APhA Immunization Certification Exam 30 Questions with Verified Answers,100% CORRECT

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APhA Immunization Certification Exam 30 Questions with Verified Answers Smallpox - CORRECT ANSWER Which disease has been successfully eradicated worldwide through vaccination efforts? MMR - CORR... ECT ANSWER In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? describe the "collaboration, coordination, and communication among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases." - CORRECT ANSWER What is meant by the term "immunization neighborhood"? B cells are activated. Except for pure polysaccharide vaccines, T cells are also activated and are able to generate additional B cells. B cells express unique receptors that recognize and bind to only one particular antigen. - CORRECT ANSWER Which is true regarding how vaccines evoke an immune response? 14 days - CORRECT ANSWER 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? prompt immunity - CORRECT ANSWER 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: Tdap - CORRECT ANSWER Which 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? most common adverse reactions associated with tetanus and diphtheria toxoids-containing vaccines are local injection-site reactions. - CORRECT ANSWER Arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine? Diagnosis of chickenpox by a health care provider - CORRECT ANSWER According to the Advisory Committee on Immunization Practices (ACIP), which would be considered adequate evidence of immunity to varicella, indicating that administration of varicella vaccine is unnecessary? If patients fall behind with vaccinations given in a multi-dose series, it usually is not necessary to start the series over; oral typhoid is the one exception - CORRECT ANSWER 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? There is no need to observe any minimum interval between doses of two different inactivated vaccines - CORRECT ANSWER For a patient who needs to receive IIV and HZV, which best describes appropriate administration of these vaccines? Influence of a health care provider - CORRECT ANSWER Which is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? The vaccines that pharmacists are permitted to administer vary from state to state - CORRECT ANSWER What about pharmacy-based vaccination programs is true? Following injection, the safety device on the syringe should be immediately activated. Used needles should never be clipped nor recapped. Preexposure vaccination with hepatitis B vaccine must be offered by the employer to all employees with job responsibilities with potential exposure to bloodborne pathogens. There is no such requirement for hepatitis A since this is not considered a bloodborne pathogen. - CORRECT ANSWER Which is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? The IIV should be placed back in the fridge, be clearly marked "do not use", and the manufacturer should be contacted for further guidance. - CORRECT ANSWER If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? - CORRECT ANSWER Smallpox: (1st vaccine available: 1798) In 2014, which vaccination rate was the lowest among adolescents 13-17 years of age? - CORRECT ANSWER HPV 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 how vaccines evoke an immune response? - CORRECT ANSWER The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells 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 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 To provide passive immunity immediately (even if its short lived) [Giving both the hepatitis B vaccine and hepatitis B immunoglobulin (HBIG) allows for active and passive immunity. Active immunity occurs when the antigen from the vaccine triggers the immune system to respond. The vaccine will provide long-term protection but it takes the body about two weeks to develop immunity. Passive immunity happens when antibodies are provided from another source, such as immunoglobulin. Passive immunity is short-live, but it provides protection right away.] 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 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 Td or Tdap ____________________________________________________________________________ [The most common adverse reactions associated with tetanus and diphtheria toxoids-containing vaccines are local injection-site reactions. These injection-site reactions are usually mild and self-limiting. However, Arthus reactions have been reported after administration of these vaccines. An Arthus reaction after vaccination with tetanus and diphtheria toxoids is not an allergic reaction and is not common. However, these reactions may occur if a patient is immunized with tetanus or diphtheria toxoids too frequently. Patients with a history of Arthus reactions after vaccination should not receive doses of Td or Tdap any more frequently than every 10 years. Arthus-type reactions have not been associated with other types of vaccines.] According to the Advisory Committee on Immunization Practices (ACIP), which of the following would be considered adequate evidence of immunity to varicella, indicating that administration of varicella vaccine is unnecessary? - CORRECT ANSWER Diagnosis of chickenpox by a health care provider. 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 Don't restart series, just continue [If patients fall behind with vaccinations given in a multi-dose series, it usually is not necessary to start the series over; oral typhoid is the one exception. Increasing the interval between doses of a multi-dose vaccine series does not diminish the ultimate effectiveness of the vaccine, but it does delay protection for the patient.] For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - CORRECT ANSWER No need to wait btw injections (unless you were giving two live vaccines) [IIV is the inactivated influenza vaccine and HZV is the live, attenuated herpes zoster vaccine. Inactivated vaccines do not interfere with the immune response to other vaccines, live or inactivated. There is no need to observe any minimum interval between doses of two different inactivated vaccines, nor between combinations of inactivated and live vaccines. The concern is when two live vaccines are not administered at the same clinic visit. If two live vaccines are not given simultaneously, at least 4 weeks must pass before giving the other live vaccine. 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. Others include: 1) perceived susceptibility to a disease, 2) perceived seriousness of a disease, 3) perceived vaccine benefits, 4) perceived vaccine barriers (e.g., adverse effects, access), and 5) social influence (e.g., recommendation from a health care provider) Which of the following statements about pharmacy-based vaccination programs is true? - CORRECT ANSWER Depends on the state: [The vaccines that pharmacists are permitted to administer vary from state to state. Some states allow pharmacists to administer vaccines under protocol or collaborative practice agreement, while others require a prescription to administer a vaccine. Many pharmacists have initially implemented immunization services with influenza vaccine, due in part to the general high demand for the vaccine, as well as state laws that have supported this approach. Because pharmacists have the infrastructure to bill Medicare Part D prescription drug plans, it may be easier for them to offer these services for older patients and pharmacists could partner with other providers to increase immunization rates. Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - CORRECT ANSWER Immediately activate safety device on syringe: [The Needlestick Safety and Prevention Act of 2000 directed OSHA to redesign its Bloodborne Pathogens Standard to provide more detail in the OSHA guidelines for employers to identify, evaluate, and implement safer medical devices.This Act mandates the use of safety devices and health care employers must provide safety devices to employees to reduce the risk of occupational exposure to bloodborne pathogens. Following injection, the safety device on the syringe should be immediately activated. Used needles should never be clipped nor recapped. Preexposure vaccination with hepatitis B vaccine must be offered by the employer to all employees with job responsibilities with potential exposure to bloodborne pathogens. There is no such requirement for hepatitis A since this is not considered a bloodborne pathogen. The OSHA Bloodborne Pathogens Standard requires the employer to provide training for all personnel with potential exposure to bloodbor 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 f a vaccine has been exposed to temperatures outside the recommended range, the vaccine should be quarantined and stored in the refrigerator or freezer (as appropriate based on where the vaccine should usually be stored). In the case, the IIV should be placed back in the refrigerator. This quarantined vaccine should be clearly marked "do not use" and the manufacturer should be contacted for further guidance. Pharmacists should document each of these steps any time there is a break in the cold chain. [Show More]

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