APhA Immunization And Final Exam F2,Vaccination Seminar Post-Assessment, Post Assessment,100% CORRECT

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APhA Immunization And Final Exam F2,Vaccination Seminar Post-Assessment, Post Assessment To reduce liability, pharmacists administering immunizations should take the following three steps: - CORR... ECT ANSWER Receive specialized training and stay current with vaccine information updates; educate patients about the benefits and risks of vaccinations; and emulate local standards of care. Can technicians administer vaccinations? - CORRECT ANSWER No Pregnant women should not get what kind of vaccines? - CORRECT ANSWER Live Antigenic shifts produce ________ changes in type _____ antigens - CORRECT ANSWER MAJOR; A Antigenic drifts produce ________ changes in type ______ antigens - CORRECT ANSWER minor; A and B Children are more likely to get what type of influenza strain? - CORRECT ANSWER B Which type of influenza strain is responsible for pandemics? - CORRECT ANSWER A How long does immunity from the influenza vaccine typically last? - CORRECT ANSWER 6-8 months If a baby is born prematurely, do you need to adjust their vaccination schedule to begin at their due date? - CORRECT ANSWER No, no adjustment--use actual birthday True or false: you should never vaccinate somebody with a mild illness? (mild fever, upper respiratory tract infection, otitis media, mild diarrhea) - CORRECT ANSWER False--you can vaccinate people with mild illnesses Will administering multiple vaccines on one day produce adverse effects? - CORRECT ANSWER No Can a pregnant pharmacist administer a live vaccine? - CORRECT ANSWER Yes Which publication does the CDC generally use to quickly notify providers of updates to vaccine recommendations? - CORRECT ANSWER MMWR. What is the only flu vaccine approved for patients under 3 years old? - CORRECT ANSWER Fluzone IIV What is an example of mass screening? - CORRECT ANSWER Providing vaccine information at a booth of a health fair. What is an example of a procedure-based screening? - CORRECT ANSWER Recommending vaccinations for a patient undergoing a splenectomy. What is an example of an occurrence-based screening? - CORRECT ANSWER Providing hospital discharge counseling to a patient. What type of immunity targets pathogens that are circulating freely in body fluids, such as blood, plasma, and lymph. - CORRECT ANSWER Humoral immunity What is the written vaccine update source also known as the "pink book?" - CORRECT ANSWER Epidemiology and Prevention of Vaccine-Preventable Diseases. What form is required to receive compensation for giving a vaccination? - CORRECT ANSWER CMS-1500. All Medicare Part B enrollees are covered for which two vaccines? - CORRECT ANSWER Influenza and pneumococcal. 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 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. 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. A health care provider who previously has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B positive patient during a seasonal influenza clinic. 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 while the vaccine provides long-term protection. Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most appropriate for administration to a 69-year-old man who is preparing to travel to see his newborn granddaughter next month? - CORRECT ANSWER Tdap. What is the FDA-licensed age range for the use of LAIV? - CORRECT ANSWER 2 to 49 years of age. Which of the following best describes how to administer MMR vaccine to an adult patient weighing 155 lb? - CORRECT ANSWER Inject subcutaneously at a 45° angle in the outer aspect of the upper arm. Which vaccine does ACIP recommend for all college freshmen, living in dormitories, who have not been previously vaccinated? - CORRECT ANSWER MCV Which of the following diseases are transmitted through mosquito bites? - CORRECT ANSWER Yellow fever and Japanese encephalitis. If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? - CORRECT ANSWER 5 years Which of the following key questions is important to as a patient before adminestering IIV? - CORRECT ANSWER are you sick today? How often are the Healthy People targets for vaccination rates updated? Every *blank years* - CORRECT ANSWER 10 years Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? *blank* polysaccharide *blank* - CORRECT ANSWER pure vaccines 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 RotaTeq (RV5) should be administered as a: *blank*-dose series to infants *blank,blank,blank* months of age - CORRECT ANSWER 3 246 If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? *blank years* - CORRECT ANSWER 5 years After reconstitution, within what time frame must HZV be administered? *blank mins* - CORRECT ANSWER 30 mins 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 BLANK* - CORRECT ANSWER b HealthMap Vaccine Finder is a free online tool that allows pharmacists to: *List their vaccination BLANK so patients can find them when searching the website for nearby immunizers.