APhA Exam 45 Questions with Verified Answers,100% CORRECT

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APhA Exam 45 Questions with Verified Answers Which of the following is a provider factor associated with low vaccination rates in adults? A. Unable to bill insurance. B. Limited familiarity with ... the adult schedule. C. Lack of effective reminder or recall systems. D. Restricted by state regulations. - CORRECT ANSWER C. Lack of effective reminder or recall systems. Which of the following best describes IIV intradermal administration? A. Administer the vaccine at a 45 degree angle. B. Insert the needle under the skin in the patient's forearm. C. Use a 5/8" needle. D. Place the syringe perpendicular to the skin over the deltoid muscle. - CORRECT ANSWER D. Place the syringe perpendicular to the skin over the deltoid muscle. 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? A. PCV13, HPV, Td, and influenza. B. PPSV23, Hepatitis B, and influenza. C. PPSV23, Td, hepatitis A, and influenza. D. HPV, hepatitis, - CORRECT ANSWER B. PPSV23, Hepatitis B, and influenza. Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis? A. 5 mg for all patients. B. 0.5 mg for all patients. C. 0.1 ml per kg body weight, up to a maximum of 5 mg per dose. D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. - CORRECT ANSWER D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. 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? A. DT. B. DTaP. C. Td. D. Tdap. - CORRECT ANSWER B. DTaP. Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community? A. Vaccines that require refrigeration. B. Vaccines with multiple doses in a series. C. Vaccines only available multi-dose vials. D. Vaccines that can be submitted with roster billing. - CORRECT ANSWER B. Vaccines with multiple doses in a series Vaccines evoke an immune response because they contain: A. Antibodies that provide immediate protection against disease. B. B cells that directly attack and destroy foreign antigens. C. Antigens that stimulate the production of antibodies. D. T cells that produce antibodies to fight the foreign antigen. - CORRECT ANSWER C. Antigens that stimulate the production of antibodies. A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following? A. CMS-1500. B. MedWatch. C. Vaccine Error Reporting Program (VERP). D. Vaccine Adverse Events Reporting System (VAERS). - CORRECT ANSWER D. Vaccine Adverse Events Reporting System (VAERS). Which of the following statements best describes recommendations for vaccine administration during pregnancy? A. No vaccines should be administered during the first trimester. B. Pregnant providers may administer live vaccines. C. Ideally, Tdap should be administered during the first trimester. D. Children should not receive live vaccines if their mother and/or caregiver is pregnant. - CORRECT ANSWER B. Pregnant providers may administer live vaccines. Which of the following is a symptom of a true allergic reaction? A. Gastrointestinal distress. B. Fever. C. Hives. D. Headache. - CORRECT ANSWER C. Hives. 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? A. LAIV only. B. RIV only. C. ccIIV only. D. Any influenza vaccine. - CORRECT ANSWER D. Any influenza vaccine. Which of the following is the youngest age at which a child should receive inactivated influenza vaccine? A. Birth. B. 6 months. C. 1 year. D. 2 years. - CORRECT ANSWER B. 6 months. 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? A. PPSV23. B. Hepatitis B. C. Tdap. D. Varicella. - CORRECT ANSWER D. Varicella. Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl? A. Flublock. B. Fluad. C. Fluzone. D. Fluzone High-Dose. - CORRECT ANSWER C. Fluzone. Which of the following statements best describes the approach to take with patients regarding simultaneous administration of vaccines? A. Children younger than 3 years of age should receive only one live vaccine in a single day. B. Children younger than 6 months of age should receive no more than three vaccines of any type in a single day. C. Use of an altered immunization schedule is associated with a lower rate of adverse event reporting to the Vaccine Adverse Event Reporting System (VAERS). - CORRECT ANSWER D. A delay in the administration of vaccines increases the risks for infection and outbreaks. 