APHA Immunization Certification with Complete Solutions

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? - ANSWER-Tdap. After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: - ANSWER-10 years. What is meant by the term "immunization neighborhood"? - ANSWER-Immunization stakeholders collaborate to meet community immunization needs. 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? - ANSWER-Tdap, HPV, MCV, HepB, and influenza, if during influenza season. 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? - ANSWER-HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? - ANSWER-3 doses. Which of these vaccines is an inactivated vaccine? - ANSWER-Tdap. 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 check-up, 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? - ANSWER-DTaP. Which of the following patients should receive the MMR vaccine? - ANSWER-A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine. 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? - ANSWER-DTaP, Hib, PCV13, IPV, and rotavirus. According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - ANSWER-60 years and older. According to ACIP, which of the following is a contraindication to receiving HZV? - ANSWER-Current treatment for lymphoma. 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: - ANSWER-Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? - ANSWER-Inject subcutaneously at a 45° angle in the outer aspect of the upper arm. In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? - ANSWER-HPV In the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to: - ANSWER-Comfort the child and engage in quiet activities. Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? - ANSWER-For the patient's lifetime. HZV should not be administered to a patient with a history of anaphylaxis to: - ANSWER-Gelatin Which of the following key questions is important to ask a patient before administering IIV? - ANSWER-Are you sick today? Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? - ANSWER-Inject intramuscularly at a 90° angle in the deltoid muscle. 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? - ANSWER-DTaP, IPV, MMR, and varicella. Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? - ANSWER-Diphtheria 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? - ANSWER-The series should not be restarted; resume the series where it was interrupted. 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? - ANSWER- For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - ANSWER-Administer these 2 vaccines at the same visit. In which publication does the CDC initially publish new or updated vaccine recommendations? - ANSWER-Morbidity and Mortality Weekly Report (MMWR) 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? - ANSWER-Tdap Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - ANSWER-Health care providers must use safety devices when administering injectable vaccines. Which of the following is most likely to result in an influenza pandemic? - ANSWER-Antigenic shift in an influenza A virus. Arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine? - ANSWER-Tetanus and diphtheria toxoid-containing vaccines. The incubation period for influenza can range from: - ANSWER-1 to 4 days Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? - ANSWER-Influence of a health care provider. 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. - ANSWER-Administer PCV13 at age 65, then PPSV23 at age 69 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. At what point during pregnancy is it recommended to administer the influenza vaccine? - ANSWER-Anytime is safe 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? - ANSWER-Diagnosis of chickenpox by a health care provider. What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - ANSWER-1 inch. Why should refrigerated vaccines be stored in the middle of the refrigerator? - ANSWER-There are fewer temperature fluctuations. What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? - ANSWER-Passive immunity 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? - ANSWER-Tetanus Which of the following patients is a candidate for both MenACWY and MenB vaccines? - ANSWER-A 10 year-old who just had his spleen removed. Which of the following statements is true regarding how vaccines evoke an immune response? - ANSWER-The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells. If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? - ANSWER-Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance. Which of the following diseases are transmitted through