Immunizations Exam
Which of the following patients is a candidate for recombinant zoster vaccine (RZV)? (select all that apply) - A 48 year old male recently diagnosed with cancer who will start chemotherapy in two weeks - A 62 year old female with autoimmune hepatitis controlled with predisone 30 mg daily - A 68 year old male with COPD treated with inhaled fluticasone/salmeterol - A 78 year old female receiving anti-rejection drugs for kidney transplant two years ago
- A 48 year old male recently diagnosed with cancer who will start chemotherapy in two weeks - A 62 year old female with autoimmune hepatitis controlled with predisone 30 mg daily - A 68 year old male with COPD treated with inhaled fluticasone/salmeterol - A 78 year old female receiving anti-rejection drugs for kidney transplant two years ago
The primary vaccine coordinator at a practice site should be responsible for...(select all that apply) - Administering all vaccines at the practice site - Ensuring that vaccines are stored and handled correctly - Ensuring that staff is adequately trained
- Ensuring that vaccines are stored and handled correctly - Ensuring that staff is adequately trained
What is the threshold dose of prednisone at which a patient is considered immunosuppressed? - 10 mg per day for 5 days or longer - 20 mg per day for 3 months or longer - 10 mg per day for 14 days or longer - 20 mg per day for 5 days or longer - 20 mg per day for 14 days or longer
20 mg per day for 14 days or longer
Refrigerator and freezer temperature logs must be kept for a period of at least... - 3 years - 7 years - 1 year - 5 years
3 years
Which of the following patients is a candidate for varicella vaccine? - 6 month old who needs IIV4 simultaneously and again in 28 days - 12 month old who received MMR two weeks ago - 5 year old who recieved DTaP four weeks ago - 37 year old pregnant female
5 year old who received DTaP four weeks ago
Which of the following patients should receive one dose of pneumococcal conjugate vaccine (PCV20)? - 40 year old iwth hypertension - 70 year old with diabetes who received PPSV23 5 years earlier - 6 month old receiving the 3rd dose of the childhood PCV series - 12 year old needing catch up for the 4th dose of the childhood PCV series
70 year old with diabetes who received PPSV23 5 years earlier
Which of the following patients is the best candidate for hepatitis A vaccine? - A 6 month old female presenting to the pediatrician for the 6 month wellness exam - A 15 month old male also receiving a 3rd dose of hepatitis B vaccine - A 25 yearold male college student preparing to study abroad in Canada - A 45 year old female daycare employee
A 15 month old male also receiving a 3rd dose of hepatitis B vaccine
For which of the following patients is the human papillomavirus vaccine series indicated? - A 65 year old female who has a sister with cervical cancer - A 50 year old male with history of genital warts - A 16 year old female who recently became sexually active - A 5 year old female who presents for a well child visit prior to entering school
A 16 year old female who recently became sexually active
For which of the following individuals is inactivated influenza vaccine (IIV) NOT recommended? - A 68 year old male who received a heart transplant 6 years ago - A 28 year old female who is in her first trimester of pregnancy - A 2 month healthy infant - A 62 year old female who sneezes when in contact with feathers
A 2 month old healthy infant
For which of the following individuals is a mumps vaccine recommended? - A 65 year old who is healthy and has no record of every receiving a dose of MMR - A 12 year old who received a single dose of MMR at age 12 months and has been taking prednisone 40 mg daily for the past month for inflammatory bowel disease - A 26 year old female who received a single dose of MMR at age 12 months and is pregnant - A 22 year old female who received a single dose of MMR and just accepted a position as a nurse on a general surgery unit
A 22 year old female who received a single dose of MMR and just accepted a position as a nurse on a general surgery unit
