APhA Immunization Self-Study Assessment 80 Questions with Verified Answers,100% CORRECT

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APhA Immunization Self-Study Assessment 80 Questions with Verified Answers The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - CORR... ECT ANSWER January or February The monitoring system that health care providers should use to report serious adverse events after vaccination is: - CORRECT ANSWER VAERS. How often are the Healthy People targets for vaccination rates updated? - CORRECT ANSWER Every 10 years According to ACIP, which of the following is a contraindication to receiving HZV? - CORRECT ANSWER Current treatment for lymphoma. At what point during pregnancy is it recommended to administer the influenza vaccine? - CORRECT ANSWER Anytime is safe 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. 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? - CORRECT ANSWER DTaP, IPV, MMR, and varicella. 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 disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - CORRECT ANSWER Rabies. 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. 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. According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - CORRECT ANSWER 60 years and older. 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. Vaccines as well as exposure to natural disease are both examples of which type of immunity? - CORRECT ANSWER Active immunity 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. 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 PPSV23, IIV, and HPV. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER IPV. 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 HZV should not be administered to a patient with a history of anaphylaxis to: - CORRECT ANSWER Gelatin. 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. Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? - CORRECT ANSWER For the patient's lifetime. During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - CORRECT ANSWER Assess 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. All Medicare Part B enrollees are covered for which vaccines? - CORRECT ANSWER Influenza, PPSV23, and PCV13 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. 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 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. According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - CORRECT ANSWER ⅝ inch. Which of the following is most likely to result in an influenza pandemic? - CORRECT ANSWER Antigenic shift in an influenza A virus. 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. Why are adjuvants added to vaccines? - CORRECT ANSWER To strengthen the immune response to the antigen. Which of the following statements about live attenuated vaccines is true? - CORRECT ANSWER They should generally be avoided in immunocompromised individuals. In which publication does the CDC initially publish new or updated vaccine recommendations? - CORRECT ANSWER Morbidity and Mortality Weekly Report (MMWR) 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. 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 vaccines is recommended for infants to receive within 24 hours of birth? - CORRECT ANSWER Hepatitis B. 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. Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting? - CORRECT ANSWER Long-term care facilities Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? - CORRECT ANSWER Diphtheria. 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. 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. How is the live, cholera vaccine administered? - CORRECT ANSWER Orally. 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 The date the VIS was given to the patient or caregiver and the date printed on the VIS. Which of these vaccines is a live attenuated vaccine? - CORRECT ANSWER Zoster. With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: - CORRECT ANSWER Is immunosuppressed. 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 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 Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? - CORRECT ANSWER ow effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons. 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. 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. 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) 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. A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? - CORRECT ANSWER Varicella. After reconstitution, within what time frame must HZV be administered? - CORRECT ANSWER 30 minutes. Which of the following statements about establishing clinics for administering vaccines is true? - CORRECT ANSWER Technicians can administer screening questionnaires and distribute VISs. 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. 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? - CORRECT ANSWER Inject 0.25 mL now and again in 4 weeks. 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. HPV vaccine is recommended for which of the following individuals? - CORRECT ANSWER 12-year-old boy. Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? - CORRECT ANSWER Smallpox Which of the following patients would be a candidate for PPSV23? - CORRECT ANSWER 25-year-old man who smokes cigarettes. 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. 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. Which viruses are associated with the development of cancer? - CORRECT ANSWER Human papillomavirus and hepatitis B virus. 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. For which age group is the adjuvanted inactivated influenza vaccine approved? - CORRECT ANSWER 65 years and older 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 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 these vaccines is an inactivated vaccine? - CORRECT ANSWER Tdap 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. 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. 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. What is the most common complication of pertussis? - CORRECT ANSWER Pneumonia 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. 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 entity determines the specific vaccines that a pharmacist may administer? - CORRECT ANSWER States through laws and regulations 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. Which of the following diseases are transmitted through mosquito bites? - CORRECT ANSWER Yellow fever and Japanese encephalitis. Which of the following key questions is important to ask a patient before administering IIV? - CORRECT ANSWER Are you sick today? 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. [Show More]

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