Immunization Final Exam Questions with
Correct Rationales Graded A+
Albert is a 61-year-old man who wants to receive the herpes zoster vaccine. He is up to date on his other
immunizations and reports receiving his inactivated intramuscular influenza vaccine three weeks ago.
Which of the following would be the best recommendation to make regarding the herpes zoster vaccine
for Albert? - Answer: He can receive herpes zoster vaccine today
Which of the following is recommended for storage of vaccines? - Answer: A stand-alone refrigerator
and stand-alone freezer
Which of the following patients would be a candidate for revaccination with PPSV23 - Answer: A 66-
year-old woman who received the first dose of PPSV at 60 years of age
Which of the following vaccines should be administered subcutaneously? - Answer: MMR
If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to
take? - Answer: Call 911 or have a staff member call
Which of the following statements/questions best demonstrates how pharmacists should ask
permission to share information? - Answer: Would you mind if I share some information about this issue
with you?
A 63-year old woman is a candidate for herpes zoster vaccine. Which of the following is the appropriate
dose and route of administration? - Answer: 0.65 mL subcutaneously
Vaccines evoke an immune response because they contain - Answer: Antigens that stimulate the
production of antibodies
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. Which of the following MMR vaccinations should Hugh
receive? - Answer: two doses of 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? - Answer: PCV13 followed by PPSV23 6-12 months later,
Tdap and herpes zoster
Before administering a vaccine covered by the Vaccine Injury Compensation Fund (VICP), the National
Childhood Vaccine Injury Compensation Act requires vaccine providers to provide a vaccine information
statement to all patients: - Answer: Regardless of age
Katy is a 12-year-old high school student with no chronic medical conditions who comes to your
pharmacy on October 31. She completed the primary series of DTaP, IPV, hepatitis A, hepatitis B, and
Hib, and had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would
be the most appropriate recommendation for Katy today? - Answer: Tdap, HPV, MCV, MMR, and
influenza
Which of the following best describes intranasal administration of LAIV - Answer: The tip of the
applicator should be placed just inside the nostril
With regard to logistics, which of the following statements provides the best rationale for why
pharmacists should offer herpes zoster vaccine? - Answer: The herpes zoster vaccine is billable to
Medicare Part D rather than Part B
Which of the following statements best describes the administration of vaccines during the provision of
Medication Therapy Management (MTM) services? - Answer: A review of patient vaccination needs
should be part of every patient's complete medication therapy review
Which of the following vaccines should be administered to boys and young men aged 9 to 26 years to
reduce their likelihood of acquiring genital warts? - Answer: HPV4
Which of the following tetanus toxoid-containing vaccines would be most appropriate to recommend
for Linda, a 67-year-old woman and grandmother of six with no record of receiving Tdap? - Answer:
Tdap
Correct Rationales Graded A+
Albert is a 61-year-old man who wants to receive the herpes zoster vaccine. He is up to date on his other
immunizations and reports receiving his inactivated intramuscular influenza vaccine three weeks ago.
Which of the following would be the best recommendation to make regarding the herpes zoster vaccine
for Albert? - Answer: He can receive herpes zoster vaccine today
Which of the following is recommended for storage of vaccines? - Answer: A stand-alone refrigerator
and stand-alone freezer
Which of the following patients would be a candidate for revaccination with PPSV23 - Answer: A 66-
year-old woman who received the first dose of PPSV at 60 years of age
Which of the following vaccines should be administered subcutaneously? - Answer: MMR
If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to
take? - Answer: Call 911 or have a staff member call
Which of the following statements/questions best demonstrates how pharmacists should ask
permission to share information? - Answer: Would you mind if I share some information about this issue
with you?
A 63-year old woman is a candidate for herpes zoster vaccine. Which of the following is the appropriate
dose and route of administration? - Answer: 0.65 mL subcutaneously
Vaccines evoke an immune response because they contain - Answer: Antigens that stimulate the
production of antibodies
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. Which of the following MMR vaccinations should Hugh
receive? - Answer: two doses of 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? - Answer: PCV13 followed by PPSV23 6-12 months later,
Tdap and herpes zoster
Before administering a vaccine covered by the Vaccine Injury Compensation Fund (VICP), the National
Childhood Vaccine Injury Compensation Act requires vaccine providers to provide a vaccine information
statement to all patients: - Answer: Regardless of age
Katy is a 12-year-old high school student with no chronic medical conditions who comes to your
pharmacy on October 31. She completed the primary series of DTaP, IPV, hepatitis A, hepatitis B, and
Hib, and had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would
be the most appropriate recommendation for Katy today? - Answer: Tdap, HPV, MCV, MMR, and
influenza
Which of the following best describes intranasal administration of LAIV - Answer: The tip of the
applicator should be placed just inside the nostril
With regard to logistics, which of the following statements provides the best rationale for why
pharmacists should offer herpes zoster vaccine? - Answer: The herpes zoster vaccine is billable to
Medicare Part D rather than Part B
Which of the following statements best describes the administration of vaccines during the provision of
Medication Therapy Management (MTM) services? - Answer: A review of patient vaccination needs
should be part of every patient's complete medication therapy review
Which of the following vaccines should be administered to boys and young men aged 9 to 26 years to
reduce their likelihood of acquiring genital warts? - Answer: HPV4
Which of the following tetanus toxoid-containing vaccines would be most appropriate to recommend
for Linda, a 67-year-old woman and grandmother of six with no record of receiving Tdap? - Answer:
Tdap
