APHA IMMUNIZATION COMPLETE QUESTIONS AND VERIFIED
SOLUTIONS
◍ Contraindication of HZV Answer: HZV is a live vaccine so its
contraindicated in immunocompromised patients, pregnant women,
and those who have experienced a severe allergic reaction to the
vaccine components (neomycin, gelatin)
◍ Viruses associated with the development of cancer: Answer: HPV
and Hep B
◍ There should be a flat hard surface in the area where vaccines will
be administered to ensure: Answer: there is space to perform CPR
◍ 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: Td or Tdap
◍ According to ACIP recommendations, which of the following
needle lengths would be appropriate for administering HZV to an
adult patient? Answer: 5/8 in needle at 45 degrees in the outer upper
arm (SC)
◍ How often are the Healthy People targets for vaccination rates
updated? Answer: every 10 years
,◍ 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
*MenA can be administered at 2months, MenB not recommended
until 10 yrs
HIV infection and being in the military are risk factors for MenA
◍ What must be documented for VIS? Answer: -patient name
-date vaccine was administered
-vaccine manufacturer, lot number
-name, address, title of the administer
-date printed on VIS
-date VIS was given to patient or guardian
*signatures of patient/guardian not required by federal law, but some
employers/companys may require signatures
◍ Who should receive MMR vaccine? Answer: 2 dose series at 12-15
months and 4-6 years
*no additional doses needed
, MMR is a live vaccine, not recommended until 12 months old
Adults w/o immunity evidence (being born before 1957,
documentation of MMR vaccine, lab evidence of disease) should
receive one dose
Healthcare professionals should receive 2 doses
◍ 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: Do not have to start series over
(oral typhoid is the exception)
*Increasing the interval between doses of a multi-dose vaccine series
does not diminish the ultimate effectiveness of the vaccine, but it does
delay protection for the patient.
◍ Which of the following best describes how to administer MMR
vaccine to an adult patient weighing 210 lb? Answer: SC at 45 degree
angle
*weight of patient does not matter in regards to route of
administration
◍ HPV vaccine is recommended for.. Answer: Both males and
females ages 9-26 years
SOLUTIONS
◍ Contraindication of HZV Answer: HZV is a live vaccine so its
contraindicated in immunocompromised patients, pregnant women,
and those who have experienced a severe allergic reaction to the
vaccine components (neomycin, gelatin)
◍ Viruses associated with the development of cancer: Answer: HPV
and Hep B
◍ There should be a flat hard surface in the area where vaccines will
be administered to ensure: Answer: there is space to perform CPR
◍ 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: Td or Tdap
◍ According to ACIP recommendations, which of the following
needle lengths would be appropriate for administering HZV to an
adult patient? Answer: 5/8 in needle at 45 degrees in the outer upper
arm (SC)
◍ How often are the Healthy People targets for vaccination rates
updated? Answer: every 10 years
,◍ 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
*MenA can be administered at 2months, MenB not recommended
until 10 yrs
HIV infection and being in the military are risk factors for MenA
◍ What must be documented for VIS? Answer: -patient name
-date vaccine was administered
-vaccine manufacturer, lot number
-name, address, title of the administer
-date printed on VIS
-date VIS was given to patient or guardian
*signatures of patient/guardian not required by federal law, but some
employers/companys may require signatures
◍ Who should receive MMR vaccine? Answer: 2 dose series at 12-15
months and 4-6 years
*no additional doses needed
, MMR is a live vaccine, not recommended until 12 months old
Adults w/o immunity evidence (being born before 1957,
documentation of MMR vaccine, lab evidence of disease) should
receive one dose
Healthcare professionals should receive 2 doses
◍ 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: Do not have to start series over
(oral typhoid is the exception)
*Increasing the interval between doses of a multi-dose vaccine series
does not diminish the ultimate effectiveness of the vaccine, but it does
delay protection for the patient.
◍ Which of the following best describes how to administer MMR
vaccine to an adult patient weighing 210 lb? Answer: SC at 45 degree
angle
*weight of patient does not matter in regards to route of
administration
◍ HPV vaccine is recommended for.. Answer: Both males and
females ages 9-26 years
