Immunization Certification (with citations - 100% pass verified)

Immunization Certification (with citations - 100% pass verified) 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? Correct Answer: Tdap. After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: Correct Answer: 10 years. [Module3 p18] What is meant by the term "immunization neighborhood"? Correct 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? Correct 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? Correct 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? Correct Answer: 3 doses [Module3 p34] Which of these vaccines is an inactivated vaccine? Correct 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? Correct Answer: DTaP [Module3 p17] Which of the following patients should receive the MMR vaccine? Correct 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? Correct Answer: DTaP, Hib, PCV13, IPV, and rotavirus. According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: Correct Answer: 60 years and older. (ACIP recommends routine vaccination of all individual 60 yrs of age or older who have no valid contraindications or precautions to receiving the vaccine.) [Module3 p24] According to ACIP, which of the following is a contraindication to receiving HZV? Correct Answer: Current treatment for lymphoma. [Module3 p25] 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: Correct Answer: Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later [Table 3.3 Module3 p8] (All people and 6 mo or older should receive 1 dose of the influenza vaccine each yr during the influenza season. *The single exception to this recommendation is for all children aged 6 months to 8 yrs receiving influenza vaccination for the first time*. These children should receive 2 doses, administered at least 4 weeks apart in the same season.) [Module3 p10] Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? Correct 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? Correct Answer: HPV In the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to: Correct 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? Correct Answer: For the patient's lifetime. [Module4 p4] HZV should not be administered to a patient with a history of anaphylaxis to: Correct Answer: Gelatin [Module3 p25] Which of the following key questions is important to ask a patient before administering IIV? Correct Answer: Are you sick today? Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? Correct Answer: Inject intramuscularly at a 90° angle in the deltoid muscle. (... intramuscularly (for all vaccines containing tetanus, diphtheria, and pertussis).) [Module3 p20] [F4.2 Module4 p21] 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? Correct Answer: DTaP, IPV, MMR, and varicella. [See: CDC Recommended Immunization Schedule] Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? Correct Answer: Diphtheria [Module3 p15] 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? Correct 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? Correct Answer: IIV, HPV, and PPSV23 (All people aged 6 mo+ should receive 1 dose of the influenza vaccine each yr during the influenza season) [Module3 p10] (9vHPV is indicated for administration to girls and women 9-26 yrs of age ... If patients to not initiate vaccination before 15 yrs of age, they should receive a 3-dose series ... Catch up vaccination is recommended for patients until they reach 26 yrs of age.) [Module3 p27] [T3.7]: Recommendations for Pneumococcal Vaccination of Adults with Select Conditions by Age (From 2017 adult schedule: Because Kate has asthma, both the recommended immunization schedule for adults aged 19 years or older by age group and the recommended immunization schedule for adults aged 19 years or older by medical condition and other indications should be used to determine which vaccines she needs. PPSV23 is recommended for those ages 19 through 64 years of age with asthma. She did not receive HPV as an adolescent and is younger than 27 years of age so she would be a candidate for HPV vaccination. Influenza vaccine is universally recommended and is important for Kate because her asthma places her at high-risk for influenza complications. She will not need Td vaccination for another 8 years. PCV13 is recommended for those with immunocompromising conditions, but not asthma.) For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? Correct Answer: Administer these 2 vaccines at the same visit. In which publication does the CDC initially publish new or updated vaccine recommendations? Correct 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? Correct Answer: Tdap [T3.5] Which of the following is a requirement of the Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? Correct 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? Correct 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? Correct Answer: Tetanus and diphtheria toxoid-containing vaccines. [Module3 pp19-20] The incubation period for influenza can range from: Correct Answer: 1 to 4 days [Module3 p2] Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? Correct Answer: Influence of a health care provider. [Module4 p15] 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. Correct Answer: Administer PCV13 at age 65, then PPSV23 at age 69 [F3.15, T3.6] (Patients who received PPSV23 *before they turned 65* should have both vaccines administered after 65 yrs. The patient should first receive PPV13 at least 1 yr after the most recent dose of PPSV23, -then- a dose of PPSV23 *at least 1 yr after PCV13 and at least 5 years after the last dose of PPSV23*.) [Module3 pp34-35] 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? Correct Answer: 0, 1, and 6 months. [Module3 pp42-43] At what point during pregnancy is it recommended to administer the influenza vaccine? Correct 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? Correct Answer: Diagnosis of chickenpox by a health care