* - CORRECT ANSWER services Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? *for the patients BLANK* - CORRECT ANSWER lifetime Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: *BLANK# of doses of varicella vaccine separated by at least BLANK# weeks* - CORRECT ANSWER 2 4 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 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? *BLANK, HPV, MCV, HepB, and influenza, if during influenza season* - CORRECT ANSWER Tdap Which of these vaccines is an inactivated vaccine? - CORRECT ANSWER Tdap Herd immunity refers to which of the following situations? *Vaccination of BLANK individuals in a community to protect those who BLANK be vaccinated.* - CORRECT ANSWER enough cannot If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? Administer any age-appropriate *ACTIVATED/inactivated* influenza vaccine (IIV) or recombinant influenza vaccine (RIV) - CORRECT ANSWER inactivated Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? *BLANK year-old girl with NO medical conditions, series has not been started* - CORRECT ANSWER 11 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* - CORRECT ANSWER PPSV23, Tdap, and IIV 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? *within BLANK# weeks* - CORRECT ANSWER 6 For which age group is the adjuvanted inactivated influenza vaccine approved? *BLANK# years and older* - CORRECT ANSWER 65 Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? Inject *blank* at a *BLANK° angle in the outer aspect of the upper arm. - CORRECT ANSWER subq 45 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 *BLANK* review for a patient who has *blankS* - CORRECT ANSWER medication diabetes Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization rates in their communities? *Immunization BLANKs* - CORRECT ANSWER coalitions The childhood/adolescent and adult immunization schedules are updated and published annually during which months? *January OR BLANK* - CORRECT ANSWER february 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 There should be a flat hard surface in the area where vaccines will be administered to ensure: There is room for the patient to *sit/lie down* if fainting occurs or CPR is required. - CORRECT ANSWER lie down Vaccines as well as exposure to natural disease are both examples of which type of immunity? *blank immunity* - CORRECT ANSWER active Which of the following diseases are transmitted through mosquito bites? *Blank fever and Blank encephalitis* - CORRECT ANSWER yellow japanese If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? *mark "do NOT use", and place in the BLANK, and call the manufacturer for further guidance* - CORRECT ANSWER fridge 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 *next/today*, Td in *blank#* weeks, Td *blank#* months after the second dose - CORRECT ANSWER today 4 6 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: *blank* immunity - CORRECT ANSWER prompt Which of the following is most likely to result in an influenza pandemic? Antigenic *shift/formation* in an influenza A virus - CORRECT ANSWER shift Which of the following statements about pharmacy-based vaccination programs is true? Administratively, *BLANK* for vaccines covered by Medicare Part D may be easier for pharmacists than physicians. - CORRECT ANSWER billing What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? *blank immunity* - CORRECT ANSWER passive Which of the following patients would be a candidate for PPSV23? *blank# year-old man who *blanks* - CORRECT ANSWER 25 smokes 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? inject *blank# mL; *blank#* of dose/s - CORRECT ANSWER 0.5 1 Adolescents should be routinely vaccinated with MCV4 on the following schedule: 1 dose at age *blank to blank years, followed by a booster dose at age 16 years. - CORRECT ANSWER 11 12 According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? *#/# inch* - CORRECT ANSWER 5/8 Which of the following statements is true regarding varicella-containing vaccines? The potency of *BLANK* is greater than that of the varicella Vaccine - CORRECT ANSWER hzv The incubation period for influenza can range from: *blank TO blank* days - CORRECT ANSWER 1 to 4 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: in *blank* months - CORRECT ANSWER 6 Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? Inject *IM/subq* at a 90 degree angle in the *blank* muscle - CORRECT ANSWER im deltoid What is the standard dose of epinephrine for managing anaphylaxis? *blank* mg/kg, UP TO a max of *BLANK* mg - CORRECT ANSWER 0.01 0.5 Which of the following statements about live attenuated vaccines is true? They should be *given/avoided* to immunocompromised individuals - CORRECT ANSWER avoided 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? diagnosis of *blank* by a health care provider - CORRECT ANSWER chickenpox A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? *varicella/tdap* - CORRECT