APhA Pharmacy-Based Immunization Delivery Assessment 115 Questions with Verified Answers,100% CORRECT

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APhA Pharmacy-Based Immunization Delivery Assessment 115 Questions with Verified Answers What is the most common complication of pertussis? A. Seizures B. Pneumonia C. Hypoxemia D. Colic - CO... RRECT ANSWER B. Pneumonia Herd immunity refers to which of the following situations? A. Vaccination of enough individuals in a community to protect those who cannot be vaccinated B. Immunity that occurs following infection with wild-type virus C. Vaccinating groups of individuals who are at high risk for disease from environmental microbes D. Immunity from diseases that circulate in other species - CORRECT ANSWER A. Vaccination of enough individuals in a community to protect those who cannot be vaccinated Which viruses are associated with the development of cancer? A. Human papillomavirus and hepatitis B virus B. Varicella virus and hepatitis A virus C. Hepatitis A and herpes zoster D. Rubella and varicella virus - CORRECT ANSWER A. Human papillomavirus and hepatitis B virus Which of the following patients would be a candidate for PPSV23? A. 12-month-old boy with asthma B. 25-year-old man who smokes cigarettes C. 33-year-old woman who is pregnant D. 50-year-old woman with no medical conditions - CORRECT ANSWER B. 25-year-old man who smokes cigarettes Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? A. History of medication use B. History of chronic medical condition C. Influence of health care provider D. Discount coupon in local newspaper - CORRECT ANSWER C. Influence of health care provider How often are Healthy People targets for vaccination rates updated? A. Every year B. Every 5 years C. Every 10 years D. Every 20 years - CORRECT ANSWER C. Every 10 years 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? A. 0 and 2 months B. 0 and 6 months C. 0, 1, and 2 months D. 0, 1, and 6 months - CORRECT ANSWER D. 0, 1, and 6 months Which of the following key questions is important to ask a patient before administering IIV? A. Are you sick today? B. During the past year, have you received a blood transfusion or immune (gamma) globulin? C. Have you received any vaccinations in the past 4 weeks? D. Do you have any cancer, Leukemia, AIDS, or any other immune problem? - CORRECT ANSWER A. Are you sick today? What is the type of immunity occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? A. Active immunity B. Acquired immunity C. Cell-mediated immunity D. Passive immunity - CORRECT ANSWER D. Passive immunity What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? A. 1/2 in B. 5/8 in C. 1 in D. 1 1/2 in - CORRECT ANSWER C. 1 in Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines? A. In recent years, several hot lots of the vaccine have been known to cause adverse effects. We do not stock vaccines. B. Thimerosal vaccines poses a risk for autism - we can use a vaccine that is thimerosal-free. C. The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time. D. While influenza vaccines may cause the fl - CORRECT ANSWER C. The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time. According to ACIP, which of the following is a contraindication to receiving HZV? A. Current treatment for lymphoma B. Age 59 years and younger C. Past history of herpes zoster D. Has never received the varicella zoster vaccine (VAR) - CORRECT ANSWER A. Current treatment for lymphoma For which age group is the adjuvanted inactivated influenza vaccine approved? A. 2-49 years B. 19-64 years C. 4 years and older D. 65 years and older - CORRECT ANSWER D. 65 years and older 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? A. HZV 0.5 mL IM; IIV 0.65 mL SC B. HZV 0.65 mL IM; IIV 0.5 mL SC C. HZV 0.5 mL SC; IIV 0.65 mL IM D. HZV 0.65 mL SC; IIV 0.5 mL IM - CORRECT ANSWER D. HZV 0.65 mL SC; IIV 0.5 mL IM RotaTeq (RV5) should be administered as a A. 2-dose series to infants at 2 and 4 months of age B. 2-dose to infants at 0 and 6 months of age C. 3-dose series to infants at 2, 4, and 6 months of age D. 3-dose series to infants at 1, 2, and 6 months of age - CORRECT ANSWER C. 3-dose series to infants at 2, 4, and 6 months of age With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who A. is finishing a course of antibiotics B. is breastfeeding C. is immunocompromised D. received another live vaccine 6 weeks ago - CORRECT ANSWER C. is immunocompromised Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? A. Inject subcutaneously at a 45 degree angle in the outer aspect of the upper arm B. Inject intramuscularly at a 45 degree angle in the deltoid muscle C. Inject subcutaneously at a 90 degree angle in the outer aspect of the upper arm D. Inject intramuscularly at a 90 degree angle in the deltoid muscle - CORRECT ANSWER D. Inject intramuscularly at a 90 degree angle in the deltoid muscle 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? A. If more than 2 months have passed since the second dose was due B. If more than 1 year has passed since the second dose was due C. If more than 5 years have passed since the second dose was due D. The series should not be restarted; resume the series where it was interrupted - CORRECT ANSWER D. 