APhA Pharmacy-Based Immunization Delivery Final Exam Questions with Correct Answers
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What is the most appropriate recommendation for administering Tdap to pregnant patients?
Administer one dose with every pregnancy in the third trimester.
Hugh, a 56-year-old health care worker, has no laboratory evidence of immunity to measles or
mumps and cannot confirm that he had either disease. How many doses of MMR vaccine
should Hugh receive? Two doses of MMR.
Which of the following best describes how to administer hepatitis B vaccine to an adult man
who weighs 225 lbs? Intramuscularly at a 90-degree angle in the deltoid muscle.
Which of the following is the youngest age at which a child should receive inactivated influenza
vaccine? 6 months.
Vaccines should be avoided or delayed for which of the following patients? A patient ill
enough for referral to a physician or hospital.
Within a few minutes after receiving a vaccine, a patient reports not feeling well and would like
a drink of water. Which of the following would be the most appropriate action to take? Ask
the patient to sit down and begin to monitor the patient's vital signs.
Theresa is a 23-year-old woman with rheumatoid arthritis who is treated with
immunosuppressive therapies. Which of the following vaccines should be avoided for Theresa?
Varicella.
Which of these vaccines must replicate to stimulate an immune response? MMR.
Larry is a 65-year-old man with heart disease who comes to the pharmacy to refill a
prescription on October 21. His immunization record indicates that he has completed the
primary series of DTaP, MMR, hepatitis B, and hepatitis A. His last Td booster dose was 12 years
, ago. In addition to influenza, which of the following vaccines should Larry receive? PCV13
followed by PPSV23 12 months later, Tdap, and herpes zoster.
Which of the following statements is true about risks associated with vaccines and vaccine-
preventable diseases? International travelers import many cases of vaccine-preventable
diseases into the United States each year.
Which of the following is the most appropriate injection site for administering Td to an adult
patient? Deltoid muscle.
Which of the following statements best describes the approach to take with patients regarding
simultaneous administration of vaccines? A delay in the administration of vaccines increases
the risks for infection and outbreaks.
Which of the following is the minimum needle length recommended for intramuscular
administration of the influenza vaccine to an adult woman weighing 215 lbs? 1½ inches.
Which of the following would be an appropriate needle size and length for administering
varicella vaccine to an adult woman who weighs 175 lbs? 25 gauge; 5/8 inch.
Which of the following is the routine schedule for vaccinating adolescents with MCV4? One
dose at age 11 to 12 years, followed by a booster dose at age 16 years.
Which of the following is the recommended schedule for administration of the hepatitis A
vaccine? Two doses at least 6 months apart.
Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following
tetanus toxoid-containing vaccines would be appropriate for Lily? DTaP.
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What is the most appropriate recommendation for administering Tdap to pregnant patients?
Administer one dose with every pregnancy in the third trimester.
Hugh, a 56-year-old health care worker, has no laboratory evidence of immunity to measles or
mumps and cannot confirm that he had either disease. How many doses of MMR vaccine
should Hugh receive? Two doses of MMR.
Which of the following best describes how to administer hepatitis B vaccine to an adult man
who weighs 225 lbs? Intramuscularly at a 90-degree angle in the deltoid muscle.
Which of the following is the youngest age at which a child should receive inactivated influenza
vaccine? 6 months.
Vaccines should be avoided or delayed for which of the following patients? A patient ill
enough for referral to a physician or hospital.
Within a few minutes after receiving a vaccine, a patient reports not feeling well and would like
a drink of water. Which of the following would be the most appropriate action to take? Ask
the patient to sit down and begin to monitor the patient's vital signs.
Theresa is a 23-year-old woman with rheumatoid arthritis who is treated with
immunosuppressive therapies. Which of the following vaccines should be avoided for Theresa?
Varicella.
Which of these vaccines must replicate to stimulate an immune response? MMR.
Larry is a 65-year-old man with heart disease who comes to the pharmacy to refill a
prescription on October 21. His immunization record indicates that he has completed the
primary series of DTaP, MMR, hepatitis B, and hepatitis A. His last Td booster dose was 12 years
, ago. In addition to influenza, which of the following vaccines should Larry receive? PCV13
followed by PPSV23 12 months later, Tdap, and herpes zoster.
Which of the following statements is true about risks associated with vaccines and vaccine-
preventable diseases? International travelers import many cases of vaccine-preventable
diseases into the United States each year.
Which of the following is the most appropriate injection site for administering Td to an adult
patient? Deltoid muscle.
Which of the following statements best describes the approach to take with patients regarding
simultaneous administration of vaccines? A delay in the administration of vaccines increases
the risks for infection and outbreaks.
Which of the following is the minimum needle length recommended for intramuscular
administration of the influenza vaccine to an adult woman weighing 215 lbs? 1½ inches.
Which of the following would be an appropriate needle size and length for administering
varicella vaccine to an adult woman who weighs 175 lbs? 25 gauge; 5/8 inch.
Which of the following is the routine schedule for vaccinating adolescents with MCV4? One
dose at age 11 to 12 years, followed by a booster dose at age 16 years.
Which of the following is the recommended schedule for administration of the hepatitis A
vaccine? Two doses at least 6 months apart.
Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following
tetanus toxoid-containing vaccines would be appropriate for Lily? DTaP.