ANSWER varicella 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? DTap, IPV, MMR, and *influenza/varicella* - CORRECT ANSWER varicella According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: *60/65* and older - CORRECT ANSWER 60 Which of the following statements is true regarding how vaccines evoke an immune response? The antigen in the vaccine activates *B/T* cells, which produce antigen-specific antibodies and memory cells. - CORRECT ANSWER b 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: *zoster/Tdap* as soon as possible - CORRECT ANSWER Tdap After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: *blank years* - CORRECT ANSWER 10 years 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? The date the VIS was *printed/given* to the patient or caregiver and the date printed on the VIS - CORRECT ANSWER given 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? Your Choice HZV 0.65 mL *subq/IM*; IIV 0.5 mL *subq/IM* - CORRECT ANSWER subq im What is meant by the term "immunization neighborhood"? Immunization *coalition/stakeholders* collaborate to meet community immunization needs. - CORRECT ANSWER stakeholders During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? SOAP? - CORRECT ANSWER A Which influenza vaccine is approved to be used with the jet injector needle-free system? The only vaccines approved for such use are *blank* and *Blank* Quadrivalent. This approval is for individuals ages *# through # years* - CORRECT ANSWER afluria 18 through 64 years Why are water bottles recommended to be placed in refrigerators in which vaccines are stored? - CORRECT ANSWER stabilize the temp 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 statements is true regarding varicella-containing vaccines? - CORRECT ANSWER The potency of HZV is greater than that of varicella vaccine 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. 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. 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. Which of the following vaccine-preventable diseases had the highest incidence in the United States in 2012? - CORRECT ANSWER Pertussis. 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. 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. 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 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 meant by the term "immunization neighborhood"? - CORRECT ANSWER Immunization stakeholders collaborate to meet community immunization needs. 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. 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. 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. The incubation period for influenza can range from: - CORRECT ANSWER 1 to 4 days. 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 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. 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. 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. 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 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) During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - CORRECT ANSWER Assess What could potentially happen if an intramuscular vaccine is administered too high? - CORRECT ANSWER Severe shoulder pain and injury. Which of the following patients would be an appropriate candidate for adjuvanted influenza vaccine (aIIV3)? - CORRECT ANSWER A 67 year-old man with diabetes. If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to take? - CORRECT ANSWER Call 911, or have a staff member call. Olivia, a 9-year-old girl, has no record of ever receiving an influenza vaccination. She has a fear of needles. The only medication she receives on a regular basis is albuterol. Which of the following would be an appropriate recommendation for an influenza vaccination for Olivia? - CORRECT ANSWER Recommend one dose of IIV. Which of the following should be one of the first steps involved in establishing a pharmacy-based immunization program? - CORRECT ANSWER Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice. Which of the following vaccines should be administered subcutaneously? - CORRECT ANSWER MMR Missy is a 36-year-old woman with diabetes mellitus. She requests a refill of her insulin on November 1. She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive? - CORRECT ANSWER PPSV23, Hepatitis B, and influenza. Which of the following best describes IIV intradermal administration? - CORRECT ANSWER The intradermal flu vaccine uses a much smaller needle than what is used for IM and SC injections. It is injected into the skin instead of the muscle or fatty tissue. To administer the vaccine, pharmacists should first gently shake the microinjection system. Hold the system by placing the thumb and middle finger on the finger pads; the index finger should remain free. Next, insert the needle perpendicular to the skin, in the region of the deltoid, in a short, quick movement. Once the needle has