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? A. T cells bind directly to the antigen contained in the vaccine and activate the humoral immune response B. The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells C. When exposed to the vaccine, T cells mature into plasma cells and produce antigen-specific antibodies D. B cells bind directly to the antigen contained in the vaccine and activate the cell-med - CORRECT ANSWER B. The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells HZV should not be administered to a patient with a history of anaphylaxis to A. eggs B. latex C. tree nuts D. gelatin - CORRECT ANSWER D. gelatin In which publication does the CDC initially publish new or updated vaccine recommendations? A. Epidemiology and Prevention of Vaccine-Preventable Diseases B. Needle Tips C. Morbidity and Mortality Weekly Report (MMWR) D. Vaccine - CORRECT ANSWER C. Morbidity and Mortality Weekly Report (MMWR) Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? A. Inject SC at a 45 degree angle in the outer aspect of the arm B. Inject intramuscularly at a 45 degree angle in the deltoid muscle C. Inject SC at a 90 degree angle in the outer aspect of the arm D. Inject intramuscularly at a 90 degree angle in the deltoid muscle - CORRECT ANSWER A. Inject SC at a 45 degree angle in the outer aspect of the arm 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? A. Within 6 weeks B. Within 6 months C. Within 1 year D. Within 5 years - CORRECT ANSWER A. Within 6 weeks Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? A. Hepatitis B B. Measles C. Meningococcal disease D. Rabies - CORRECT ANSWER D. Rabies Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? A. PPSV23 B. MCV4 C. 9vHPV D. Varicella - CORRECT ANSWER B. MCV4 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? A. Hepatitis A B. Hepatitis B C. VAR D. HPV9 - CORRECT ANSWER D. HPV9 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? A. DTaP, IPV, MMR, and varicella B. DTaP, MMR, and MCV4 C. DTaP, MMR, rotavirus, and IPV D. MMR and varice - CORRECT ANSWER A. DTaP, IPV, MMR, and varicella After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: A. 1 year B. 2 years C. 5 years D. 10 years - CORRECT ANSWER D. 10 years The monitoring system that health care providers should use to report serious adverse events after vaccination is A. VAERS B. OSHA C. CMS-1500 D. VICP - CORRECT ANSWER A. VAERS 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? A. PCV13 first, followed by PPSV23 at least 8 weeks later B. PCV13 first, followed by PPSV23 at least 1 year later C. PPSV23 first, followed by PCV13 at least 8 weeks later D. PPSV23 first, followed by PCV13 at least 6 months later - CORRECT ANSWER A. PCV13 first, followed by PPSV23 at least 8 weeks later Which of the following patients should receive the MMR vaccine? A. A 6-month old infant with no documentation of MMR vaccine B. An adolescent with documentation of 2 doses of MMR vaccine C. An adult (who is not a healthcare provider) born in 1955 with no documentation of MMR vaccine D. A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine - CORRECT ANSWER D. A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? A. It was shown to cause influenza in children and adolescents B. Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons C. Serious adverse events were reported with LAIV D. There was concern about vaccine supply issues - CORRECT ANSWER B. Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons At what point during pregnancy is it recommended to administer the influenza vaccine? A. Anytime is safe B. During the 1st trimester C. 27-36 weeks D. Wait until after the baby is delivered - CORRECT ANSWER A. Anytime is safe Which of the following patients is a candidate for both MenACWY and MenB vaccines? A. A 10 year-old who just had his spleen removed B. A 16 year-old with HIV C. A 2-year-old with a C2 deficiency D. A 22 year-old military recruit - CORRECT ANSWER A. A 10 year-old who just had his spleen removed Why should refrigerated vaccines be stored in the middle of the refrigerator? A. To keep them separated from food on the bottom shelf B. To be at eye level C. There are fewer temperature fluctuations D. They are easier to reach - CORRECT ANSWER C. There are fewer temperature fluctuations Adolescents should be routinely vaccinated with MCV4 on the following schedule A. 1 dose at age 11-12 years B. 1 dose at age 16 years C. 1 dose at 11-12 years, followed by a booster dose at age 16 years D. 1 dose at 16 years, followed by a booster dose at age 18 years - CORRECT ANSWER C. 1 dose at 11-12 years, followed by a booster dose at age 16 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? A. DTaP B. DT C. Td D. Tdap - CORRECT ANSWER A. DTaP Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? A. Live attenuated vaccine B. Conjugated vaccine C. Pure polysaccharide vaccine D. Recombinant vaccine - CORRECT ANSWER C. Pure polysaccharide vaccine 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. A. Administer PPSV23 at age 65, then PCV13 at age 66 B. Administer PPSV23 at age 69, then PCV13 at age 70 C. Administer PCV13 at age 65, then PPSV23 at age 69 D. Administer PCV13 at age 65, then PPSV23 at age 66 - CORRECT ANSWER B. Administer PPSV23 at age 69, then PCV13 at age 70 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? A. Inject 0.5 mL now and again in 4 weeks B. Inject 0.25 mL now and again in 1 year C. Inject 0.25 mL now and again in 4 weeks D. Inject 0.5 mL; one dose only - CORRECT ANSWER D. Inject 0.5 mL; one dose only If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? A. 1 year B. 2 years C. 3 years D. 5 years - CORRECT ANSWER D. 5 years 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? A. 90 days B. 28 days C. 14 days D. 2 days - CORRECT ANSWER C. 14 days 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? A. DTaP, Hib, PCV13, IPV, rotavirus, and IIV B. DTaP, Hib, PCV13, IPV, and rotavirus C. DTaP, HepB, MMR, and varicella D. DTaP, PCV 13, IPV, and IIV - CORRECT ANSWER B. DTaP, Hib, PCV13, IPV, and rotavirus According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient A. 1/2 in B. 5/8 in C. 1 in D. 1 1/2 in - CORRECT ANSWER B. 5/8 in 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. A. Pneumococcal disease B. Pertussis C. Varicella D. Influenza - CORRECT ANSWER B. Pertussis Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? A. Polio B. Tetanus C. Smallpox D. Rubella - CORRECT ANSWER C. Smallpox After reconstitution, within what time frame must HZV be administered? A. 30 minutes B. 1 hour C. 24 hours D. 72 hours - CORRECT ANSWER A. 30 minutes The childhood/adolescent and adult immunization schedules are updated and published annually during which months? A. January or February B. April or May C. September or October D. November or December - CORRECT ANSWER A. January or February Which of the following vaccines is recommended for infants to receive within 24 hours of birth? A. IIV3, if during influenza vaccine B. Hepatitis A C. Hepatitis B D. MMR - CORRECT ANSWER C. Hepatitis B 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? A. Td and influenza B. PCV13, Td, and IIV C. PPSV23, Tdap, and IIV D. PCV13 and IIV - CORRECT ANSWER C. PPSV23, Tdap, and IIV 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? A. Patient self-reported case of chickenpox B. Patient self-reported case of herpes zoster C. Birth in the United States after 1990 D. Diagnosis of chickenpox by a health care provider - CORRECT ANSWER D. Diagnosis of chickenpox by a health care provider According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged A. 18 years and older B. 50 years and older C. 60 years and older D. 65 years and older - CORRECT ANSWER C. 60 years and older Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? A. 5 years B. 10 years C. 20 years D. For the patient's lifetime - CORRECT ANSWER D. For the patient's lifetime Which of the following is most likely to result in an influenza pandemic? A. Antigenic drift in Influenza A virus B. Antigenic shift in Influenza A virus C. Antigenic drift in Influenza B virus D. Antigenic shift in Influenza C virus - CORRECT ANSWER B. Antigenic shift in Influenza A virus There should be a flat hard surface in the area where vaccines will be administered to ensure A. The pharmacist has an area to prepare the vaccines B. The supply cart can be easily moved C. There is room for the patient to lie down if fainting occurs or CPR is required D. The pharmacy is in compliance with OSHA standards - CORRECT ANSWER