Page 1 of 96
APHA Immunization FINAL Exam ALL 350
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: A 53-year old woman arrives at your pharmacy for her recombinant zoster vaccine
(RZV). Which of the following is the appropriate dose and route of administration? - ANSWER-
0.5 mL intramuscularly
QUESTION: Which type of vaccine mediates immunity based solely on B cells? - ANSWER-Pure
polysaccharide
QUESTION: Vaccines should be delayed for which of the following patients? - ANSWER-A
patient with moderate to severe acute illness that requires additional care
QUESTION: Which of the following is the minimum needle length recommended for
intramuscular administration of the influenza vaccine to an adult man weighing 265 lbs? -
ANSWER-1½ inches
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QUESTION: If a patient needs two inactivated vaccines, but they were not administered on the
same day, how much time must the patient wait between vaccine doses - ANSWER-There is no
minimum interval of time
Q; At what age should an immunocompromised patient receive the recombinant zoster vaccine
(RZV)? - ANSWER-19 years
QUESTION: Michael, a 47-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 Michael receive? - ANSWER-Two doses of MMR
QUESTION: Which of the following is a requirement of the Occupational Safety and Health
Administration (OSHA) bloodborne pathogens standard? - ANSWER-All employees with
potential bloodborne pathogen exposure must receive OSHA bloodborne pathogen training
every year
QUESTION: Tasha is a 26-year-old woman with rheumatoid arthritis who is treated with
immunosuppressive therapy. Which of the following vaccines should be avoided for Tasha? -
ANSWER-MMR
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QUESTION: David is 58 years old. He received an inactivated influenza vaccine 5 days ago at a
mass clinic run by the health department. He is now at your pharmacy and you determine he
should get his herpes zoster and Tdap vaccines. How should you proceed with administering
these vaccines? - ANSWER-Give both Tdap and the herpes zoster vaccines today.
QUESTION: Which of the following vaccines should be administered to boys and young men
aged 9 through 26 years to reduce their likelihood of acquiring genital warts? - ANSWER-HPV
QUESTION: How should Tdap be administered to pregnant women? - ANSWER-Administer one
dose with each pregnancy in the third trimester
QUESTION: Which of the following is the routine schedule for vaccinating adolescents with
MenACWY? - ANSWER-One dose at age 11 to 12 years, followed by a booster dose at age 16
years
QUESTION: Kevin is 11 years old with no chronic medical conditions who comes to your
pharmacy on September 30 for his flu shot. He 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
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age. Which of the following would also be appropriate to recommend for Kevin today? -
ANSWER-Tdap, HPV, MenACWY, MMR
QUESTION: Which of the following is true for live attenuated vaccines? - ANSWER-They must
replicate to stimulate an immune response.
QUESTION: Mariah is a 15-year-old high school student with no chronic medical conditions. She
is at the pharmacy to receive her COVID-19 booster and influenza vaccines. She completed the
primary series of DTaP, IPV, PCV, Hib, and MMR. She received the complete series of hepatitis A
and hepatitis B vaccines before entering high school. What other vaccines does she nee -
ANSWER-Varicella, Tdap, HPV, MenACWY
QUESTION: What is the minimum interval between doses one and two of the hepatitis A
vaccine? - ANSWER-6 months
QUESTION: Which of the following represents an opportunity for pharmacists to collaborate
with other providers? - ANSWER-Offer to administer the remaining doses in a vaccine series
4
APHA Immunization FINAL Exam ALL 350
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: A 53-year old woman arrives at your pharmacy for her recombinant zoster vaccine
(RZV). Which of the following is the appropriate dose and route of administration? - ANSWER-
0.5 mL intramuscularly
QUESTION: Which type of vaccine mediates immunity based solely on B cells? - ANSWER-Pure
polysaccharide
QUESTION: Vaccines should be delayed for which of the following patients? - ANSWER-A
patient with moderate to severe acute illness that requires additional care
QUESTION: Which of the following is the minimum needle length recommended for
intramuscular administration of the influenza vaccine to an adult man weighing 265 lbs? -
ANSWER-1½ inches
1
, Page 2 of 96
QUESTION: If a patient needs two inactivated vaccines, but they were not administered on the
same day, how much time must the patient wait between vaccine doses - ANSWER-There is no
minimum interval of time
Q; At what age should an immunocompromised patient receive the recombinant zoster vaccine
(RZV)? - ANSWER-19 years
QUESTION: Michael, a 47-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 Michael receive? - ANSWER-Two doses of MMR
QUESTION: Which of the following is a requirement of the Occupational Safety and Health
Administration (OSHA) bloodborne pathogens standard? - ANSWER-All employees with
potential bloodborne pathogen exposure must receive OSHA bloodborne pathogen training
every year
QUESTION: Tasha is a 26-year-old woman with rheumatoid arthritis who is treated with
immunosuppressive therapy. Which of the following vaccines should be avoided for Tasha? -
ANSWER-MMR
2
, Page 3 of 96
QUESTION: David is 58 years old. He received an inactivated influenza vaccine 5 days ago at a
mass clinic run by the health department. He is now at your pharmacy and you determine he
should get his herpes zoster and Tdap vaccines. How should you proceed with administering
these vaccines? - ANSWER-Give both Tdap and the herpes zoster vaccines today.
QUESTION: Which of the following vaccines should be administered to boys and young men
aged 9 through 26 years to reduce their likelihood of acquiring genital warts? - ANSWER-HPV
QUESTION: How should Tdap be administered to pregnant women? - ANSWER-Administer one
dose with each pregnancy in the third trimester
QUESTION: Which of the following is the routine schedule for vaccinating adolescents with
MenACWY? - ANSWER-One dose at age 11 to 12 years, followed by a booster dose at age 16
years
QUESTION: Kevin is 11 years old with no chronic medical conditions who comes to your
pharmacy on September 30 for his flu shot. He 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
3
, Page 4 of 96
age. Which of the following would also be appropriate to recommend for Kevin today? -
ANSWER-Tdap, HPV, MenACWY, MMR
QUESTION: Which of the following is true for live attenuated vaccines? - ANSWER-They must
replicate to stimulate an immune response.
QUESTION: Mariah is a 15-year-old high school student with no chronic medical conditions. She
is at the pharmacy to receive her COVID-19 booster and influenza vaccines. She completed the
primary series of DTaP, IPV, PCV, Hib, and MMR. She received the complete series of hepatitis A
and hepatitis B vaccines before entering high school. What other vaccines does she nee -
ANSWER-Varicella, Tdap, HPV, MenACWY
QUESTION: What is the minimum interval between doses one and two of the hepatitis A
vaccine? - ANSWER-6 months
QUESTION: Which of the following represents an opportunity for pharmacists to collaborate
with other providers? - ANSWER-Offer to administer the remaining doses in a vaccine series
4
