APhA Final Assessment 45 Questions with Verified Answers,100% CORRECT

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APhA Final Assessment 45 Questions with Verified Answers How often does the CDC publish new immunization schedules? A. Three times per year B. After each ACIP meeting C. Annually D. Every t... wo years - CORRECT ANSWER C. Annually 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 How should Tdap be administered to pregnant women? 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 doses C. Administer one dose with each pregnancy in the third trimester D. Administer one dose only if the woman is pregnant in the fall season - CORRECT ANSWER C. Administer one dose with each pregnancy in the third trimester 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. HPV B. Hib C. Varicella D. MenB - CORRECT ANSWER A. HPV Michael, a 47-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 Michael receive? A. One dose of MMR B. Two doses of MMR C. No doses of MMR because he is considered immune to measles and mumps D. No doses of MMR because he could pass the virus to his patients after receiving the vaccine - CORRECT ANSWER B. Two doses of MMR Tasha is a 26-year-old woman with rheumatoid arthritis who is treated with immunosuppressive therapy. Which of the following vaccines should be avoided for Tasha? A. HPV B. MenACWY C. MMR D. Herpes Zoster (RZV) - CORRECT ANSWER C. MMR If a patient is experiencing anaphylaxis and requires epinephrine, what is the dose and route of administration using a 1:1000 (1mg/mL) product? A. 1 mg/kg IM in the deltoid muscle B. 0.5mg IIM in the deltoid muscle C. 1 mg IM in the anterolateral aspect of the thigh D. 0.01 mg/kg IM in the anterolateral aspect of the thigh - CORRECT ANSWER D. 0.01 mg/kg IM in the anterolateral aspect of the thigh David is 58 years old. He received an inactivated influenza vaccine 5 days ago at a mass clinical run by the health department. He is now at your pharmacy and you determine he should get his herpes zoster and Tdap vaccines. How should you proceed with administering these vaccines? A. Give both Tdap and the herpes zoster vaccines today B. Wait 23 more days then administer the Tdap and herpes zoster vaccines C. Administer Tdap today and wait 23 days to administer the herpes zoster vaccine D. Admi - CORRECT ANSWER A. Give both Tdap and the herpes zoster vaccines today Which of the following tetanus toxoid-containing vaccines would be appropriate for a 15-month old child? A. DT B. Td C. DTaP D. Tdap - CORRECT ANSWER C. DTaP Larry is 68 years old and has a new grandbaby on the way. He received a Td vaccine approximately 13 years ago. He doesn't know if he received any tetanus toxoid-containing vaccines prior to that. Which of the following tetanus toxoid-containing vaccines should be most appropriate to recommend? A. DTap B. DT C. Td D. Tdap - CORRECT ANSWER D. Tdap Which of the following is a contraindication that is applied to all vaccines? A. Immunocompromising condition B. Severe allergic reaction to a vaccine component following a previous dose C. Pregnancy D. Hives following receipt of a prior dose of vaccine - CORRECT ANSWER B. Severe allergic reaction to a vaccine component following a previous dose Mariah is a 15-year old high school student with no chronic medical conditions. She is at the pharmacy to receive her COVID-19 booster and influenza vaccines. 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. What other vaccines does she need? A. Varicella, MenB (per shared clinical decision-making), PPSV23 B. DTaP, HPV, MenACWY C. Varicella, Tdap, HPV, MenACWY D. HPV, MenB (per - CORRECT ANSWER C. Varicella, Tdap, HPV, MenACWY How do vaccines elicit an immune response? A. They deliver antibodies that provide immediate protection against disease B. They activate B cells that directly attack and destroy foreign antigens C. They contain antigens that stimulate the production of antibodies D. They rely on macrophages and natural killer cells to eliminate the pathogen - CORRECT ANSWER C. They contain antigens that stimulate the production of antibodies How many doses of the 13-valent pneumococcal conjugate vaccine (PCV13) are needed to complete the routine series in children beginning at. 2 months of age? A. 1 B. 3 C. 4 D. 5 - CORRECT ANSWER C. 4 At what ages is the first dose of the rotavirus vaccine recommended? A. 2 months B. 6 months C. 1 year D. 2 years - CORRECT ANSWER A. 2 months Which of the following is true for the recommended catch-up immunization schedule? A. It is for children who start late or are