For which of the following patients should the influenza vaccine be delivered in a medical setting under supervision of a healthcare provider exxperienced in recognition and management of severe allergic conditions? - A 50 year old woman with asthma - A 30 year old man with a history of wheezing and vomiting after eating eggs - A 24 year old woman with no comorbidities - A 44 year old man that experienced hives after eating eggs
A 30 year old man with a history of wheezing and vomting after eating eggs
For which of the following individuals would it be acceptbale to use live attenuated influenza vaccine? - A 50 year old construction worker with type 2 diabetes - A 19 month old healthy child - A 48 year old healthy mechanical engineer whose spouse has type 2 diabetes - A 13 year old girl with asthma
A 48 year old healthy mechanical engineer whose spouse has type 2 diabetes
Which of the following individuals has s risk factor for poor response to the hepatitis B vaccine series? - A newborn infant who is apparently healthy - A 16 year old female with asthma - A 21 year old paramedic - A 66 year old male who is waiting for a cadaveric kidney transplant
A 66 year old male who is waiting for a cadaveric kidney transplant
Which of the following is a CDC best practice in regards to vaccine storage and handling? - Refrigerator and freezer temperatures only need to be monitored once daily even if the temperature-montioring device does not have a maximum/minimum display' - Refrigerated vaccines should be kept on the top shelf of the refrigerator - One pharmacy employee should be designated to be in charge of the storage and handling in case of a temperature related emergency - A bio-safe glycol-based or buffered thermometer should be used to monitor the temperature of the refrigerator
A bio-safe glycol-based or buffered thermometer should be used to monitor the temperature of the refrigerator
Which of the following is NOT a permanent contraindication to vaccination? - Encephalopathy not due to another identifiable cause occurring within 7 days of pertissus vaccination - Severe allergic reaction to vaccine component or following a prior dose - For rotavirus vaccine, severe combined immunodeficiency or history of intussusception - A condition which would compromise the ability of the vaccine to produce immunity or protection from infection
A condition which would compromise the ability of the vaccine to produce immunity or protection from infection
Which is true about the incidence of measles in the United States? - Measles incidence is usually around 200 cases annually - A majority of cases are a result of importation in unvaccinated populations - A 2-dose series is required for anyone born before 1957 when traveling - When traveling internationally with an infant, do not worry about htier vaccine status
A majority of cases are a result of importation in unvaccinated populations
Which of the following is an example of passive immunity? - Infection with natural disease - Administration of a live attenuated viral vaccine - Administration of high titer immune globulin - Administration of a recombinant immunogenic protein
Administration of high titer immune globulin
A mother is considering vaccination for her young son, but some commercials that she recalls lead her to believe thsi vaccine is for prevention of cervical cancer, and does not see how this will benefit her son. How doe xplain to this mother the importance of this vaccine for her son? - Yes, this does prevent cervical, vulvar, and vaginal cancer in women; however, it also protects against genital warts, and cancer, as well as other cancer strains in men - There are benefits for protection for him contracting strains of virus as well as spreading the virus to others - This is the most common sexually transmitted infection - All of the above
All of the above
Hepatitis B is a virus spread by parenteral routes including blood transfusions, sharing of needles, sexual contact, and mother to neonate. Which is true about hepatitis B? - Renal failure will decreaseresponse to hepatitis B vaccine - Patients with diabetes are at an increased risk of hepatitis B due to sharing of diabetes supplies including blood glucose meters - Using needles which are not long enough will decrease response rates to the vaccine - Death commonly occurs as result of cirrhosis and hepatocellular carcinoma - All of the above
All of the above
What type of reaction is associated with anaphylaxis?
