APhA Immunization Self-Assessment Questions, latest update, 2022/2023

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APhA Immunization Self-Assessment Questions, latest update, 2022/2023 Which of these vaccines is a live attenuated vaccine? - ✔✔Zoster Which of the following patients are appropriate candi... dates for the 2-dose schedule of HPV9? - ✔✔11 year-old girl with no medical conditions, series has not been started RotaTeq (RV5) should be administered as a: - ✔✔3-dose series to infants at 2, 4 and 6 months of age Which of the following statements about live attenuated vaccines is true? - ✔✔They should generally be avoided in immunocompromised individuals. According to ACIP, which of the following is a contraindication to receiving HZV? - ✔✔Current treatment for lymphoma What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? - ✔✔Passive immunity According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - ✔✔5/8 inch If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? - ✔✔5 years 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? - ✔✔DTaP What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - ✔✔1 inch Which of the following key questions is important to ask a patient before administering IIV? - ✔✔Are you sick today? Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? - ✔✔Performing a medication review for a patient who has diabetes 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. - ✔✔Administer PCV13 at age 65, then PPSV23 at age 69 Why are adjuvants added to vaccines? - ✔✔To strengthen the immune response to the antigen 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? - ✔✔Tdap, HPV, MCV, HepB, and influenza, if during influenza season During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - ✔✔Assess Which of the following patients is a candidate for both MenACWY and MenB vaccines? - ✔✔A 10 year-old who just had his spleen removed Why should refrigerated vaccines be stored in the middle of the refrigerator? - ✔✔There are fewer temperature fluctuations 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? - ✔✔Tdap today; Td in 4 weeks; Td 6 months after the second dose How is the live, cholera vaccine administered? - ✔✔Orally 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? - ✔✔Tdap 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: - ✔✔Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? - ✔✔3 doses Which of these vaccines is an inactivated vaccine? - ✔✔Tdap 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: - ✔✔In 6 months 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? - ✔✔Tdap A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? - ✔✔Varicella Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? - ✔✔Influence of a health care provider 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? - ✔✔PCV13 first, followed by PPSV23 at least 8 weeks later HPV vaccine is recommended for which of the following individuals? - ✔✔12-year-old boy Which of the following patients would be a candidate for PPSV23? - ✔✔25-year-old man who smokes cigarettes Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: - ✔✔2 doses of varicella vaccine separated by at least 4 weeks 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: - ✔✔Tdap as soon as possible 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? - ✔✔PPSV23, Tdap, and IIV For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - ✔✔Administer these 2 vaccines at the same visit The monitoring system that health care providers should use to report serious adverse events after vaccination is: - ✔✔VAERS Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? - ✔✔Inject intramuscularly at a 90 degree angle in the deltoid muscle Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - ✔✔Health care providers must use safety devices when administering injectable vaccines Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children younger than 5 years of age? - ✔✔Haemophilus influenzae type b Herd immunity refers to which of the following situations? - ✔✔Vaccination of enough individuals in a community to protect those who cannot be vaccinated 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? - ✔✔PPSV23, IIV and HPV With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: - ✔✔Is immunosuppressed What is meant by the term "immunization neighborhood"? - ✔✔Immunization stakeholders collaborate to meet community immunization needs. [Show More]

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