APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
What is the most common complication of pertussis?
A. Seizures
B. Pneumonia B. Pneumonia
C. Hypoxemia
D. Colic
Herd immunity refers to which of the following situa-
tions?
A. Vaccination of enough individuals in a community to
protect those who cannot be vaccinated
A. Vaccination of enough individuals in a community to
B. Immunity that occurs following infection with wild-type
protect those who cannot be vaccinated
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
Which viruses are associated with the development of
cancer?
A. Human papillomavirus and hepatitis B virus
A. Human papillomavirus and hepatitis B virus
B. Varicella virus and hepatitis A virus
C. Hepatitis A and herpes zoster
D. Rubella and varicella virus
Which of the following patients would be a candidate for
PPSV23?
A. 12-month-old boy with asthma
B. 25-year-old man who smokes cigarettes
B. 25-year-old man who smokes cigarettes
C. 33-year-old woman who is pregnant
D. 50-year-old woman with no medical conditions
Which of the following is recognized by sociologists as a
factor in a patient's decision whether to be vaccinated?
C. Influence of health care provider
A. History of medication use
B. History of chronic medical condition
,APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
C. Influence of health care provider
D. Discount coupon in local newspaper
How often are Healthy People targets for vaccination rates
updated?
A. Every year
C. Every 10 years
B. Every 5 years
C. Every 10 years
D. Every 20 years
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 he-
patitis B vaccine and would like to be vaccinated before
administering vaccines in his practice. What is the recom-
mended routine schedule for vaccination against hepatitis D. 0, 1, and 6 months
B?
A. 0 and 2 months
B. 0 and 6 months
C. 0, 1, and 2 months
D. 0, 1, and 6 months
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 trans-
fusion or immune (gamma) globulin? A. Are you sick today?
C. Have you received any vaccinations in the past 4
weeks?
D. Do you have any cancer, Leukemia, AIDS, or any other
immune problem?
What is the type of immunity occurs when a pregnant
woman is vaccinated with Tdap to protect the infant from
,APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
pertussis after birth?
A. Active immunity
B. Acquired immunity D. Passive immunity
C. Cell-mediated immunity
D. Passive immunity
What is the minimum needle length recommended for
administering HepB vaccine to an adult patient weighing
130 lb?
A. 1/2 in C. 1 in
B. 5/8 in
C. 1 in
D. 1 1/2 in
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 adverse ettects. We do not stock vaccines.
C. The immune system is capable of stimulating an im-
B. Thimerosal vaccines poses a risk for autism - we can use
mune response to multiple vaccines administered at the
a vaccine that is thimerosal-free.
same time.
C. The immune system is capable of stimulating an im-
mune 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.
According to ACIP, which of the following is a contraindi-
cation to receiving HZV?
A. Current treatment for lymphoma
A. Current treatment for lymphoma
B. Age 59 years and younger
C. Past history of herpes zoster
D. Has never received the varicella zoster vaccine (VAR)
, APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
For which age group is the adjuvanted inactivated influen-
za vaccine approved?
A. 2-49 years
D. 65 years and older
B. 19-64 years
C. 4 years and older
D. 65 years and older
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 ad-
ministering these vaccines to this patient?
D. HZV 0.65 mL SC; IIV 0.5 mL IM
A. HZV 0.5 mL IM; IIV 0.65 mL SC
B. HZV 0.65 mL IM; IIV 0.5 mL SC
C. HZV 0.5 mL SC; IIV 0.65 mL IM
D. HZV 0.65 mL SC; IIV 0.5 mL IM
RotaTeq (RV5) should be administered as a
A. 2-dose series to infants at 2 and 4 months of age
B. 2-dose to infants at 0 and 6 months of age C. 3-dose series to infants at 2, 4, 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
With the exception of rotavirus, the routinely recommend-
ed live vaccines are contraindicated in a patient who
A. is finishing a course of antibiotics
C. is immunocompromised
B. is breastfeeding
C. is immunocompromised
D. received another live vaccine 6 weeks ago
Which of the following best describes how to administer
Tdap vaccine to an adult patient weighing 185 lb?
A. Inject subcutaneously at a 45 degree angle in the outer
aspect of the upper arm
B. Inject intramuscularly at a 45 degree angle in the del-
Answers Rated A
What is the most common complication of pertussis?
