Immunization Post Assessment
Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis?
0.01 mL per kg body weight, up to a maximum 0.5 mg per dose
Which of the following is the correct dose and route of administration for the high-dose influenza vaccine?
0.5 mL intramuscularly
A 63-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?
0.65 mL subcutaneously
Which of the following is the minimum needle length recommended for intramuscular administration of the influenza vaccine to an adult woman weighing 215 lbs?
1.5 inches
The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination?
15 minutes
Which of the following is a method to motivate patients to be vaccinated?
Acknowledge the patient's concerns
What is the most appropriate recommendation for administering Tdap to pregnant patients?
Administer one dose with every pregnancy in the third trimester
Which of the following is the recommended schedule for administration of the hepatitis A vaccine?
Two doses at least 6 months apart
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 influenza vaccine is approved to be used with the jet injector needle-free system?
Afluria
Which age group is appropriate to receive the 2-dose HPV9 vaccine series?
Ages 9 through 14
Vaccines evoke an immune response because they contain:
Antigens that stimulate the production of antibodies
A patient who reports an allergy to eggs but is able to eat lightly cooked eggs (e.g., scrambled eggs) without a reaction could receive which of the following influenza vaccines?
Any influenza vaccine
Which of the following patients would be an appropriate candidate for adjuvanted influenza vaccine (aIIV3)?
Anyone 65 and older
If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to take?
Call 911 or have a staff member call
Katy is a 12-year-old middle school student with no chronic medical conditions who comes to your pharmacy on September 30 for her flu shot. 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 also be appropriate to recommend for Katy today?
Tdap, HPV, MCV, MMR
Angie is a 16-year-old high school student with no chronic medical conditions. 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. Which of the following would be the most appropriate recommendation for Angie today?
Tdap, HPV, MCV, varicella, and influenza (if during influenza season)
Five minutes after receiving a vaccine, a patient tells you that his face "feels funny" and he is starting to feel itchy all over. You notice that his lips are swollen. Which of the following would be the most appropriate action to take?
Tell a staff member to call 911 and administer a dose of epinephrine
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
Which of these vaccines is an inactivated vaccine?
DTaP
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 youngest age at which a child should receive inactivated influenza vaccine?
6 months
Which of the following patients would be an appropriate candidate for the HPV vaccine?
A 12 year old boy
Which of the following patients would be a ACIP recommended candidate for PPSV23?
A 21 year old man who smokes cigarettes
Which of the following patients would be a candidate now for revaccination with PPSV23?
A 66 year old woman who received the first dose of PPSV23 at 60 years of age
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
Which of the following is the most appropriate injection site for administering Td to an adult patient?
Deltoid muscle
When preparing to offer a vaccination service, which document should be up-to-date and readily available anytime vaccines are given?
Exposure control plan
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 influenza vaccine two weeks ago. Which of the following would be the best recommendation to make regarding the herpes zoster vaccine for Albert?
He can receive the herpes zoster vaccine
Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl?
Fluzone
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?
HPV9
Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard?
Healthcare employers must provide safety devices to employees to reduce the risk of occupational exposure to bloodborne pathogens
Which of the following is a symptom of a true allergic reaction?
Hives
Which of the following should be one of the first steps involved in establishing a pharmacy-based immunization program?
Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice
Which of the following statements best describes the approach to take with patients regarding simultaneous administration of vaccines?
Increases risk of infection and outbreak
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 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 a provider factor associated with low vaccination rates in adults?
Lack of effective reminder or recall systems
Which of the following vaccines should be administered subcutaneously?
MMR
Which of these vaccines must replicate to stimulate an immune response?
MMR
Among all states in the United States, which of the following is the youngest minimum patient age for vaccination by a pharmacist allowed by a state?
Newborn
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
Olivia, a 9-year-old girl, has no record of ever receiving an influenza vaccination. She has a fear of needles. The only medication she receives on a regular basis is albuterol. Which of the following would be an appropriate recommendation for an influenza vaccination for Olivia?
One dose of the inactivated influenza vaccine (IIV)
Which of the following best describes immunization coalitions?
Organizations that foster collaboration among skateholders to increase immunization rates
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 best describes appropriate administration of pneumococcal vaccines for adults 19 to 64 years of age who are immunocompromised?
PCV13 should be given first, followed by PPSV23 1 year later
Missy is a 36-year-old woman with diabetes mellitus. She request a refill of her insulin on November 1. She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive?
PPSV23, hepatitis B, and influenza
With which entity should pharmacists collaborate to develop a standing order for vaccine administration?
Physicians
Which of the following best describes IIV intradermal administration?
Place the syringe perpendicular to the skin over the deltoid muscle
Which of the following statements best describes recommendations for vaccine administration during pregnancy?
Pregnant providers may administer live vaccines
Before administering a vaccine covered by the Vaccine Injury Compensation Program (VICP), the National Childhood Vaccine Injury Compensation Act requires vaccine providers to provide a vaccine information statement to all patients:
Regardless of age
Liz, a 37-year-old woman, was diagnosed with HIV 2 months ago. She received one dose of MCV4 at that time and is now getting her 2nd dose. Which of the following would be an appropriate recommendation for MCV4 vaccination for Liz?
Revaccinate with MCV4 every 5 years
What could potentially happen if an intramuscular vaccine is administered too high?
Severe persistent shoulder pain and lack of function
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?
Tdap
Why are water bottles recommended to be placed in refrigerators in which vaccines are stored?
To help stabilize the temperature
A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following?
Vaccine Adverse Effects Reporting System (VAERS)
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