Allergic reaction
Which of the following is a valid contraindication to vaccination? - Anaphylaxis after a previous dose or vaccine component - Minor acute illness - Allergies to products not in vaccine - Syncope after previous vaccination
Anaphylaxis after previous dose or vaccine component
Which of the following is a contraindication to receipt of routine vaccines? - Patient is taking an antibiotic - Patient is breastfeeding - Anaphylaxis to a previous dose - Allergy to penicillin
Anaphylaxis to a previous dose
Which of the following scenarios are healthcare professionals encouraged to use Vaccine Adverse Event Reporting System (VAERS) for reporting? - Serious adverse reactions for which causation is firmly established - Only adverse reactions that have not been previously reported - Only serious, life-threatening adverse reactions - Any clinical significant adverse event after vaccination
Any clinical significant adverse event after vaccination
How should the disposal of sharps containers be handled? - They are of little concern because of the puncture-proof nature of the containers - Dispose routinely with the regular garbage pickup - Arranged with the local waste management company - Done when the container is full to the top
Arranged with the local waste management company
For how long after completing chemotherapy or radiation must a person wait before receiving a live vaccine? - At least 4 weeks - At least 6 months - At least 3 months - No waiting period needed
At least 3 months
What is the correct interval between two live vaccines? - At least 4 months - At least 4 days - At least 4 weeks - No interval needed
At least 4 weeks
Which of the following skills is maong the standards of practice among immunizing pharmacists? - Emergency medical technician - Basic life support (BLS) - Advanced cardiac life support - First aid training
Basic life support (BLS)
Which of the following is a meningococcal serogroup B vaccine? - Bexsero - Boostrix - Engerix-B - Menveo
Bexsero
Which of the following is specifically listed as a VAERS reportable event for tetanus vaccine? - Chronic arthritis - Thrombocytopenic purpura - Brachial neuritis - Encephalopathy
Brachial neuritis
Which of the following is the appropriate schedule for polio immunization in the United States? - Childhood immunization series with IPV at 2, 4, 6-18 motnhs, and 4-6 years of age with abooster dose every 10 years - Childhood immunzation series IPV at 2, 4, 6-18 months, and 4-6 years of age - Not used anymore beacuse disease is almost eradicated - Childhood immunization series with IPV 2, 4, 6-18 moths of age
Childhood immunzation series IPV at 2, 4, 6-18 months, and 4-6 years of age
Is anaphylaxis to a dose of vaccine and a subsequent dose of that vaccine a contraindication or recaution?
Contraindication
Is history of intussusception and rotavirus vaccine a contraindication or precaution?
Contraindication
Is severe immunosuppression and live attenuated vaccines a contraindication or precaution?
Contraindication
Which of the follwing is a likely benefit of annula influenza immunization of school-aged children? - Changes resistane patterns in influenza viruses - Dramatically decreases the high rates of mortality of influenza in this population - Causes school absenteeism around immunization time that will be offset by the decrease in absenteeism during peak influenza season - Decreases the magnitudes of influenza epidemics in the community
Decreases the magnitudes of influenza epidemics in the community
Which of the following statements are true? - Employees do not have the right to decline hepatitis B vacciantion - Employers must offer the hepatitis B vaccine series to immunizing employees free of charge - Immunizers must finish the hepatitis B vaccine series prior to providing immunizations
Employers must offer the hepatitis B vaccine series to immunizing employees free of charge
Which of the following is true regarding bloodborne pathogen exposusre and immunizations? - Every pharmacy providing immunizations must have a bloodborne pathogen exposure control plan - No extra immunizations or training need to be offered to employees that provide immunizations - The FDA is the main authority providing guidance on minimizing exposure - Providing immunizations is a high risk activity for exposure
Every pharmacy providing immunizations must have a bloodborne pathogen exposure control plan
T/F: If a patient has a history of contact dermatitis from neomycin, they cannot receive vaccines that contain neomycin.
False
T/F: In general, increasing the interval between doses of a multi-dose vaccine diminishes the effectiveness of the vaccine.
False
T/F: In general, the first dose of an inactivated vaccine usually provides protection.
False
T/F: If the date on the label of a vaccine or diluent has a specific month and year, the vaccine can be used only until the first day of the month listed.
False The vaccine may beu sed until the last day of the month that is listed
T/F: Per OSHA (Occupational Safety and Helath Adminsitration), bloodborne pathogens training training must be completed every 2 years for immunizers.
False imunizers must complete bllodeborne pathogens training every year
T/F: Polio is currently considered eradicated worldwide.
False pilio is on the verge of global eradication
T/F: Anaphylaxis generally will not occur until 1-2 hours after administration of a vaccine.