A. Seizures
B. Pneumonia B. Pneumonia
C. Hypoxemia
D. Colic
Herd immunity refers to which of the following situa-
tions?
A. Vaccination of enough individuals in a community to
protect those who cannot be vaccinated
A. Vaccination of enough individuals in a community to
B. Immunity that occurs following infection with wild-type
protect those who cannot be vaccinated
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
Which viruses are associated with the development of
cancer?
A. Human papillomavirus and hepatitis B virus
A. Human papillomavirus and hepatitis B virus
B. Varicella virus and hepatitis A virus
C. Hepatitis A and herpes zoster
D. Rubella and varicella virus
Which of the following patients would be a candidate for
PPSV23?
A. 12-month-old boy with asthma
B. 25-year-old man who smokes cigarettes
B. 25-year-old man who smokes cigarettes
C. 33-year-old woman who is pregnant
D. 50-year-old woman with no medical conditions
Which of the following is recognized by sociologists as a
factor in a patient's decision whether to be vaccinated?
C. Influence of health care provider
A. History of medication use
B. History of chronic medical condition
,APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
C. Influence of health care provider
D. Discount coupon in local newspaper
How often are Healthy People targets for vaccination rates
updated?
A. Every year
C. Every 10 years
B. Every 5 years
C. Every 10 years
D. Every 20 years
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 he-
patitis B vaccine and would like to be vaccinated before
administering vaccines in his practice. What is the recom-
mended routine schedule for vaccination against hepatitis D. 0, 1, and 6 months
B?
A. 0 and 2 months
B. 0 and 6 months
C. 0, 1, and 2 months
D. 0, 1, and 6 months
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 trans-
fusion or immune (gamma) globulin? A. Are you sick today?
C. Have you received any vaccinations in the past 4
weeks?
D. Do you have any cancer, Leukemia, AIDS, or any other
immune problem?
What is the type of immunity occurs when a pregnant
woman is vaccinated with Tdap to protect the infant from
,APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
pertussis after birth?
A. Active immunity
B. Acquired immunity D. Passive immunity
C. Cell-mediated immunity
D. Passive immunity
What is the minimum needle length recommended for
administering HepB vaccine to an adult patient weighing
130 lb?
A. 1/2 in C. 1 in
B. 5/8 in
C. 1 in
D. 1 1/2 in
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 adverse ettects. We do not stock vaccines.
C. The immune system is capable of stimulating an im-
B. Thimerosal vaccines poses a risk for autism - we can use
mune response to multiple vaccines administered at the
a vaccine that is thimerosal-free.
same time.
C. The immune system is capable of stimulating an im-
mune 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.
According to ACIP, which of the following is a contraindi-
cation to receiving HZV?
A. Current treatment for lymphoma
A. Current treatment for lymphoma
B. Age 59 years and younger
C. Past history of herpes zoster
D. Has never received the varicella zoster vaccine (VAR)
, APhA Pharmacy-Based Immunization Delivery Assessment Test with
Answers Rated A
For which age group is the adjuvanted inactivated influen-
za vaccine approved?
A. 2-49 years
D. 65 years and older
B. 19-64 years
C. 4 years and older
D. 65 years and older
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 ad-
ministering these vaccines to this patient?
D. HZV 0.65 mL SC; IIV 0.5 mL IM
A. HZV 0.5 mL IM; IIV 0.65 mL SC
B. HZV 0.65 mL IM; IIV 0.5 mL SC
C. HZV 0.5 mL SC; IIV 0.65 mL IM
D. HZV 0.65 mL SC; IIV 0.5 mL IM
RotaTeq (RV5) should be administered as a
A. 2-dose series to infants at 2 and 4 months of age
B. 2-dose to infants at 0 and 6 months of age C. 3-dose series to infants at 2, 4, 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
With the exception of rotavirus, the routinely recommend-
ed live vaccines are contraindicated in a patient who
A. is finishing a course of antibiotics
C. is immunocompromised
B. is breastfeeding
C. is immunocompromised
D. received another live vaccine 6 weeks ago
Which of the following best describes how to administer
Tdap vaccine to an adult patient weighing 185 lb?
A. Inject subcutaneously at a 45 degree angle in the outer
aspect of the upper arm
B. Inject intramuscularly at a 45 degree angle in the del-
