged 9 to 26 years to reduce the likelihood of acquiring genital warts? - CORRECT ANSWER HPV4.
Name the vaccine-preventable disease that may be contracted by unimmunized children from adults (who can serve as a reservoir for the disease), which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. - CORRECT ANSWER Pertussis.
Emily is a 16-year-old high-school student with no chronic medical conditions. Emily's immunization record shows that she completed the primary series for IPV, HepA, Hib, DTaP, and MMR, and she had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would be the most appropriate recommendation for her today? - CORRECT ANSWER Tdap, HPV, MCV, HepB, and influenza, if during influenza season.
What is the standard dose of epinephrine for managing anaphylaxis? - CORRECT ANSWER 0.01 mg per kg body weight, up to a maximum of 0.5 mg.
What is meant by the term "immunization neighborhood"? - CORRECT ANSWER Immunization stakeholders collaborate to meet community immunization needs.
Which of the following patients should receive the MMR vaccine? - CORRECT ANSWER A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine.
Which of the following statements is true regarding the difference in coverage between Gardasil and Cervarix? - CORRECT ANSWER Gardasil will provide protection against diseases caused by HPV types 6, 11, 16, and 18, whereas Cervarix will provide protection against diseases caused by HPV types 16 and 18.
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: - CORRECT ANSWER Tdap as soon as possible.
Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: - CORRECT ANSWER 2 doses of varicella vaccine separated by at least 4 weeks.
Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? - CORRECT ANSWER Influence of a health care provider.
Which of the following vaccines should be administered to all pregnant women? - CORRECT ANSWER IIV.
Aiden is a 6-month-old healthy boy with no known allergies. He has received vaccinations in the past with no reported adverse reactions. Aiden's father asks about having his son vaccinated against influenza. The most appropriate response would be to inform the father that Aiden: - CORRECT ANSWER Should receive 1 dose of Fluzone today followed by a second dose of Fluzone administered 4 weeks later.
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? - CORRECT ANSWER PCV13 first, followed by PPSV23 at least 8 weeks later.
HPV vaccine is recommended for which of the following individuals? - CORRECT ANSWER 12-year-old boy.
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? - CORRECT ANSWER Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance.
Tom is a 9-month-old boy who received his last set of vaccinations 3 months ago. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. You notice that he has not received an influenza vaccine in the past. What dose of IIV should be administered to Tom? - CORRECT ANSWER 0.25 mL.
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? - CORRECT ANSWER Tdap today; Td in 4 weeks; Td 6 months after the second dose.
Which viruses are associated with the development of cancer? - CORRECT ANSWER Human papillomavirus and hepatitis B virus.
The incubation period for influenza can range from: - CORRECT ANSWER 1 to 4 days.
Which of the following statements about establishing clinics for administering vaccines is true? - CORRECT ANSWER Technicians can administer screening questionnaires and distribute VISs.
After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: - CORRECT ANSWER 10 years.
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? - CORRECT ANSWER Diagnosis of chickenpox by a health care provider.
How often should an adult patient with a history of heart failure receive IIV to prevent influenza? - CORRECT ANSWER Annually.
Which of the following is the best example of a group that individual pharmacists can collaborate with to help increase immunization rates? - CORRECT ANSWER Immunization coalitions.
The incidence of which vaccine-preventable disease has increased dramatically in the last 5 years? - CORRECT ANSWER Pertussis.
Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - CORRECT ANSWER Rabies.
Which influenza vaccine is approved by the FDA for use in patients with severe egg allergy? - CORRECT ANSWER RIV.
Ava has arrived at the clinic for her well-child visit. She is 4 months old. Ava's immunization record reveals that she has received the following vaccines:
2 doses of HepB
1 dose of Hib
1 dose of rotavirus
1 dose of PCV13
1 dose of DTaP
1 dose of IPV
Which vaccines should Ava receive at today's visit? - CORRECT ANSWER DTaP, Hib, PCV13, IPV, and rotavirus.
Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 130 lb? - CORRECT ANSWER Inject intramuscularly at a 90° angle in the deltoid muscle.
Jackie is a 34-year-old woman who received an influenza vaccine from you today. She wants to know how long it will take for the vaccine to begin working to protect her from getting the flu. What would be the most appropriate response to this patient? - CORRECT ANSWER Two weeks.
How long must pharmacists maintain records of immunizations? - CORRECT ANSWER For the patient's lifetime.
Administration of immunoglobulin following exposure to a pathogen is an example of which type of immunity? - CORRECT ANSWER Active immunity.
A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER IPV.
Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? - CORRECT ANSWER Diphtheria.
Which of the following statements about live attenuated vaccines is true? - CORRECT ANSWER They should generally be avoided in immunocompromised individuals.
Which of these vaccines is a live attenuated vaccine? IIV4, Zoster. PPSV23. Td - CORRECT ANSWER Zoster
With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in patient who: - CORRECT ANSWER Is immunosuppressed.
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? - CORRECT ANSWER Precautions for vaccination.
Why are adjuvants added to vaccines? - CORRECT ANSWER To strengthen the immune response to the antigen.
For which age group is the adjuvanted inactivated influenza vaccine approved? - CORRECT ANSWER 65 years and older
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children younger than 5 years of age? - CORRECT ANSWER Haemophilus influenzae type b.
All Medicare Part B enrollees are covered for which vaccines? - CORRECT ANSWER Influenza, PPSV23, and PCV13
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? - CORRECT ANSWER Tdap
There should be a flat hard surface in the area where vaccines will be administered to ensure: - CORRECT ANSWER There is room for the patient to lie down if fainting occurs or CPR is required
Which of the following patients would be a candidate for PPSV23? - CORRECT ANSWER 25-year-old man who smokes cigarettes.
At what point during pregnancy is it recommended to administer the influenza vaccine? - CORRECT ANSWER Anytime is safe
Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? - CORRECT ANSWER Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons.
Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines? - CORRECT ANSWER The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time.
If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which vaccine is likely to be needed by many of the victims? - CORRECT ANSWER Tetanus
For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - CORRECT ANSWER Administer these 2 vaccines at the same visit.
How is the live, cholera vaccine administered? - CORRECT ANSWER Orally
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: - CORRECT ANSWER Prompt immunity
Adolescents should be routinely vaccinated with MCV4 on the following schedule: - CORRECT ANSWER 1 dose at age 11 to 12 years, followed by a booster dose at age 16 years.
After reconstitution, within what time frame must HZV be administered? - CORRECT ANSWER 30 minutes.
If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? - CORRECT ANSWER Administer any age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV)
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? - CORRECT ANSWER The date the VIS was given to the patient or caregiver and the date printed on the VIS.
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - CORRECT ANSWER Assess
Vaccines as well as exposure to natural disease are both examples of which type of immunity? - CORRECT ANSWER Active immunity
Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? - CORRECT ANSWER Pure polysaccharide vaccines
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? - CORRECT ANSWER Within 6 weeks
What is the most common complication of pertussis? - CORRECT ANSWER Pneumonia
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