False usually occurs within minutes of exposure to allergen
Which of the following influenza vaccines is produced using no eggs and no influenza virus? - Flumist (LAIV4) - Flublok (RIV4) - Fluzone High-Dose (HD-IIV4) - Afluria (IIV4)
Flublok (RIV4)
Which combination of vaccines can be administered at the same visit? - Prevnar 13 and Menactra - Fluzone and Shingrix - Varivax and Smallpox - Prevar 13 and Pneumovax 23
Fluzone and Shingrix
Which of the following is a contraindication to receipt of the rotavirus vaccine? - History of anaphylaxis to eggs - History of intussusception - History of Guillian-Barre Syndrome - Receipt of another live attenuated vaccine on the same day
History of intussusception
Which manifestation of anaphylaxis is epinephrine used to treat? - Hypotension - Hemorrhage - Arrhythmias - Decreased oxygen saturation
Hypotension
Which of the following antibody classes is the mediator of allergy and anaphylaxis? - IgA - IgE - IgG - IgM
IgE
Which of the following is an advantage of immunization is nontraditional settings, such as a pharmacy? - Decreased public awareness regarding vaccinations - Increased access and convenience for the patient - Consolidated immunization records for the patient - Higher cost of immunization to the patient
Increased access and convenience for the patient
Which of the following describes the benefits of using standing orders for immunizations? - Makes immunization less costly - Is generally perceived as substandard practice by immunization policy making bodies - Limits liability of all healthcare providers - Increases immunization coverage among adults in a variety of practice settings
Increases immunization coverage among adults in a variety of practice settings
In general, which of the following is TRUE? - Increasing the interval between doses of a multidose vaccine does not diminish the effectiveness of the vaccine - Decreasing the interval between doses of a multidose vaccine does not diminish the effectiveness of the vaccine
Increasing the interval between doses of a multidose vaccine does not diminish the effectiveness of the vaccine
Which of the following is the appropriate timing for influenza vaccine administration? - Live attenuated influenza vaccine (LAIV) can be administered as early as August, but inactivated influenza vaccine (IIV) should not be administered earlier than October 15 - Influenza vaccine should be administered no sooner than September or October and should continue throughout the season - Influenza vaccine should be adminsitered as soon as the clinician has a vaccine supply but shoudl stop no later than October 31 - Influenza vaccine should be adminsitered only from October 15 until December 31
Influenza vaccine should be administered no sooner than September or October and should continue throughout the season
Which of the following most accurately describes the federally-mandated training for employees with blood and body fluid exposure? - Use of safer injection devices may be included in initial training only - A handout alone can be used for retraining - A standardized training program must be delivered to all employees regardless of expsoure risk - Initial training and annual retraining are required for bloodborne pathogens
Initial training and annual retraining are required for bloodborne pathogens
Which of the following is true in regards to student pharmacist immunization? - Interns who provide immunizations must be current in CPR and bloodborne pathogens training - An intern can delegate administration of a vaccine to a technician - Interns do not need to complete a certification course if the supervising pharmacist is certified - None of the above are true
Interns who provide immunizations must be current in CPR and bloodborne pathogens training
The liquid diluent for recombinant zoster vacine (RZV)... - Is 0.9% sodium chloride - Should be stored in the freezer - Is distilled water - Is AS01B adjuvant suspension
Is AS01B adjuvant suspension
Which of the following is true regarding the use of Haemophilus influenzae type b vaccine? - Is a polysaccharide vaccine conjugated to a protein to improve immunogenicity - Is indicated in patients with COPD - Is administered as s single dose to infants with a repeat dose prior to entering school
Is a polysaccharide vaccine conjugated to a protein to improve immunogenicity
Which of the following vaccines is contraindicated for a pregnant woman? - Tetanus, diphtheria, pertussis vaccine (Tdap) - Inactivated influenza vaccine (IIV) - 20-valent pneumococcal conjugate vaccine (PCV2) - Live attenuated influenza vaccine (LAIV)
Live attenuated influenza vaccine (LAIV)
What type of reaction is associated with pain at injection site?
Local adverse reaction
What type of reaction is associated with redness at injection site?
Local adverse reaction
What type of reaction is associated with swelling at injection site?