more than 1 month behind on immunizations B. It is for adults who have missed doses in a vaccine series C. It is categorized based on medication condition or indication D. Doses administered sooner than the minimum interval listed may be counted - CORRECT ANSWER A. It is for children who start late or are more than 1 month behind on immunizations Which of the following represents an opportunity for pharmacists to collaborate with other providers? A. Offer to store vaccines in the pharmacy's refrigerator or freezer B. Offer to administer the remaining doses in a vaccine series C. Offer to order vaccine supplies and safety needles D. Offer to help with roster billing - CORRECT ANSWER B. Offer to administer the remaining doses in a vaccine series Which of the following is the routine schedule for vaccinating adolescents with MenACWY? 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 A patient who reports an allergy to eggs that has resulted in hives may receive which of the following influenza vaccines? A. Live attenuated influenza vaccine (LAIV) only B. Cell-cultured inactivated influenza vaccine (ccIIV) only C. Recombinant influenza vaccine (RIV) only D. Any influenza vaccine - CORRECT ANSWER D. Any influenza vaccine John is 42 and was diagnosed with HIV 2 months ago. He received one dose of MenACWY at that time and is now getting his 2nd dose. Which of the following would be an appropriate recommendation for MenACWY vaccination for John? A. No additional doses of MenACWY are needed B. Revaccinate with MenACWY when he turns 65 C. Revaccinate with MenACWY every 2 to 3 years D. Revaccinate with MenACWY every 5 years - CORRECT ANSWER D. Revaccinate with MenACWY every 5 years Which of the following is a provider factor associated with low vaccination rates in adults? A. Unable to order vaccines B. Limited internet access to view the schedules C. Lack of time to focus on preventive services D. Authority is restricted by state regulations - CORRECT ANSWER C. Lack of time to focus on preventive services Which type of vaccine mediates immunity based solely on B cells? A. Pure polysaccharide B. Conjugated polysaccharide C. MRNA D. Adjuvanted - CORRECT ANSWER A. Pure polysaccharide What type of immunity occurs when a person receives antibodies from another source? A. Cell-mediated B. Active C. Innate D. Passive - CORRECT ANSWER D. Passive Which of the following best describes how to administer Tdap vaccine to an adult woman who weighs 195lbs? A. Subcutaneously at a 45-degree angle in the outer aspect of the upper arm B. Subcutaneously at a 45-degree angle in the deltoid muscle C. Intramuscularly a a 90-degree angle in the deltoid muscle D. Intramuscularly at a 90-degree angle in the outer aspect of the upper arm - CORRECT ANSWER C. Intramuscularly a a 90-degree angle in the deltoid muscle Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard? A. Employers must offer influenza and hepatitis B vaccines to employees free of charge B. All needles must be recapped before placing them in a biohazard container C. Extra precautions should be taken for patients with HIV, hepatitis B, or hepatitis C D. All employees with potential bloodborne pathogen exposure must receive OSHA bloodborne pathogen training every ye - CORRECT ANSWER D. All employees with potential bloodborne pathogen exposure must receive OSHA bloodborne pathogen training every year What is the minimum interval between doses one and two of the hepatitis A vaccine? A. 6 weeks B. 1 month C. 6 months D. 1 year - CORRECT ANSWER C. 6 months A 53-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 subcutaneously D. Do not administer RZV until she turns 60 - CORRECT ANSWER A. 0.5 mL intramuscularly The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination? A. 1 minute B. 15 minutes C. 30 minutes D. 60 minutes - CORRECT ANSWER B. 15 minutes If a patient needs two inactivated vaccines, but they were not administered on the same day, how much time must the patient wait between vaccine doses? A. 48 hours B. 2 weeks C. 28 days D. There is no minimum interval of time - CORRECT ANSWER D. There is no minimum interval of time Which of the following is true for live attenuated vaccines? A. They often contain adjuvants to enhance the immune response B. They must replicate to stimulate an immune response C. Antibody titers diminish over time, requiring booster doses D. They should not be given to children less than 2 years of age - CORRECT ANSWER B. They must replicate to stimulate an immune response Which of the following would be an appropriate needle size and length for administering varicella vaccine to 5-year-old child? 