Immunization Certification Exam
Questions and Complete Solutions
Graded A+
Prevnar - Answer: pneumococcal conjugate vaccine, 12 serotypes, same as PPSV23
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
Questions and Complete Solutions
Graded A+
Prevnar - Answer: pneumococcal conjugate vaccine, 12 serotypes, same as PPSV23
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
