2022 APhA Immunization Self-Assessment Questions |
80 Questions with 100% Correct Answers
Which of these vaccines is a live attenuated vaccine? Correct Answer: Zoster
Which of the following patients are appropriate candidates for the 2-dose schedule
of HPV9? Correct Answer: 11 year-old girl with no medical conditions, series has
not been started
RotaTeq (RV5) should be administered as a: Correct Answer: 3-dose series to
infants at 2, 4 and 6 months of age
Which of the following statements about live attenuated vaccines is true? Correct
Answer: They should generally be avoided in immunocompromised individuals.
According to ACIP, which of the following is a contraindication to receiving HZV?
Correct Answer: Current treatment for lymphoma
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
According to ACIP recommendations, which of the following needle lengths
would be appropriate for administering HZV to an adult patient? Correct Answer:
5/8 inch
If a patient is a candidate for revaccination with PPSV23, what is the ACIPrecommended interval between doses of this vaccine? Correct Answer: 5 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 checkup, 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
What is the minimum needle length recommended for administering HepB vaccine
to an adult patient weighing 130 lb? Correct Answer: 1 inch
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Which of the following key questions is important to ask a patient before
administering IIV? Correct Answer: Are you sick today?
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
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
Why are adjuvants added to vaccines? Correct Answer: To strengthen the immune
response to the antigen
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? Correct Answer: Tdap, HPV, MCV,
HepB, and influenza, if during influenza season
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 patients is a candidate for both MenACWY and MenB
vaccines? Correct Answer: A 10 year-old who just had his spleen removed
Why should refrigerated vaccines be stored in the middle of the refrigerator?
Correct Answer: There are fewer temperature fluctuations
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
How is the live, cholera vaccine administered? Correct Answer: Orally
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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
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: Correct Answer: Should receive 1 dose
of IIV4 today followed by a second dose of IIV4 administered 4 weeks later
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
Which of these vaccines is an inactivated vaccine? Correct Answer: Tdap
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A
is endemic. He received his first dose of hepatitis A vaccine today. Alex should be
counseled to return for his second dose of hepatitis A vaccine: Correct Answer: In
6 months
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
A history of anaphylaxis caused by gelatin would be a contraindication to receiving
which of the following vaccines? Correct Answer: Varicella
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 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
HPV vaccine is recommended for which of the following individuals? Correct
Answer: 12-year-old boy
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Which of the following patients would be a candidate for PPSV23? Correct
Answer: 25-year-old man who smokes cigarettes
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
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
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
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
The monitoring system that health care providers should use to report serious
adverse events after vaccination is: Correct Answer: VAERS
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 degree
angle in the deltoid muscle
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
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
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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
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
With the exception of rotavirus, the routinely recommended live vaccines are
contraindicated in a patient who: Correct Answer: Is immunosuppressed
What is meant by the term "immunization neighborhood"? Correct Answer:
Immunization stakeholders collaborate to meet community immunization needs.
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 PCV2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
4 doses of DTaP
1 dose of varicella
4 doses of Hib
Which vaccines should David receive at this visit? Correct Answer: DTaP, IPV,
MMR, and varicella
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 Bpositive 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
Which of the following is most likely to result in an influenza pandemic? Correct
Answer: Antigenic shift in an influenza A virus
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Which disease is almost certain to cause death if infected patients do not receive
postexposure prophylaxis? Correct Answer: Rabies
Which of the following statements about establishing clinics for administering
vaccines is true? Correct Answer: Technicians can administer screening
questionnaires and distribute VISs.
Which of the following vaccines is recommended for infants to receive within 24
hours of birth? Correct Answer: Hepatitis B
A history of anaphylaxis caused by neomycin would be a contraindication to
receiving which of the following vaccines? Correct Answer: IPV
Name the vaccine-preventable disease that may be contracted by unimmunized
children from adults (who can serve as a reservoir for the disease), which causes a
paroxysmal cough and potentially can result in pneumonia, seizures,
encephalopathy, hypoxia, and death. Correct Answer: Pertussis
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
Which viruses are associated with the development of cancer? Correct Answer:
Human papillomavirus and hepatitis B virus
After completion of a primary vaccine series and documentation of a one-time
dose of Tdap, Td booster doses are recommended every: Correct Answer: 10 years
Which type of vaccine involves stimulation of B cells without the assistance of T
helper cells? Correct Answer: Pure polysaccharide vaccines
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
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Which vaccines should Ava receive at today's visit? Correct Answer: DTaP, Hib,
PCV13, IPV, and rotavirus
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
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 of the following best describes how to administer MMR vaccine to an adult
patient weighing 210 lb? Correct Answer: Inject subcutaneously at a 45 degree
angle in the outer aspect of the upper arm.
Which of the following patients should receive the MMR vaccine? Correct
Answer: A pharmacist born in 1975 with documentation of 1 dose of MMR
vaccine.
Which entity determines the specific vaccines that a pharmacist may administer?
Correct Answer: States through laws and regulations
Which disease is characterized by the development of a membrane on the tonsils.
pharynx, or larynx, leading to respiratory obstruction? Correct Answer: Diphtheria
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
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.
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.
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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 is the best example of a group with which individual
pharmacists can collaborate to increase immunization rates in their communities?
Correct Answer: Local health departments
At what point during pregnancy is it recommended to administer the influenza
vaccine? Correct Answer: Anytime is safe
Which of the following diseases are transmitted through mosquito bites? Correct
Answer: Yellow fever and Japanese encephalitis
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
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.
What is the most common complication of pertussis? Correct Answer: Pneumonia
Which of the following statements is true regarding varicella-containing vaccines?
Correct Answer: The potency of HZV is greater than that of varicella vaccine.
Federal law makes offering an annual influenza vaccination a requirement for
continued federal funding in which setting? Correct Answer: Long-term care
facilities
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.
For which age group is the adjuvanted inactivated influenza vaccine approved?
Correct Answer: 65 years and older
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How often are the Healthy People targets for vaccination rates updated? Correct
Answer: Every 10 years
The presence of fever, diffuse maculopapular rash, and Koplik spots are
characteristic of which of the following diseases? Correct Answer: Measles
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
According to ACIP recommendations, HZV is indicated for the prevention of
herpes zoster in adults aged: Correct Answer: 60 years and older
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