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 Kevin is 11 years old with no chronic medical conditions who comes to your pharmacy on September 30 for his flu shot. He 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 Kevin today? A. Tdap, HPV, MenACWY, MMR B. DTaP, HPV, PCV13, MMR C. Tdap, HPV, MenACWY, PCV13 D. HPV, MenACWY, PCV13, MMR - CORRECT ANSWER A. Tdap, HPV, MenACWY, MMR Which of the following is the minimum needle length recommended for intramuscular administration of the influenza vaccine to an adult man weighing 265 lbs? A. 1/2 inch B. 5/8 inch C. 1 inch D. 1 1/2 inch - CORRECT ANSWER D. 1 1/2 inch What is the concern with giving inactivated vaccines to patients who are immunocompromised? A. They may further compromise the immune system B. They may lead to increased adverse reactions C. They may replicate to the point of causing harm D. They may not be as effective - CORRECT ANSWER D. They may not be as effective What might happen if the recommended interval between vaccine doses in a series is decreased? A. It may interfere with antibody response and reduce vaccine effectiveness B. It could overload the immune system C. Uncontrolled replication might occur D. There is an increased risk for infection and outbreaks - CORRECT ANSWER A. It may interfere with antibody response and reduce vaccine effectiveness Which of the following is the most appropriate injection site for administering the hepatitis B vaccine to an adult patient? A. Gluteus Maximus muscle B. Deltoid muscle C. Outer aspect of the upper arm D. Intranasal - CORRECT ANSWER B. Deltoid muscle What are immunization coalitions? A. Individuals with an accountable care organization (ACO) who oversee immunization services B. Organizations that were formed to manage emergency preparedness vaccination activities C. Committees that develop vaccination recommendations for the Advisory Committee on Immunization Practices (ACIP) to consider D. Groups that foster collaboration among stakeholders within a community as a means to increase immunization rates - CORRECT ANSWER D. Groups that foster collaboration among stakeholders within a community as a means to increase immunization rates Which of the following vaccines is recommended for healthy adolescents and adults ages 16 through 23 years based on shared clinical decision making? A. Meningococcal B B. 13-valent pneumococcal conjugate C. Hepatitis B D. 9-valent HPV - CORRECT ANSWER A. Meningococcal B Mina is 2 years old and just received her first dose of the influenza vaccine. When should she return for her next dose? A. 4 weeks B. 1 year C. 6 months D. 8 weeks - CORRECT ANSWER A. 4 weeks Vaccines should be delayed for which of the following patients? A. A patient with moderate to severe acute illness that requires additional care B. A mother who is breastfeeding and requires a routinely recommended live vaccine C. A newborn whose mother tests positive for hepatitis B D. Infants born prematurely who are less than 6 months of age - CORRECT ANSWER A. A patient with moderate to severe acute illness that requires additional care Which of the following patients would be an appropriate candidate for the adjuvanted influenza vaccine (allV4)? A. A 5 year-old child with asthma B. A 25 year-old woman with no health conditions C. A 72 year-old woman with COPD D. A 62 year-old pharmacist with hypertension - CORRECT ANSWER C. A 72 year-old woman with COPD What could potentially happen if an intramuscular vaccine intended for the deltoid muscle is administered too high? A. Diminished immune response B. The needle may get stuck C. It is likely to hit a major artery D. Severe shoulder pain and injury - CORRECT ANSWER D. Severe shoulder pain and injury At what age should an immunocompromised patient receive the recombinant zoster vaccine (RZV)? A. 2 years B. 11 to 12 years C. 19 years D. 50 years - CORRECT ANSWER C. 19 years If a pharmacist needs to create a standing order to administer a vaccine, with which entity should the pharmacist collaborate to sign the order? A. Physicians or other prescribers B. Upper management C. Nurses at the health department D. State pharmacy associations - CORRECT ANSWER A. Physicians or other prescribers For individuals who are immunocompetent, at what ages can the 2-dose HPV series be given? A. 11 though 16 years B. 9 through 14 years C. 16 through 26 years D. 9 through 21 years - CORRECT ANSWER B. 9 through 14 years [Show More]

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