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? A. She does not require any vaccinations at this time because she is healthy. B. DTaP, HPV, MCV, and influenza (if during influenza season). C. Tdap, HPV, MCV, varicel - CORRECT ANSWER C. Tdap, HPV, MCV, varicella, and influenza (if during influenza season). Which of the following live vaccines is recommended to be administered prior to one year of age? A. Varicella. B. Rotavirus. C. Measles. D. Intranasal influenza. - CORRECT ANSWER B. Rotavirus. 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? A. Tdap, HPV, MCV, MMR. B. DTaP, HPV, MCV, MMR. C. Tdap, HPV, MCV. D. Katy not require any additional vaccinations until she turns - CORRECT ANSWER A. Tdap, HPV, MCV, MMR. Which of the following patients would be a candidate now for revaccination with PPSV23? A. A 66-year-old woman who received the first dose of PPSV23 at 60 years of age. B. A 68-year-old man who received the first dose of PPSV23 at 64 years of age. C. A 71-year-old man who received the first dose of PPSV23 at 65 years of age. D. A 45-year-old woman without a spleen who received the first dose of PPSV23 at 42 years of age. - CORRECT ANSWER A. A 66-year-old woman who received the first dose of PPSV23 at 60 years of age. Which of the following should be one of the first steps involved in establishing a pharmacy-based immunization program? A. Train pharmacy technicians to bill for vaccines. B. Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice. C. Order the vaccine supply. D. Begin a marketing program. - CORRECT ANSWER B. Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice. Which of these vaccines must replicate to stimulate an immune response? A. HPV9. B. MMR. C. MCV4. D. Tdap. - CORRECT ANSWER B. MMR. 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: A. Younger than 2 years of age. B. Younger than 7 years of age. C. Younger than 18 years of age. D. Regardless of age. - CORRECT ANSWER D. Regardless of age. 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? A. DTaP. B. DT. C. Td. D. Tdap. - CORRECT ANSWER D. Tdap. 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? A. Newborn. B. 1 year. C. 2 years. D. 5 years. - CORRECT ANSWER A. Newborn. 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? A. Recommend that the patient drink a beverage containing sugar instead. B. Ask the patient to sit down and begin to monitor the patient's vital signs. C. Give the patient a drink of water. D. Administer a dose of epinephrine to the patient. - CORRECT ANSWER B. Ask the patient to sit down and begin to monitor the patient's vital signs. 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? A. VAR. B. PCV13. C. HPV9. D. MCV4. - CORRECT ANSWER C. HPV9. A 63-year old woman arrives at your pharmacy for her recombinant zoster vaccine (RZV). Which of the following is the appropriate dose and route of administration? A. 0.5 mL intramuscularly. B. 0.5 mL subcutaneously. C. 0.65 mL intramuscularly. D. 0.65 mL subcutaneously. - CORRECT ANSWER A. 0.5 mL intramuscularly. There are two herpes zoster vaccines. One is a live vaccine which is administered subcutaneously into the outer aspect of the upper arm. The dose is 0.65 mL.. The newest vaccine is a recombinant inactivated vaccine. It is administered intramuscularly into the deltoid muscle. The dose is 0.5 mL. The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination? A. 3 minutes. B. 15 minutes. C. 30 minutes. D. 60 minutes. - CORRECT ANSWER B. 15 minutes. Which influenza vaccine is approved to be used with the jet injector needle-free system? A. Fluzone High-Dose. B. FluMist. C. Flublok. D. Afluria - CORRECT ANSWER D. Afluria 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? A. No doses of MMR because he is considered immune to measles and mumps. B. No doses of MMR because he could pass the virus to his patients after receiving the vaccine. C. One dose of MMR. D. Two doses of MMR. - CORRECT ANSWER D. Two doses of MMR. Which of the following statements is true about risks associated with vaccines and vaccine-preventable diseases? A. Available data indicate that thimerosal in vaccines causes autism. B. Vaccines have been associated with the development of autoimmune disorders such as multiple sclerosis. C. Giving several vaccines on the same day overloads the patient's immune system. D. International travelers import many cases of vaccine-preventable diseases into the United States each year. - CORRECT ANSWER D. International travelers import many cases of vaccine-preventable diseases into the United States each year. Vaccines should be avoided or delayed for which of the following patients? A. A patient