Local adverse reaction
The recommendations for prevention of vaccine preventable diseases made by the Advisory Committee on Immunization Practices (ACIP) are published in which of the following? - Immunofacts - The Annuals of Internal Medicine - Morbidity and Mortality Weekly Report (MMWR) - The New England Journal of Medicine (NEJM)
Morbidity and Mortality Weekly Report (MMWR)
Which of the following is/are true regarding live attenuated vaccines? - More than one live attenuated vaccine can be given at the same visit - They are stronger versions of the "wild" virus - Live attenuated vaccines generally have milder reactions versus inactivated vaccines - All of the above
More than one live attenuated vaccine can be given at the same visit
Refrigerator and freezer temperature(s): - Logs must be kept on hand for 7 years - Must be maintained between +35 and +46 F and -58 and +5 F respectively - Must be checked three times daily - Logs should be posted near the pharmacist work station
Must be maintained between +35 and +46 F and -58 and +5 F respectively
Which of the following describes a limitation of the quadrivalent meningococcal conjugate vaccine? - No protection from serogroup B - Associated with a high risk of Guillain-Barre Syndrome - Requires multiple doses to induce protection from infection - Licensed only for use in young children up to 7 years
No protection from serogroup B
All women should optimally receive one dose of Tdap when? - Optimally between 27 and 36 weeks gestation of their first child - After the birth of their first child - Optimally between 27 and 36 weeks gestation of each pregnancy - Pregnant women should not receive the vaccine
Optimally between 27 and 36 weeks gestation of each pregnancy
Which of the following is an appropriate response to a patient who tells you that she is concerned that she will get influenza from the inactivated influenza vaccine (IIV)? - Injectable influenza vaccine rarely causes influenza in those who receive the vaccine, but the illness is very mild - Other than ahigher incidence of sore arm, influenza vaccine has a side effect profile similar to placebo - The influenza vaccine will not cause influenza if the circulating strain matches those contained int he current vaccine - Althought eh injectbale influenza vaccine is alive attenuated viral vaccine, it has never been known to cause influenza in a vaccinated individual
Other than ahigher incidence of sore arm, influenza vaccine has a side effect profile similar to placebo
Which of the following is an advantage of passive immunity compared to active immunity? - Passive immunity develops in response to infection or after giving a vaccine or toxoid - Passive immunity is long-lasting - Passive immunity prptects almost immediately - Passive immunity does not interfere wiht the development immune responses from live vaccines
Passive immunity protects almost immediately
Which of the following can be done to prevent vaccine storage problems? - Place containers of water labeled "do not drink" into refrigerator to stabilize temepratures - Plug in both the refrigerator and freezer into one outlet - Utilize a multi-outlet power strip to plug in both the freezer and refrigerator - Utilize extension cords to plug into an outlet that is rarely utilized
Place containers of water labeled "do not drink" into refrigerator to stabilize temperatures
Is family history of seizures and MMRV vaccine a contraindication or precaution?
Precaution
Is moderate acute illness without fever and any vaccine a contraindication or precaution?
Precaution
Which process correctly describes cocconing against pertussis? - Infant vaccine series at 2 months and continues at 4, 6, 15-18 months, and a booster at 4-6 years - Process of vaccinating close contacts including mother, father, siblings, grandparents, and out of home care providers - Wrapping infant tightly in a blanket to act as s protective barrier - Taking long naps with a newborn
Process of vaccinating close contacts including mother, father, siblings, grandparents, and out of home care providers
Which of the following describes the role of helper T cells in mounting an immune response to a vaccine? - Produce cytokines that stimulate B cells to produce antibodies - Directly kills infected cells - Present antigen to antibodies - Produces large amounts of antigen specific antibodies
Produce cytokines that stimulate B cells to produce antibodies
