Immunization APhA Assessment 80 Questions with Verified Answers
Health Map Vaccine Finder is a free online tool that allows pharmacists to: - CORRECT ANSWER List their vaccination services so patients can find them wh
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Immunization APhA Assessment 80 Questions with Verified Answers
Health Map 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.
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.
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 type of vaccine involves stimulation of B cells without the assistance of T helper cells? - CORRECT ANSWER Pure polysaccharide vaccines
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
In which publication does the CDC initially publish new or updated vaccine recommendations? - CORRECT ANSWER Morbidity and Mortality Weekly Report (MMWR)
Name the vaccine-preventable disease that may be contracted by unimmunized children from adults serving as reservoirs for the disease, which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. - CORRECT ANSWER Pertussis
Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 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 14 days
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
The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? - CORRECT ANSWER Measles
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
Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? - CORRECT ANSWER Smallpox
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.
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
What is the most common complication of pertussis? - CORRECT ANSWER Pneumonia
How is the live, cholera vaccine administered? - CORRECT ANSWER Orally
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
Arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine? - CORRECT ANSWER Tetanus and diphtheria toxoid-containing vaccines.
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.
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 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.
With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: - CORRECT ANSWER is immunosuppressed
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 PPSV23, IIV, and HPV
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.
Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? - CORRECT ANSWER Diphtheria
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.
All Medicare Part B enrollees are covered for which vaccines? - CORRECT ANSWER Influenza, PPSV23, and PCV13
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? - CORRECT ANSWER Inject subcutaneously at a 45° angle in the outer aspect of the upper arm.
When Mary turned 64, she was diagnosed with type 2 diabetes. At that time, she received PPSV23. Which of the following represents appropriate pneumococcal coverage for Mary. - CORRECT ANSWER Administer PCV13 at age 65, then PPSV23 at age 69.
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)
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.
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.
HZV should not be administered to a patient with a history of anaphylaxis to: - CORRECT ANSWER Gelatin
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
Which of the following vaccines is recommended for infants to receive within 24 hours of birth? - CORRECT ANSWER Hepatits B
What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - CORRECT ANSWER 1 inch
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
For which age group is the adjuvanted inactivated influenza vaccine approved? - CORRECT ANSWER 65 years and older
Which of these vaccines is an inactivated vaccine? - CORRECT ANSWER Tdap
Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - CORRECT ANSWER Health care providers must use safety devices when administering injectable vaccines.
Which viruses are associated with the development of cancer? - CORRECT ANSWER Human papillomavirus and hepatitis B virus.
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.
Herd immunity refers to which of the following situations? - CORRECT ANSWER Vaccination of enough individuals in a community to protect those who cannot be vaccinated.
Why are adjuvants added to vaccines? - CORRECT ANSWER To strengthen the immune response to the antigen.
A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER IPV
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
According to ACIP, which of the following is a contraindication to receiving HZV? - CORRECT ANSWER Current treatment for lymphoma
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.
Which of the following diseases are transmitted through mosquito bites? - CORRECT ANSWER Yellow fever and Japanese encephalitis
Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization rates in their communities? - CORRECT ANSWER Local health departments
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
Which of the following statements is true regarding varicella-containing vaccines? - CORRECT ANSWER The potency of HZV is greater than that of varicella vaccine.
Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? - CORRECT ANSWER For the patient's lifetime
Which of the following patients is a candidate for both MenACWY and MenB vaccines? - CORRECT ANSWER A 10 year-old who just had his spleen removed.
What is meant by the term "immunization neighborhood"? - CORRECT ANSWER Immunization stakeholders collaborate to meet community immunization needs.
Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? - CORRECT ANSWER VIS
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.
After reconstitution, within what time frame must HZV be administered? - CORRECT ANSWER 30 minutes
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.
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? - CORRECT ANSWER Inject 0.5 mL; one dose only
Why should refrigerated vaccines be stored in the middle of the refrigerator? - CORRECT ANSWER There are fewer temperature fluctuations.
Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - CORRECT ANSWER Rabies.
Which of the following statements about live attenuated vaccines is true? - CORRECT ANSWER They should generally be avoided in immunocompromised individuals.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - CORRECT ANSWER 60 years and older.
At what point during pregnancy is it recommended to administer the influenza vaccine? - CORRECT ANSWER Anytime is safe
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.
The monitoring system that health care providers should use to report serious adverse events after vaccination is: - CORRECT ANSWER VAERS
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
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.
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - CORRECT ANSWER Assess
In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? - CORRECT ANSWER HPV
RotaTeq (RV5) should be administered as a: - CORRECT ANSWER 3-dose series to infants at 2, 4, and 6 months of age.
Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? - CORRECT ANSWER MCV4
What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? - CORRECT ANSWER Passive immunity
Which of the following vaccines may be administered to boys and young men aged 9 through 26 years to reduce the likelihood of acquiring genital warts? - CORRECT ANSWER HPV9
Which of the following key questions is important to ask a patient before administering IIV? - CORRECT ANSWER Are you sick today?
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.
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.
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.
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