APhA Pharmacy Based Immunization
Delivery Exam Questions & Answers
Under the direction of the U.S. Department of Health and Human Services, the Healthy People
initiative has identified the following as a goal for 2030: - ANSWERSIncrease the proportion of
persons who are vaccinated annually against seasonal influenza
The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and
the 2016 International Pharmaceutical Federation global report identify pharmacists as: -
ANSWERSIntegral to increasing vaccination rates
Opportunities for Advocacy and Collaboration include: - ANSWERSMembership in state
immunization coalition to serve as an expert on policy and practice issues affecting pharmacy
Which of the following is one of the five guidelines identified by the APhA Board of Trustees in
2019 to assist pharmacists in incorporating immunization activities into their practice? -
ANSWERSPrevention
Which of the following diseases have been eradicated worldwide, allowing vaccination to be
discontinued? - ANSWERSSmallpox
Which of the following statements is false regarding polysaccharide and conjugated vaccines? -
ANSWERSThe conjugate protein used, such as diphtheria, can also provide adequate protection
against itself in addition to the polysaccharide
Which of the following vaccines listed is a live attenuated vaccine? - ANSWERSVaricella (VAR)
,When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine
(PCV13) to a patient at their 15-month appointment, what must be considered regarding
vaccine spacing? - ANSWERSMMR and PCV14 may be administered simultaneously or at any
interval between doses
Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to
boost its immune response by targeting pathogen recognition receptors that are expressed on
dendritic cells to trigger a pro-inflammatory response? Though this technology creates a more
robust immune response, it can also increase local site reactions and systemic reactions, such as
fevers, chills, and body aches. - ANSWERSAdjuvants
Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? -
ANSWERSInactivated polysaccharide vaccine
Star Pharmacy has been providing influenza vaccines for years and is now implementing a
Hepatitis B vaccine program in their pharmacy next month. A crucial step in the Pharmacists'
Patient Care Process for this vaccine is: - ANSWERSCreate a reminder and recall system
A male patient presents to the pharmacy for a shingles vaccine appointment. The patient is a
new patient to the pharmacy. Which of the following information would be most appropriate to
collect as part of the patient care process? - ANSWERSPatient's age, current health, vaccine
history, and allergies
An electronic prescription for glipizide 10mg is received by a pharmacist for a new patient. The
prescription indicates a diagnosis of E11, Type 2 diabetes mellitus. In addition to filling the
prescription, the pharmacist could assess the patient for potential immunizations to
recommend. What form of assessment is the pharmacist utilizing? - ANSWERSDiagnosis-based
screening
The community pharmacist, while filling discharge orders from the hospital, recognizes a
patient's need for receiving the pneumococcal vaccine during a transition of care to a personal
care home. This is an example of what part of the patient care process? - ANSWERSAssess
, Which of the following statements best meets the definition of precaution? - ANSWERSA
condition that may alter or diminish the patient's response or may increase the patient's risk of
a serious reaction to a vaccine.
Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine
(LAIV) no longer recommended? - ANSWERS50 years
If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of
time that must occur between dose 1 and dose 3 when getting this child caught up? -
ANSWERS16 weeks
Which of the following vaccines is not recommended during pregnancy? - ANSWERSHuman
papillomavirus vaccine (HPV)
Which of the following vaccines is contraindicated for an adult patient with HIV and a CD4 count
<200 mm2? - ANSWERSMeasles, mumps, rubella (MMR)
A 10 year-old child received one dose of the hepatitis A vaccine at 1 year of age, but never
returned for a second dose. Which of the following is true regarding the need for a second dose
of the hepatitis A vaccine for this child? - ANSWERSGive 1 dose now as catch up
A 9 year-old was just diagnosed with asplenia. This child is up to date on all routinely
recommended vaccines. Which additional vaccine does this child need? - ANSWERSMenACWY
Which of the following is TRUE of the emergency use authorization process? -
ANSWERSManufacturers must include a plan for safety monitoring
Delivery Exam Questions & Answers
Under the direction of the U.S. Department of Health and Human Services, the Healthy People
initiative has identified the following as a goal for 2030: - ANSWERSIncrease the proportion of
persons who are vaccinated annually against seasonal influenza
The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and
the 2016 International Pharmaceutical Federation global report identify pharmacists as: -
ANSWERSIntegral to increasing vaccination rates
Opportunities for Advocacy and Collaboration include: - ANSWERSMembership in state
immunization coalition to serve as an expert on policy and practice issues affecting pharmacy
Which of the following is one of the five guidelines identified by the APhA Board of Trustees in
2019 to assist pharmacists in incorporating immunization activities into their practice? -
ANSWERSPrevention
Which of the following diseases have been eradicated worldwide, allowing vaccination to be
discontinued? - ANSWERSSmallpox
Which of the following statements is false regarding polysaccharide and conjugated vaccines? -
ANSWERSThe conjugate protein used, such as diphtheria, can also provide adequate protection
against itself in addition to the polysaccharide
Which of the following vaccines listed is a live attenuated vaccine? - ANSWERSVaricella (VAR)
,When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine
(PCV13) to a patient at their 15-month appointment, what must be considered regarding
vaccine spacing? - ANSWERSMMR and PCV14 may be administered simultaneously or at any
interval between doses
Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to
boost its immune response by targeting pathogen recognition receptors that are expressed on
dendritic cells to trigger a pro-inflammatory response? Though this technology creates a more
robust immune response, it can also increase local site reactions and systemic reactions, such as
fevers, chills, and body aches. - ANSWERSAdjuvants
Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? -
ANSWERSInactivated polysaccharide vaccine
Star Pharmacy has been providing influenza vaccines for years and is now implementing a
Hepatitis B vaccine program in their pharmacy next month. A crucial step in the Pharmacists'
Patient Care Process for this vaccine is: - ANSWERSCreate a reminder and recall system
A male patient presents to the pharmacy for a shingles vaccine appointment. The patient is a
new patient to the pharmacy. Which of the following information would be most appropriate to
collect as part of the patient care process? - ANSWERSPatient's age, current health, vaccine
history, and allergies
An electronic prescription for glipizide 10mg is received by a pharmacist for a new patient. The
prescription indicates a diagnosis of E11, Type 2 diabetes mellitus. In addition to filling the
prescription, the pharmacist could assess the patient for potential immunizations to
recommend. What form of assessment is the pharmacist utilizing? - ANSWERSDiagnosis-based
screening
The community pharmacist, while filling discharge orders from the hospital, recognizes a
patient's need for receiving the pneumococcal vaccine during a transition of care to a personal
care home. This is an example of what part of the patient care process? - ANSWERSAssess
, Which of the following statements best meets the definition of precaution? - ANSWERSA
condition that may alter or diminish the patient's response or may increase the patient's risk of
a serious reaction to a vaccine.
Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine
(LAIV) no longer recommended? - ANSWERS50 years
If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of
time that must occur between dose 1 and dose 3 when getting this child caught up? -
ANSWERS16 weeks
Which of the following vaccines is not recommended during pregnancy? - ANSWERSHuman
papillomavirus vaccine (HPV)
Which of the following vaccines is contraindicated for an adult patient with HIV and a CD4 count
<200 mm2? - ANSWERSMeasles, mumps, rubella (MMR)
A 10 year-old child received one dose of the hepatitis A vaccine at 1 year of age, but never
returned for a second dose. Which of the following is true regarding the need for a second dose
of the hepatitis A vaccine for this child? - ANSWERSGive 1 dose now as catch up
A 9 year-old was just diagnosed with asplenia. This child is up to date on all routinely
recommended vaccines. Which additional vaccine does this child need? - ANSWERSMenACWY
Which of the following is TRUE of the emergency use authorization process? -
ANSWERSManufacturers must include a plan for safety monitoring