Which of the following describes the Vaccine Injury Compensation Program? - Requires that the injured party prove negligence - Protects the immunization provider and vaccine manufactuer from personal liability - Covers all licensed vaccines - Absolves the immunization provider from personal negligence
Protects the immunization provider and vaccine manufactuer from personal liability
The Countermeasures Injury Compensation Program (CICP): - Provides benefits to seriously injured individuals that resulted from using certain antivirals - Reimburses pharmacies the cost of expired or unused vaccines - Reviews all of the adverse effects submitted through the VAERS program - Was established from the National Childhood Vaccine Injury Act
Provides benefits to seriously injured individuals that resulted from using certain antivirals
Sam is a 48 year old healthy male presenting to a pharmacy wondering if he would be able to get the recombinant zoster vaccine (RZV). You explain the guidelines to Sam; which explanation is correct? - RZV is currently indicated only in patients over age 65 as that is what is covered by insurance - RZV is effective in reducing the incidence of shingles and is indicated in immunocompetent patients aged 50 and older - RZV is alive vaccine and can only be administered alone at least 60 days between any other vaccine - RZV is a subcutaneous injection ad one can expect injeciton site pain for up to 2 weeks post-injection
RZV is effective in reducing the incidence of shingles and is indicated in immunocompetent patients aged 50 and older
Pharmacists are an integral part of increasing vaccination rates in the community. Which of the following would be the LEAST effective strategy for a pharmacist to employ? - Recommend that a patient return for a vaccine at a later time when it is less busy - Encourage all pharmacy staff to be up to date on immunizations - Call the patient to remind them of immunizations that are due - Provide a strong recommendation to receive an eligible vaccine
Recommend that a patient return for a vaccine at a later time when it is less busy
Which of the following methods describes how vaccines are covered under Medicare Part D? - With a universal copay of $10 for every patient enrolled - Provider must submit a bill plus invoive documenting vaccine cost for reimbusement - As a medical benefit - Reimbursement based on negotiated amount based on vaccine, dispensing fee, sales tax, and vaccine administration fee
Reimbursement based on negotiated amount based on vaccine, dispensing fee, sales tax, and vaccine administration fee
Rotavirus is a common childhood illness accounting for 1/3 of hospitalizations due to diarrhea. What is the appropraite vaccine recommendation for a 2 month old child with a known history of latex allergy? - Rotarix age 2 and 4 months - Rotarix at age 2, 4, and 6 months - Rotateq at age 2 and 4 months - Rotateq at age 2, 4, and 6 months
Rotateq at age 2, 4, and 6 months
Which of the following describe appropriate storage conditions for inactivated vaccines? - Should be stored in the center of the refrigerator - Are not affected by storage temperature - Are stored at room temperature - Should be stored in the freezer
Should be stored in the center of the refrigerator
How should you proceed if vaccine arrives from the manufactuer under questionable conditions? - Store the vaccine as recommended separately from other stock and call the Centers for Disease Control and Prevention for advice - Place the vaccine in the stock and use it first - Store the vaccine as recommended separately from otehr stock, label with "Do Note Use", and call the manufatuer's quality control office for advice - Repack the vaccine and return it to the manufactuer
Store the vaccine as recommended separately from otehr stock, label with "Do Note Use", and call the manufatuer's quality control office for advice
Which of the following is true regarding best practices for vaccine preparation? - Manufactuer-filled syringes may be used for 48 hours once the sterile seal is broken - Syringes other than those filled by the manufactuer should be administered immediately - For large influenza clinics, it is good practice to draw up large quantities (15 doses) at one time - Multi-dose vials may be used for 7 days once opened
Syringes other than those filled by the manufactuer should be administered immediately
What type of reaction is associated with fever?
Systemic adverse reaction
What type of reaction is associated with headache?