provider. [Module4 pp21-22] What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? Correct Answer: 1 inch [T3.8] [Module4 p23] Why should refrigerated vaccines be stored in the middle of the refrigerator? Correct Answer: There are fewer temperature fluctuations. [Module5 p7] What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? Correct 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? Correct Answer: Tetanus Which of the following patients is a candidate for both MenACWY and MenB vaccines? Correct Answer: A 10 year-old who just had his spleen removed. *MenACWY*---children 2-10 yrs with high-risk conditions (anatomic or functional asplenia) *MenB*---routine use in all individuals aged 10 yrs+ who are at increased risk, including patients with anatomic or functional asplenia or component deficiency [Module3 pp38-39] Which of the following statements is true regarding how vaccines evoke an immune response? Correct 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? Correct Answer: Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance. [Module3 p12, Module5 p7] Which of the following diseases are transmitted through mosquito bites? Correct Answer: Yellow fever and Japanese encephalitis. [Module3 p51] Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization rates in their communities? Correct Answer: Local health departments A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B-positive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides: Correct Answer: Prompt immunity There should be a flat hard surface in the area where vaccines will be administered to ensure: Correct Answer: There is room for the patient to lie down if fainting occurs or CPR is required. Why are adjuvants added to vaccines? Correct Answer: To strengthen the immune response to the antigen. [Module2 p8] Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines? Correct Answer: The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time. Which viruses are associated with the development of cancer? Correct Answer: Human papillomavirus and hepatitis B virus. [Module3 pp26,41] Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? Correct Answer: Rabies. [Module3 p50] Which of the following statements about pharmacy-based vaccination programs is true? Correct Answer: Administratively, billing for vaccines covered by Medicare Part D may be easier for pharmacists than physicians. [Module 5, p14) After reconstitution, within what time frame must HZV be administered? Correct Answer: 30 minutes. [Module3 p26] How often are the Healthy People targets for vaccination rates updated? Correct Answer: Every 10 years. [Module1 p5] For which age group is the adjuvanted inactivated influenza vaccine approved? Correct Answer: 65 years and older Which of the following statements about establishing clinics for administering vaccines is true? Correct Answer: Technicians can administer screening questionnaires and distribute VISs. [Module5 p9] Which of these vaccines is a live attenuated vaccine? Correct Answer: Zoster. Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? Correct Answer: VIS. [Module4 p20] With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: Correct Answer: Is immunosuppressed. [Module2 p6] Jackie is a 34-year-old woman who received an influenza vaccine from you today. She wants to know how long it will take for the vaccine to begin working to protect her from getting the flu. What would be the most appropriate response to this patient? Correct Answer: 14 days [Module3 p11] What is the standard dose of epinephrine for managing anaphylaxis? Correct Answer: 0.01 mg per kg body weight, up to a maximum of 0.5 mg. [Module4 p25] Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children younger than 5 years of age? Correct Answer: Haemophilus influenzae type b. [Module3 p46] Which of the following patients would be a candidate for PPSV23? Correct Answer: 25-year-old man who smokes cigarettes. [T3.7]: Recommendations for Pneumococcal Vaccination of Adults with Select Conditions by Age Name the vaccine-preventable disease that may be contracted by unimmunized children from adults serving as reservoirs for the disease, which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. Correct Answer: Pertussis [Module3 p16] Vaccines as well as exposure to natural disease are both examples of which type of immunity? Correct Answer: Active immunity If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? Correct Answer: Administer any age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV). [Module3 p12] What is the time interval for which the development of Guillain-Barré syndrome following influenza vaccination would result in a precaution for future influenza vaccines? Correct Answer: Within 6 weeks. [T4.2] [Module3 p4] Which of the following vaccines may be administered to boys and young men aged 9 through 26 years to reduce the likelihood of acquiring genital warts? Correct Answer: HPV9. (9vHPV) [Module3 p27] Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? Correct Answer: Pure polysaccharide vaccines When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what does the orange bar represent? Correct Answer: Precautions for vaccination. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? Correct Answer: IPV [Module3 p49] A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? Correct Answer: Varicella. Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? Correct Answer: Performing a medication review for a patient who has diabetes. [Module4 p6] The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? Correct Answer: Measles [Module3 p29] If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? Correct Answer: 5 years. Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: Correct Answer: 2 doses of varicella vaccine separated by at least 4 weeks. (All susceptible adolescents and adults should receive 2 doses of the varicella vaccine if they cannot demonstrate immunity ... For patients older than 13 yrs of age, the 2 doses should be separated by at least 4 weeks.) [Module3 p22] Tom is a 9-year old boy who has never had an influenza vaccine. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. What dose and schedule of IIV should be administered to Tom? Correct Answer: Inject 0.5 mL; one dose only (All people and 6 mo or older should receive 1 dose of the influenza vaccine each yr during the influenza season. *The single exception to this recommendation is for all children aged 6 months to 8 yrs receiving influenza vaccination for the first time*. These children should receive 2 doses, administered at least 4 weeks apart in the same season.) [Module3 p10] Adolescents should be routinely vaccinated with MCV4 on the following schedule: Correct Answer: 1 dose at age 11 to 12 years, followed by a booster dose at age 16 years. [Module3 p37] All Medicare Part B enrollees are covered for which vaccines? Correct Answer: Influenza, PPSV23, and PCV13 According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? Correct Answer: ⅝ inch. (23-25 gauge needle) John is a 46-year-old man with diabetes. He requests a refill of his diabetes testing supplies on October 21st. His immunization record indicates that he has completed the primary series of MMR, DTaP, HepA, and HepB vaccines. John has a documented history of chickenpox, and his last Td booster dose was 19 years ago. Which of the following vaccines should he receive? Correct Answer: PPSV23, Tdap, and IIV. [T3.7] PPSV23 recommended for use in adults with select conditions (see table) (Any person 11-64 yrs of age without documentation of a Tdap dose should receive a one-time dose.) [Module3 p18] (All people aged 6 mo+ should receive 1 dose of the influenza vaccine each yr during the influenza season) [Module3 p10] RotaTeq (RV5) should be administered as a: Correct Answer: 2-dose series to infants at 2 and 4 months of age. Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? Correct Answer: Smallpox HealthMap Vaccine Finder is a free online tool that allows pharmacists to: Correct Answer: List their vaccination services so patients can find them when searching the website for nearby immunizers. [Module5 p11] HPV vaccine is recommended for which of the following individuals? Correct Answer: 12-year-old boy. [Module3 p27] How is the live, cholera vaccine administered? Correct Answer: Orally. [Module3 p51] Which of the following immunization strategies is preferred for adults under the age of 65 years with immunocompromising conditions who require both PCV13 and PPSV23? Correct Answer: PCV13 first, followed by PPSV23 at least 8 weeks later. Upon giving a VIS to a patient who is to receive a vaccine cover under the National Childhood Vaccine Injury Act, what must be documented? Correct Answer: The date the VIS was given to the patient or caregiver and the date printed on the VIS. [Module5 p16] Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? Correct Answer: During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? Correct Answer: Assess The childhood/adolescent and adult immunization schedules are updated and published annually during which months? Correct Answer: January or February Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? Correct Answer: 11 year-old girl with no medical conditions, series has not been started. [Module3 p27] Which entity determines the specific vaccines that a pharmacist may administer? Correct Answer: States through laws and regulations Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? Correct Answer: Low effectiveness of this vaccine was seen during the and influenza seasons Herd immunity refers to which of the following situations? Correct Answer: Vaccination of enough individuals in a community to protect those who cannot be vaccinated. [Module2 p8] The monitoring system that health care providers should use to report serious adverse events after vaccination is: Correct Answer: VAERS. Alan is a 47-year-old man who has no documentation of a primary series of tetanus-containing vaccine. Which of the following would be an appropriate primary series for Alan? Correct Answer: Tdap today; Td in 4 weeks; Td 6 months after the second dose. (All adolescents and adults should have written documentation of a primary series of tetanus and diphtheria toxoids-containing vaccines ... should consist of 1 dose of Tdap and 2 doses of Td; Tdap is preferred as the first dose. The first 2 doses must be separated by at least 4 weeks, and the third dose should be given at least 6 months after the first dose.) [Module3 p16] Which of the following vaccines is recommended for infants to receive within 24 hours of birth? Correct Answer: Hep B (... ideally, within 12 hrs of birth) [Module3 p42] Which of the following statements is true regarding varicella-containing vaccines? Correct Answer: The potency of HZV is greater than that of varicella vacicne Kimberly is a 34 year-old woman who is 30 weeks pregnant. She received a Td booster dose 1 year ago when she cut her hand while working in the kitchen. She has no documentation of receiving a Tdap vaccine. The most appropriate recommendation would be to administer: Correct Answer: Tdap as soon as possible (Any person 11-64 yrs of age without documentation of a Tdap dose should receive a one-time dose.) [Module3 p18] Alex is a 32 year-old man who is scheduled to travel to a country where hep A is endemic. He leaves in 3 weeks and will be gone a month. He received his first dose of hep A vaccine today. Alex should be counseled to return for is second dose of hep A: Correct Answer: In 6 months Which of the following statements about live attenuated vaccines is true? Correct Answer: They should generally be avoided in immunocompromised individuals Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting? Correct Answer: Long-term care facilities (All LTC facilities that receive funding from Medicare)