ill enough for referral to a physician or hospital. B. A patient who is breastfeeding and requires a live vaccine. C. A newborn whose mother has HIV. D. Infants born prematurely who are less than 6 months of age. - CORRECT ANSWER A. A patient ill enough for referral to a physician or hospital. Why are water bottles recommended to be placed in refrigerators in which vaccines are stored? A. To keep them cold so they can be used when transporting vaccines. B. Water bottles are the only acceptable beverage to be stored with vaccines. C. To keep other food and beverages from being placed in the refrigerator. D. To help stabilize the temperature. - CORRECT ANSWER D. To help stabilize the temperature. Which of the following is the routine schedule for vaccinating adolescents with MCV4? A. One dose at age 11 to 12 years. B. One dose upon entering college at age 18 years. C. One dose at age 11 to 12 years, followed by a booster dose upon entering college at age 18 years. D. One dose at age 11 to 12 years, followed by a booster dose at age 16 years. - CORRECT ANSWER D. 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 adjuvanted influenza vaccine (aIIV3)? A. A 3 year-old child with no health conditions. B. A 26 year-old woman who works in an office and is pregnant. C. A 67 year-old man with diabetes. D. A 61 year-old community pharmacist who has no health conditions. - CORRECT ANSWER C. A 67 year-old man with diabetes. Which of the following best describes immunization coalitions? A. Individuals within an accountable care organization (ACO) who oversee immunization services. B. Organizations that were formed to manage emergency preparedness vaccination activities. C. Groups that develop vaccination recommendations for the Advisory Committee on Immunization Practices (ACIP) to consider. D. Organizations that foster collaboration among stakeholders to increase immunization rates. - CORRECT ANSWER D. Organizations that foster collaboration among stakeholders to increase immunization rates. 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? A. He can receive the herpes zoster vaccine today. B. He should wait for a minimum of 28 days following the influenza vaccine. C. He should wait for at least 6 month following the influenza vaccine - CORRECT ANSWER A. He can receive the herpes zoster vaccine today. What is the most appropriate recommendation for administering Tdap to pregnant patients? A. Administer one dose either prior to pregnancy or immediately post-partum. B. Administer one dose with every pregnancy, up to a maximum of 3. C. Administer one dose with every pregnancy in the third trimester. D. Administer one doses during each trimester. - CORRECT ANSWER C. Administer one dose with every pregnancy in the third trimester. Which of the following is the minimum needle length recommended for intramuscular administration of the influenza vaccine to an adult woman weighing 215 lbs? A. ½ inch. B. ⅝ inch. C. 1 inch. D. 1½ inches. - CORRECT ANSWER D. 1½ inches. Which of the following is the most appropriate injection site for administering Td to an adult patient? A. Gluteus maximus muscle. B. Deltoid muscle. C. Outer aspect of the upper arm. D. Intradermal. - CORRECT ANSWER B. Deltoid muscle. Which of the following patients would be an appropriate candidate for the HPV vaccine? A. A 6-year-old girl. B. An 8-year-old boy. C. A 12-year-old boy. D. A 30-year-old woman. - CORRECT ANSWER C. A 12-year-old boy. Which of the following is the recommended schedule for administration of the hepatitis A vaccine? A. Two doses at least 6 weeks apart. B. Two doses at least 3 months apart. C. Two doses at least 6 months apart. D. Two doses at least 12 months apart. - CORRECT ANSWER C. Two doses at least 6 months apart. Which of the following is the correct dose and route of administration for the high-dose influenza vaccine? A. 0.5 mL intramuscularly. B. One spray in each nostril. C. 0.1 mL intramuscularly. D. 0.65 mL subcutaneously. - CORRECT ANSWER A. 0.5 mL intramuscularly. Which of these vaccines is an inactivated vaccine? A. VAR. B. MMR. C. RV5. D. DTaP. - CORRECT ANSWER D. DTaP. What could potentially happen if an intramuscular vaccine is administered too high? A. Diminished immune response. B. The needle may get stuck. C. It is too difficult to depress the plunger. D. Severe shoulder pain and injury. - CORRECT ANSWER D. Severe shoulder pain and injury. [Show More]

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