C. There is room for the patient to lie down if fainting occurs or CPR is required 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? A. Tdap, HPV, MCV, HepB, and influenza, if during influenza season B. DTaP, HPV, MCV, and influenza, if during influenza season C. Tdap, HPV, MCV, and influenz - CORRECT ANSWER A. Tdap, HPV, MCV, HepB, and influenza, if during influenza season The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? A. Rubella B. Varicella C. Measles D. Mumps - CORRECT ANSWER C. Measles Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? A. 15 year-old boy with no medical conditions, series has not been started B. 11 year-old girl with no medical conditions, series has not been started C. 12 year-old boy with no medical conditions, 1st dose given on May 9th, 2nd dose given on September 14th D. 9 year-old boy who had a heart transplant at age 2 and has a history of sexual abuse. 1st dose given on February 23rd, 2nd dose has not been given - CORRECT ANSWER B. 11 year-old girl with no medical conditions, series has not been started According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? A. 1 dose B. 2 doses C. 3 doses D. Unlimited - CORRECT ANSWER C. 3 doses If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? A. Administer the recombinant influenza vaccine (RIV) only B. Administer the cell culture-based (ccIIV) or recombinant influenza vaccine (RIV) C. Administer any age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV) D. Refer the patient to a medical setting with the resources to recognize and manage s - CORRECT ANSWER B. Administer the cell culture-based (ccIIV) or recombinant influenza vaccine (RIV) Which of the following statements is true regarding varicella-containing vaccines? A. The potency of HZV is greater than that of varicella vaccine B. The potency of varicella vaccine is greater than that of HZV C. The potency of varicella vaccine is the same as HZV D. The vaccines are interchangeable - CORRECT ANSWER A. The potency of HZV is greater than that of varicella vaccine 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? A. Td B. Tdap C. He is over 64 years of age; neither Td or Tdap are recommended at this time D. It is too soon to administer any tetanus-containing vaccines - CORRECT ANSWER B. Tdap During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? A. Collect B. Assess C. Plan D. Implement - CORRECT ANSWER B. Assess Which of the following statements about live attenuated vaccines is true? A. They should generally be avoided in immunocompromised patients B. Their effectiveness wanes faster than inactivated vaccines C. They can be either whole cello, fractional, or toxoids D. Circulating antibodies have no impact on their effectiveness - CORRECT ANSWER A. They should generally be avoided in immunocompromised patients A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? A. IPV B. Tdap C. PCV13 D. HPV - CORRECT ANSWER A. IPV Which entity determines the specific vaccines that a pharmacist may administer? A. States through laws and regulations B. Food and Drug Administration C. Local health departments D. Advisory Committee on Immunization Practices - CORRECT ANSWER A. States through laws and regulations Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? A. Performing a medication review of a patient who has diabetes B. Recommending vaccinations for a patient undergoing a splenectomy C. Providing hospital discharge counseling to a patient D. Providing vaccine information at the booth of a health fair - CORRECT ANSWER A. Performing a medication review of a patient who has diabetes For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? A. Administer IIV and wait 4 weeks before administering HZV B. Administer these 2 vaccines at the same visit C. Mix the 2 vaccines together in the same syringe before administration to minimize the number of injections D. Administer the HZV now, then wait 3 months before administering the IIV - CORRECT ANSWER B. Administer these 2 vaccines at the same visit 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 A. in 4 weeks B. in 6 months C. in 2 years D. immediately after travel - CORRECT ANSWER B. in 6 months Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? A. Pertussis B. Diphtheria C. Tetanus D. Rubella - CORRECT ANSWER B. Diphtheria Vaccines as well as exposure to natural disease are both examples of which type of immunity? A. Innate immunity B. Temporary immunity C. Active immunity D. Passive immunity - CORRECT ANSWER C. Active immunity 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 A. is too young to be vaccinated