Download APhA Immunization Self-Study Assessment | 80 Questions | All Answers are 100% Correct and more Exams Public Health in PDF only on Docsity!
APhA Immunization Self-Study Assessment | 80 Questions |
All Answers are 100% Correct
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 cancer, leukemia, AIDS, or any other immune system problem? Correct Answer: A Which of the following diseases are transmitted through mosquito bites? A. Typhoid fever and Haemophilus influenzae type b. B. Hepatitis A and typhoid fever. C. Yellow fever and Japanese encephalitis. D. Hepatitis A and measles. Correct Answer: C 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 If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which vaccine is likely to be needed by many of the victims? A. Tetanus B. Pneumococcal C. MMR D. Meningococcal B Correct Answer: A 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? A. The date the VIS was given to the patient or caregiver and the title of the VIS.
B. The date printed on the VIS and signed confirmation that the patient has read the VIS. C. The date the VIS was given to the patient or caregiver and the date printed on the VIS. D. Signed confirmation that the patient has read the VIS and the title of the VIS. Correct Answer: C 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: A. Long-term protection B. Both short- and long-term protection C. A booster effect for the vaccine D. Prompt immunity Correct Answer: D 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 for 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 a booth of a health fair. Correct Answer: A 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 Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? A. All persons employed by the pharmacy must be offered hepatitis A and hepatitis B vaccines. B. Health care providers must use safety devices when administering injectable vaccines.
C. Serious adverse events were reported with LAIV. D. There was concern about vaccine supply issues. Correct Answer: B 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 LAIV administered 4 weeks later D. Should receive 1 dose of IIV3 or IIV4 today followed by a second dose 1 year later Correct Answer: B Which of the following statements about establishing clinics for administering vaccines is true? A. Clinics can only be held within the pharmacy. B. Technicians can administer screening questionnaires and distribute VISs. C. In all states, student pharmacists can administer vaccines during a clinic under appropriate supervision. D. Clinics are better-suited to year-round vaccines than to influenza vaccines. Correct Answer: B According to ACIP, which of the following is a contraindication to receiving HZV? A. Current treatment for lymphoma. B. Age 59 years or younger. C. Past history of herpes zoster. D. Has never received the varicella zoster vaccine (VAR). Correct Answer: A Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: A. No doses of varicella vaccine because he can be considered immune to varicella B. 1 dose of varicella vaccine. C. 2 doses of varicella vaccine separated by at least 4 weeks. D. 2 doses of varicella vaccine separated by 3 months. Correct Answer: C 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-mediated immune response. Correct Answer: B 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 a year D. Within 5 years Correct Answer: A Which of the following is most likely to result in an influenza pandemic? A. Antigenic drift in an influenza A virus. B. Antigenic shift in an influenza A virus. C. Antigenic drift in an influenza B virus. D. Antigenic shift in an influenza C virus. Correct Answer: B 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-month old with a C2 deficiency (a complement component deficiency). D. A 22 year-old military recruit. Correct Answer: A Which of the following vaccines is recommended for infants to receive within 24 hours of birth? A. IIV3, if during influenza season. B. Hepatitis A. C. Hepatitis B. D. MMR Correct Answer: C In which publication does the CDC initially publish new or updated vaccine recommendations? A. Epidemiology and Prevention of Vaccine-Preventable Diseases
D. Circulating antibodies have no impact on their effectiveness. Correct Answer: A A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? A. Varicella. B. Tdap. C. Pneumococcal. D. Hepatitis B. Correct Answer: A 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 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 The incubation period for influenza can range from: A. 1 to 4 days B. 7 to 10 days C. 2 to 3 weeks D. 3 to 4 weeks Correct Answer: A 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 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?
A. PCV13 and IIV. B. PPSV23, IIV, and HPV. C. PPSV23, IIV, HPV, and Td. D. IIV, HPV, and Td. Correct Answer: B What is meant by the term "immunization neighborhood"? A. Pharmacists live in a community where the population has met Healthy People 2020 immunization targets. B. A community has adequate access to vaccines. C. Immunization stakeholders collaborate to meet community immunization needs. D. Patient-centered medical homes provide immunization services. Correct Answer: C HealthMap Vaccine Finder is a free online tool that allows pharmacists to: A. Order vaccines from multiple distributors through a centralized hub. B. Manage vaccine inventory during shortages. C. List their vaccination services so patients can find them when searching the website for nearby immunizers. D. Order free print marketing materials. Correct Answer: C HPV vaccine is recommended for which of the following individuals? A. 36-year-old woman. B. 27-year-old woman. C. 12-year-old boy. D. 8-year-old girl. Correct Answer: C Arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine? A. Inactivated influenza vaccine (IIV). B. Tetanus and diphtheria toxoid-containing vaccines. C. Pneumococcal polysaccharide vaccine (PPSV). D. Hepatitis B vaccine. Correct Answer: B RotaTeq (RV5) should be administered as a: A. 2-dose series to infants at 2 and 4 months of age. B. 2-dose series 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
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 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 PCV 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, PCV13, IPV, and IIV. Correct Answer: B What is the standard dose of epinephrine for managing anaphylaxis? A. 0.01 mg per kg body weight, up to a maximum of 0.5 mg. B. 0.1 mg per kg body weight, up to a maximum of 5 mg. C. 0.5 mg for all patients. D. 5 mg for all patients. Correct Answer: A 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 According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? A. ½ inch. B. ⅝ inch. C. 1 inch. D. 1½ inch. Correct Answer: B Which of the following immunization strategies is preferred for adults under the age of 65 years with immunocompromising conditions who require both PCV 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 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 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 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.
A. LAIV.
B. Varicella. C. MMR. D. Tdap. Correct Answer: D 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 conditions. C. Influence of a health care provider. D. Discount coupon in local newspaper. Correct Answer: C 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 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 Why are adjuvants added to vaccines? A. To minimize the adverse reactions of the vaccine. B. To strengthen the immune response to the antigen. C. To extend the vaccines expiration date. D. To provide immediate protection from disease. Correct Answer: B 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
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 IIV. Correct Answer: B Adolescents should be routinely vaccinated with MCV4 on the following schedule: A. 1 dose at age 11 to 12 years. B. 1 dose at age 16 years. C. 1 dose at age 11 to 12 years, followed by a booster dose at age 16 years. D. 1 dose at age 16 years, followed by a booster dose at age 18 years. Correct Answer: C 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 severe adverse events. We do not stock these vaccines. B. Thimerosal in 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 flu, the extent of the illness and risk for hospitalization are greatly reduced. Correct Answer: C Which of the following statements about pharmacy-based vaccination programs is true? A. Pharmacists in any state can administer a vaccine under a collaborative practice agreement. B. All states require pharmacists to have a signed standing order or protocol to administer vaccines. C. Administratively, billing for vaccines covered by Medicare Part D may be easier for pharmacists than physicians. D. Influenza vaccine programs are less likely to have initial high demand than other vaccine programs. Correct Answer: C Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations?
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: C Which of these vaccines is a live attenuated vaccine? A. IIV4. B. Zoster. C. PPSV23. D. Td. Correct Answer: B 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 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 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 Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization rates in their communities? A. Local health departments B. Advisory Committee on Immunization Practices
C. Centers for Disease Control and Prevention D. National Vaccine Advisory Committee Correct Answer: A 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 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 0.50 mL intramuscularly; IIV 0.65 mL subcutaneously. B. HZV 0.65 mL intramuscularly; IIV 0.5 mL subcutaneously. C. HZV 0.50 mL subcutaneously; IIV 0.65 mL intramuscularly. D. HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly. Correct Answer: D