been inserted, maintain light pressure on the surface of the skin and inject using the index finger to push on the plunger. Finally, remove the needle from the skin. With the needle directed away from oneself and others, push very firmly with the thumb on the plunger to activate the needle shield. ANSWER: Place the syringe perpendicular to the skin over the deltoid muscle. Five minutes after receiving a vaccine, a patient tells you that his face "feels funny" and he is starting to feel itchy all over. You notice that his lips are swollen. Which of the following would be the most appropriate action to take? - CORRECT ANSWER Tell a staff member to call 911 and administer a dose of epinephrine. Albert is a 61-year-old man who wants to receive the herpes zoster vaccine. He is up to date on his other immunizations and reports receiving his inactivated influenza vaccine two weeks ago. Which of the following would be the best recommendation to make regarding the herpes zoster vaccine for Albert? - CORRECT ANSWER He can receive the herpes zoster vaccine today. Which of the following would be an appropriate needle size and length for administering varicella vaccine to an adult woman who weighs 175 lbs? - CORRECT ANSWER 25 gauge; 5/8 inch. Which of the following is the youngest age at which a child should receive inactivated influenza vaccine? - CORRECT ANSWER 6 months. Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard? - CORRECT ANSWER Use of universal precautions. Which of the following statements best describes appropriate administration of pneumococcal vaccines for adults 19 to 64 years of age who are immunocompromised? - CORRECT ANSWER PCV13 should be given first, followed by PPSV23 8 weeks later. A patient who reports an allergy to eggs but is able to eat lightly cooked eggs (e.g., scrambled eggs) without a reaction could receive which of the following influenza vaccines? - CORRECT ANSWER Any influenza vaccine. Among all states in the United States, which of the following is the youngest minimum patient age for vaccination by a pharmacist allowed by a state? - CORRECT ANSWER Newborn. Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl? - CORRECT ANSWER Fluzone Theresa is a 23-year-old woman with rheumatoid arthritis who is treated with immunosuppressive therapies. Which of the following vaccines should be avoided for Theresa? - CORRECT ANSWER Varicella Which of the following patients would be a ACIP recommended candidate for PPSV23? - CORRECT ANSWER A 21-year-old man who smokes cigarettes. Larry is a 65-year-old man with heart disease who comes to the pharmacy to refill a prescription on October 21. His immunization record indicates that he has completed the primary series of DTaP, MMR, hepatitis B, and hepatitis A. His last Td booster dose was 12 years ago. In addition to influenza, which of the following vaccines should Larry receive? - CORRECT ANSWER PCV13 followed by PPSV23 12 months later, Tdap, and herpes zoster. Which of the following is the routine schedule for vaccinating adolescents with MCV4? - CORRECT ANSWER One dose at age 11 to 12 years, followed by a booster dose at age 16 years. Which of the following patients would be an appropriate candidate for the HPV vaccine? - CORRECT ANSWER A 12-year-old boy Which of these vaccines must replicate to stimulate an immune response? - CORRECT ANSWER MMR. Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community? - CORRECT ANSWER Vaccines with multiple doses in a series. Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following tetanus toxoid-containing vaccines would be appropriate for Lily? - CORRECT ANSWER DTaP. Which influenza vaccine is approved to be used with the jet injector needle-free system? - CORRECT ANSWER Afluria Which of the following statements is true about risks associated with vaccines and vaccine-preventable diseases? - CORRECT ANSWER International travelers import many cases of vaccine-preventable diseases into the United States each year. With which entity should pharmacists collaborate to develop a standing order for vaccine administration? - CORRECT ANSWER Physicians The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination? - CORRECT ANSWER 15 minutes. Liz, a 37-year-old woman, was diagnosed with HIV 2 months ago. She received one dose of MCV4 at that time and is now getting her 2nd dose. Which of the following would be an appropriate recommendation for MCV4 vaccination for Liz? - CORRECT ANSWER Revaccinate with MCV4 every 5 years. Which of the following is the recommended schedule for administration of the hepatitis A vaccine? - CORRECT ANSWER Two doses at least 6 months apart. A 63-year old woman arrives at your pharmacy for her herpes zoster vaccine. Which of the following is the appropriate dose and route of administration? - CORRECT ANSWER 0.65 mL subcutaneously. Which of the following is a method to motivate patients to be vaccinated? - CORRECT ANSWER Acknowledge the patient's concerns. Before administering a vaccine