against influenza B. should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later C. should receive 1 dose of LAIV today followed by a second dose of LA - CORRECT ANSWER B. should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later 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? A. Contraindicated B. Precautions for vaccination C. Recommended if an additional risk factor is present D. Additional doses may be needed based on condition - CORRECT ANSWER B. Precautions for vaccination 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)? A. CMS-1500 B. VIS C. PHS-731 D. CMS-855B - CORRECT ANSWER B. VIS 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 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 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 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. 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 1 - CORRECT ANSWER A. Tdap, HPV, MCV, MMR. Which age group is appropriate to receive the 2-dose HPV9 vaccine series? A. 11 through 16 years. B. 9 through 14 years. C. 16 through 26 years. D. 9 through 21 years. - CORRECT ANSWER B. 9 through 14 years. 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. Which of the following vaccines should be administered subcutaneously? A. MMR B. Tdap C. IIV D. HPV - CORRECT ANSWER A. MMR 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. Which of these vaccines must replicate to stimulate an immune response? A. HPV9 B. MMR C. MCV4 D. Tdap - CORRECT ANSWER B. MMR 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. 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. 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? A. No additional doses of MCV4 are needed. B. Revaccinate with MCV4 when she turns 65. C. Revaccinate with MCV4 every 3 years. D. Revaccinate with MCV4 every 5 years. - CORRECT ANSWER D. Revaccinate with MCV4 every 5 years. 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. 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 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 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 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. The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination? A. 3 min B. 15 min C. 30 min D. 60 min - CORRECT ANSWER B. 15 min 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 would be an appropriate needle size and length for administering varicella vaccine to an adult woman who weighs 175 lbs? A. 23 gauge; 1 inch. B. 25 gauge; 1 inch. C. 25 gauge; 5/8 inch. D. 20 gauge; 5/8 inch. - CORRECT ANSWER C. 25 gauge; 5/8 inch. 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. 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 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? A. 0.5 mL intramuscularly. B. 0.5 mL subcutaneously. C. 0.65 mL intramuscularly. D. 0.65 mL subcutaneously. - CORRECT ANSWER D. 0.65 mL subcutaneously. 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. If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to take? A. Call 911, or have a staff member call. B. Administer diphenhydramine. C. Give the patient water to drink. D. Encourage the patient to breathe deeply. - CORRECT ANSWER A. Call 911, or have a staff member call. 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. 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. 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). D - CORRECT ANSWER D. A delay in the administration of vaccines increases the risks for infection and outbreaks. Which of these vaccines is an inactivated vaccine? A. VAR B. MMR C. RV5 D. DTaP - CORRECT ANSWER D. DTaP 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 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. 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? A. Do not administer any influenza vaccine. B. Recommend one dose of IIV. C. Recommend one dose of LAIV. D. Recommend two doses of IIV separated by 4 weeks. - CORRECT ANSWER B. Recommend one dose of IIV. 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. 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 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 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. 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. 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, varicell - CORRECT ANSWER C. Tdap, HPV, MCV, varicella, and influenza (if during influenza season). 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. 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. [Show More]

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