APHA FINAL ASSESSMENT ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Can technicians administer vaccinations? Answer: No
◉ Pregnant women should not get what kind of vaccines? Answer:
Live
◉ Antigenic shifts produce ________ changes in type _____ antigens
Answer: MAJOR; A
◉ Antigenic drifts produce ________ changes in type ______ antigens
Answer: minor; A and B
◉ Children are more likely to get what type of influenza strain?
Answer: B
◉ Which type of influenza strain is responsible for pandemics?
Answer: A
◉ How long does immunity from the influenza vaccine typically last?
Answer: 6-8 months
,◉ If a baby is born prematurely, do you need to adjust their
vaccination schedule to begin at their due date? Answer: No, no
adjustment--use actual birthday
◉ True or false: you should never vaccinate somebody with a mild
illness? (mild fever, upper respiratory tract infection, otitis media,
mild diarrhea) Answer: False--you can vaccinate people with mild
illnesses
◉ Will administering multiple vaccines on one day produce adverse
effects? Answer: No
◉ Can a pregnant pharmacist administer a live vaccine? Answer: Yes
◉ Which publication does the CDC generally use to quickly notify
providers of updates to vaccine recommendations? Answer: MMWR.
◉ What is the only flu vaccine approved for patients under 3 years
old? Answer: Fluzone IIV
◉ What is an example of mass screening? Answer: Providing vaccine
information at a booth of a health fair.
,◉ What is an example of a procedure-based screening? Answer:
Recommending vaccinations for a patient undergoing a splenectomy.
◉ What is an example of an occurrence-based screening? Answer:
Providing hospital discharge counseling to a patient.
◉ What type of immunity targets pathogens that are circulating
freely in body fluids, such as blood, plasma, and lymph. Answer:
Humoral immunity
◉ What is the written vaccine update source also known as the
"pink book?" Answer: Epidemiology and Prevention of Vaccine-
Preventable Diseases.
◉ What form is required to receive compensation for giving a
vaccination? Answer: CMS-1500.
◉ All Medicare Part B enrollees are covered for which two vaccines?
Answer: Influenza and pneumococcal.
◉ 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? Answer: 0, 1, and 6 months.
◉ Which of the following statements is true regarding
administration of LAIV? Answer: Administer with the patient's head
tilted slightly backward.
◉ Live vaccines are contraindicated in a patient who: Answer: Is
immunosuppressed.
◉ Which of the following diseases has been successfully eradicated
worldwide through vaccination efforts? Answer: Smallpox
◉ 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 PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Can technicians administer vaccinations? Answer: No
◉ Pregnant women should not get what kind of vaccines? Answer:
Live
◉ Antigenic shifts produce ________ changes in type _____ antigens
Answer: MAJOR; A
◉ Antigenic drifts produce ________ changes in type ______ antigens
Answer: minor; A and B
◉ Children are more likely to get what type of influenza strain?
Answer: B
◉ Which type of influenza strain is responsible for pandemics?
Answer: A
◉ How long does immunity from the influenza vaccine typically last?
Answer: 6-8 months
,◉ If a baby is born prematurely, do you need to adjust their
vaccination schedule to begin at their due date? Answer: No, no
adjustment--use actual birthday
◉ True or false: you should never vaccinate somebody with a mild
illness? (mild fever, upper respiratory tract infection, otitis media,
mild diarrhea) Answer: False--you can vaccinate people with mild
illnesses
◉ Will administering multiple vaccines on one day produce adverse
effects? Answer: No
◉ Can a pregnant pharmacist administer a live vaccine? Answer: Yes
◉ Which publication does the CDC generally use to quickly notify
providers of updates to vaccine recommendations? Answer: MMWR.
◉ What is the only flu vaccine approved for patients under 3 years
old? Answer: Fluzone IIV
◉ What is an example of mass screening? Answer: Providing vaccine
information at a booth of a health fair.
,◉ What is an example of a procedure-based screening? Answer:
Recommending vaccinations for a patient undergoing a splenectomy.
◉ What is an example of an occurrence-based screening? Answer:
Providing hospital discharge counseling to a patient.
◉ What type of immunity targets pathogens that are circulating
freely in body fluids, such as blood, plasma, and lymph. Answer:
Humoral immunity
◉ What is the written vaccine update source also known as the
"pink book?" Answer: Epidemiology and Prevention of Vaccine-
Preventable Diseases.
◉ What form is required to receive compensation for giving a
vaccination? Answer: CMS-1500.
◉ All Medicare Part B enrollees are covered for which two vaccines?
Answer: Influenza and pneumococcal.
◉ 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? Answer: 0, 1, and 6 months.
◉ Which of the following statements is true regarding
administration of LAIV? Answer: Administer with the patient's head
tilted slightly backward.
◉ Live vaccines are contraindicated in a patient who: Answer: Is
immunosuppressed.
◉ Which of the following diseases has been successfully eradicated
worldwide through vaccination efforts? Answer: Smallpox
◉ 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 PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
