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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?
Tdap, HPV, MCV, HepB, and influenza, if during influenza season.
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?
0, 1, and 6 months.
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?
Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens
Health care providers must use safety devices when administering injectable vaccines
Which of the following statements is true regarding varicella-containing vaccines?
The potency of HZV is greater than that of varicella vaccine.
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.
Administer PCV13 at age 65, then PPSV23 at age 69
after 65, give PPSV23 if it has been 5 yrs since last PPSV23 and one year after after PCV13
HealthMap Vaccine Finder is a free online tool that allows pharmacists to:
List their vaccination services so patients can find them when searching the website for nearby immunizers.
A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines?
According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an
At what point during pregnancy is it recommended to administer the influenza vaccine?
Anytime is safe
Which of the following statements is true regarding how vaccines evoke an immune response?
The antigen in the vaccine activates B cells, which produce antigen specific antibodies and memory cells.
After reconstitution, within what time frame must HZV be administered?
Which of the following statements about establishing clinics for administering vaccines is true?
Technicians can administer screening questionnaires and distribute VISs
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:
In 6 months.
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?
Precautions for vaccination
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?
DTaP, IPV, MMR, and varicella
Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines?
The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time
After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are
Which type of vaccine involves stimulation of B cells without the assistance of T helper cells?
Pure polysaccharide vaccines
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?
Which of the following patients would be a candidate for PPSV23?
25-year-old man who smokes cigarettes.
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
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?
HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly.
Which of these vaccines is a live attenuated vaccine?
HZV should not be administered to a patient with a history of anaphylaxis to:
RotaTeq (RV5) should be administered as a:
3-dose series to infants at 2, 4, and 6 months of age
Adolescents should be routinely vaccinated with MCV4 on the following schedule:
1 dose at age 11 to 12 years, followed by a booster dose at age 16 years.
What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb?
What is the most common complication of pertussis?
Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive:
2 doses of varicella vaccine separated by at least 4 weeks
Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb?
Inject intramuscularly at a 90° angle in the deltoid muscle.
Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated?
Influence of a health care provider.
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?
Tdap today; Td in 4 weeks; Td 6 months after the second dose.
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines?
In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age?
Which of the following statements about pharmacy-based vaccination programs is true?
Administratively, billing for vaccines covered by Medicare Part D may be easier for pharmacists than physicians.
Why are adjuvants added to vaccines?
To strengthen the immune response to the antigen.
According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her
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?
PPSV23, IIV, and HPV.
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:
Tdap as soon as possible
Which of the following diseases has been successfully eradicated worldwide through vaccination efforts?
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb?
Inject subcutaneously at a 45° angle in the outer aspect of the upper arm
Which of the following is most likely to result in an influenza pandemic?
Antigenic shift in an influenza A virus.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged:
60 years and older
A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines?
Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not
been previously vaccinated?
For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these
Administer these 2 vaccines at the same visit.
For which age group is the adjuvanted inactivated influenza vaccine approved?
65 years and older
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)?
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?
Within 6 weeks
The childhood/adolescent and adult immunization schedules are updated and published annually during which months?
January or February
Which viruses are associated with the development of cancer?
Human papillomavirus and hepatitis B virus
If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating
this patient against influenza?
Administer any age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV)
Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization
rates in their communities?
Local health departments
Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations?
For the patient's lifetime.
In which publication does the CDC initially publish new or updated vaccine recommendations?
Morbidity and Mortality Weekly Report (MMWR)
Why should refrigerated vaccines be stored in the middle of the refrigerator?
There are fewer temperature fluctuations
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?
DTaP, Hib, PCV13, IPV, and rotavirus.
The monitoring system that health care providers should use to report serious adverse events after vaccination is:
Which of the following statements about live attenuated vaccines is true?
They should generally be avoided in immunocompromised individuals
Which of the following patients is a candidate for both MenACWY and MenB vaccines?
A 10 year-old who just had his spleen removed.
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9?
11 year-old girl with no medical conditions, series has not been started
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the
Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance.
Which of the following key questions is important to ask a patient before administering IIV?
ď Are you sick today?
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?
The series should not be restarted; resume the series where it was interrupted.
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?
PCV13 first, followed by PPSV23 at least 8 weeks later.
What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis
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?
Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting?
Long-term care facilities
Herd immunity refers to which of the following situations?
Vaccination of enough individuals in a community to protect those who cannot be vaccinated
With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who:
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?
The incubation period for influenza can range from
1 to 4 days
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this
How is the live, cholera vaccine administered?
What is the standard dose of epinephrine for managing anaphylaxis?
0.01 mg per kg body weight, up to a maximum of 0.5 mg.
Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations?
Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons.
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:
Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later
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?
Inject 0.5 mL; one dose only
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?
Diagnosis of chickenpox by a health care provider
Austin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive:
2 doses of varicella vaccine separated by at least 4 weeks
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?
PPSV23, Tdap, and IIV.
Arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly
reported after which vaccine?
Tetanus and diphtheria toxoids-containing vaccines.
There should be a flat hard surface in the area where vaccines will be administered to ensure:
There is room for the patient to lie down if fainting occurs or CPR is required.
Administration of immunoglobulin following exposure to a pathogen is an example of which type of immunity?
Which type of immune response targets pathogens that have entered the cells of the host?
Which disease was the leading cause of acquired mental retardation before introduction of a vaccine?
Haemophilus influenzae type b.
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?
Tdap, HPV, MCV, HepB, and influenza, if during influenza season.
To reduce liability, pharmacists administering immunizations should take the following three steps:
Receive specialized training and stay current with vaccine information updates; educate patients about the benefits and risks
of vaccinations; and emulate local standards of care.
What is the FDA-licensed age range for the use of LAIV?
2 to 49 years of age.
As the plants mature, what happens?
What are some examples of non-living reservoirs?
What are examples of regulated waste?
During the pesticide application, that applicators risk is typically lower since the chemical has been diluted
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