covered by the Vaccine Injury Compensation Program (VICP), the National Childhood Vaccine Injury Compensation Act requires vaccine providers to provide a vaccine information statement to all patients: - CORRECT ANSWER Regardless of age. Vaccines evoke an immune response because they contain: - CORRECT ANSWER Antigens that stimulate the production of antibodies. Which of the following live vaccines is recommended to be administered prior to one year of age? - CORRECT ANSWER Rotavirus. Which of the following is a provider factor associated with low vaccination rates in adults? - CORRECT ANSWER Lack of effective reminder or recall systems. Which of the following is a symptom of a true allergic reaction? - CORRECT ANSWER Hives. Which of the following vaccines should be administered to boys and young men aged 9 through 26 years to reduce their likelihood of acquiring genital warts? - CORRECT ANSWER HPV9. Which of the following tetanus toxoid-containing vaccines would be most appropriate to recommend for Linda, a 67-year-old woman and grandmother of six with no record of receiving Tdap? - CORRECT ANSWER Tdap What is the most appropriate recommendation for administering Tdap to pregnant patients? - CORRECT ANSWER Administer one dose with every pregnancy in the third trimester. Within a few minutes after receiving a vaccine, a patient reports not feeling well and would like a drink of water. Which of the following would be the most appropriate action to take? - CORRECT ANSWER Ask the patient to sit down and begin to monitor the patient's vital signs. Which of the following best describes how to administer hepatitis B vaccine to an adult man who weighs 225 lbs? - CORRECT ANSWER Intramuscularly at a 90-degree angle in the deltoid muscle. Hugh, a 56-year-old health care worker, has no laboratory evidence of immunity to measles or mumps and cannot confirm that he had either disease. How many doses of MMR vaccine should Hugh receive? - CORRECT ANSWER Two doses of MMR. Which of the following statements best describes recommendations for vaccine administration during pregnancy? - CORRECT ANSWER Pregnant providers may administer live vaccines. Katy is a 12-year-old middle school student with no chronic medical conditions who comes to your pharmacy on September 30 for her flu shot. She completed the primary series of DTaP, IPV, hepatitis A, hepatitis B, and Hib, and had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would also be appropriate to recommend for Katy today? - CORRECT ANSWER Tdap, HPV, MCV, MMR. A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following? - CORRECT ANSWER Vaccine Adverse Events Reporting System (VAERS). Which of the following is the most appropriate injection site for administering Td to an adult patient? - CORRECT ANSWER Deltoid muscle. Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis? - CORRECT ANSWER 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. Which of the following patients would be a candidate now for revaccination with PPSV23? - CORRECT ANSWER A 66-year-old woman who received the first dose of PPSV23 at 60 years of age. Vaccines should be avoided or delayed for which of the following patients? - CORRECT ANSWER A patient ill enough for referral to a physician or hospital. Angie is a 16-year-old high school student with no chronic medical conditions. She completed the primary series of DTaP, IPV, PCV, Hib, and MMR. She received the complete series of hepatitis A and hepatitis B vaccines before entering high school. Which of the following would be the most appropriate recommendation for Angie today? - CORRECT ANSWER Tdap, HPV, MCV, varicella, and influenza (if during influenza season). 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 [is a very contagious disease caused by the varicella-zoster virus (VZV)] by a health care provider. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER IPV The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - CORRECT ANSWER January or February 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 viruses are associated with the development of cancer? - CORRECT ANSWER Human papillomavirus and hepatitis B 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 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 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. 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. Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - CORRECT ANSWER Rabies 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 Vaccines as well as exposure to natural disease are both examples of which type of immunity? - CORRECT ANSWER Active immunity 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 Which of the following is most likely to result in an influenza pandemic? - CORRECT ANSWER Antigenic shift in an influenza A virus. At what point during pregnancy is it recommended to administer the influenza vaccine? - CORRECT ANSWER Anytime is safe Which of the following patients would be a candidate for PPSV23? - CORRECT ANSWER 25-year-old man who smokes cigarettes. HZV should not be administered to a patient with a history of anaphylaxis to: - CORRECT ANSWER Gelatin Which of the following statements about establishing clinics for administering vaccines is true? - CORRECT ANSWER Technicians can administer screening questionnaires and distribute VISs. Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on November 1st. Kates 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 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. 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. 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 VIS. For which age group is the adjuvanted inactivated influenza vaccine approved? - CORRECT ANSWER 65 years and older 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. With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: - CORRECT ANSWER Is immunosuppressed. What is the most common complication of pertussis? - CORRECT ANSWER Pneumonia 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 patients should receive the MMR vaccine? - CORRECT ANSWER A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine. 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. 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. Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? - CORRECT ANSWER For the patient's lifetime. The monitoring system that health care providers should use to report serious adverse events after vaccination is: - CORRECT ANSWER VAERS. In which publication does the CDC initially publish new or updated vaccine recommendations? - CORRECT ANSWER Morbidity and Mortality Weekly Report (MMWR) 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. 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 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. The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? - CORRECT ANSWER Measles 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 Which of the following vaccines is recommended for infants to receive within 24 hours of birth? - CORRECT ANSWER Hep B Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting? - CORRECT ANSWER Long-term care facilities. Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? - CORRECT ANSWER Pure polysaccharide vaccines Why should refrigerated vaccines be stored in the middle of the refrigerator? - CORRECT ANSWER There are fewer temperature fluctuations. 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. 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 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. According to ACIP, which of the following is a contraindication to receiving HZV? - CORRECT ANSWER Current treatment for lymphoma. 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. What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - CORRECT ANSWER 1 inch. 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 HPV vaccine is recommended for which of the following individuals? - CORRECT ANSWER 12-year-old boy. 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. 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. Why was the live attenuated influenza vaccine (LAIV) removed from the ACIPs 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 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. A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER Varicella. According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - CORRECT ANSWER ⅝ inch. After reconstitution, within what time frame must HZV be administered? - CORRECT ANSWER 30 minutes. 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. Which of these vaccines is a live attenuated vaccine? - CORRECT ANSWER Zoster. 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 is recognized by sociologists as a factor in a patients decision whether to be vaccinated? - CORRECT ANSWER Influence of a health care provider. Why are adjuvants added to vaccines? - CORRECT ANSWER To strengthen the immune response to the antigen. 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. 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. How is the live, cholera vaccine administered? - CORRECT ANSWER Orally. 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 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 entity determines the specific vaccines that a pharmacist may administer? - CORRECT ANSWER States through laws and regulations 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 HepB1 dose of Hib1 dose of rotavirus1 dose of PCV131 dose of DTaP1 dose of IPV Which vaccines should Ava receive at todays visit? - CORRECT ANSWER DTaP, Hib, PCV13, IPV, and rotavirus. Which of the following key questions is important to ask a patient before administering IIV? - CORRECT ANSWER Are you sick today? How often are the Healthy People targets for vaccination rates updated? - CORRECT ANSWER Every 10 years 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. [Show More]

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