Systemic adverse reaction
Which of the following is a contraindication to receiving live vaccines? - Chronic liver disease - Allergy to penicillin - Diabetes - Taking Prednisone 40 mg by mouth daily for 21 days
Taking Prednisone 40 mg by mouth daily for 21 days
Which of the following describes a difference between Tdap and DTaP? - DTaP is used in children and adults for primary series - Tdap sjould be used for all three doses of the primary tetanus-diphtheria series for adults - Tdap has a lower dose of diphtheria toxoid for use in individuaks aged 10-11 years and older - DTaP has slower dose of diphtheria toxoid for use in individuals less than 7 years
Tdap has a lower dose of diphtheria toxoid for use in individuaks aged 10-11 years and older
Which of the following is the appropriate strategy for giving the Vaccine Information Statement (VIS) to patients? - The VIS is required for only immunization of pediatric patients - The VIS should be given to the patient prior to immunization so the patient has time to review it and ask questions - The VIS can be posted in teh clinic for the patient to read while they wait - The VIS should be given to the patients 1 week prior to the immunization visit to allow time to review
The VIS should be given to the patient prior to immunization so the patient has time to review it and ask questions
Which of the following is the reason that a second dose of measles vaccine is recommended for all college students? - Vaccine-induced immunity wanes over ten years and reimmunization provides a boost - Most children received a killed vaccine for their first dose - The measles vaccine used a decade ago was much less effective than the current formulation - The second dose provides another opportunity for seroconversion for those who failed to respond to the first dose
The second dose provides another opportunity for seroconversion for those who failed to respond to the first dose
Which of the following best describes immunization information systems (IISs)? - The value of the IIS is that it allows helathcare providers to access immunization records to facilitate clinical decision making - IISs are used only to measure immunization coverage rates - All children born in the United States have their immunizations recorded in an IIS - All IISs are used exclusively for tracking childhood immunizations
The value of the IIS is that it allows helathcare providers to access immunization records to facilitate clinical decision making
Why is the safety of vaccines held to a higher standard than for most medications? - The diseases prevented by vaccination are generally not life threatening - They are administered to helathy people to prevent disease rather than to sick people to cure disease - The public is willing to accept a high degree of risk to avoid most infectious diseases - The risks associated with vaccines are perceived by the individual to be voluntary risks
They are administered to helathy people to prevent disease rather than to sick people to cure disease
Which of the following is true regarding Vaccine Information Statements (VIS)? - The VIS can serve as the "informed consent" for vaccination - They are meant to prevent questions to healthcare providers regarding vaccines - They are updated every month - They are designed to provide information about vaccines, or, in the case of a minor, the child's parent or guardian about the risks and benefits of each vaccine
They are designed to provide information about vaccines, or, in the case of a minor, the child's parent or guardian about the risks and benefits of each vaccine
Which of the following is specifically listed as a VAERS reportable event for measles vaccine? - Leukopenia - Thrombocytopenic purpura - Brachial neuritis - Chronic arthritis
Thrombocytopenic purpura
Which of the following should be completed in all pharmacies that provide immunizations? - Posting an orange biohazard symbol on teh refrigerator door that is used to store vaccines - Recapping needles after immunizations are administered to prevent needlesticks - Training employees about bloodborne pathogens and the pharmacy's bloodborne exposure control plan - Wearing gowns, gloves, and goggles when giving vaccines
Training employees about bloodborne pathogens and the pharmacy's bloodborne exposure control plan
T/F: Boosters are usually not necessary for live attenuated vaccines.
True
T/F: In general, giving two or more vaccines on the same day (simultaneous administration) of all recommended vaccines is appropriate.
True
T/F: Live attenuated vaccines are contraindicated in patients who are pregnant.
True
T/F: One of the Clinical Immuniation Safety Assessment (CISA) project's main goal is to serve as a vaccine safety resource for consultation on clinical vaccine safety issues.
True
Which of the following items should be included in immunization records for vaccines administered in the pharmacy? - Type of vaccine, date administered, site of administration, vaccine manufactuer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the initials and title of the practitioner administering the vaccine - The date administered, site of administration, vaccine manufactuer and lot number, and the VIS publication date with the date given to the patient/parent or guardian - Type of vaccine, date administered, vaccine manufactuer and lot number, VIS publication date with the date given to the patient/parent or guardian - Type of vaccine, date administered, site of administration, site of vaccine storage, vaccine manufactuer and lot number, VIS publication date with the date given to the patient/parent or guardian
Type of vaccine, date administered, site of administration, vaccine manufactuer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the initials and title of the practitioner administering the vaccine
Which of the following is a reporting system by the Institue of Safe Medication Practices (ISMP) to report vaccine administration errors? - VERP - VAERS - MedWatch
VERP
Which of the following is true regarding the timing of immunization? - Vaccinate cancer patients immediately upon completion of chemotherapy or radiation - Vaccinate premature infants based on gestational age rather than chronological age - Vacciante two weeks before elective splenectomy or after acute recovery from splenectomy - Vaccinate organ transplant patients three months after transplantation
Vacciante two weeks before elective splenectomy or after acute recovery from splenectomy
Which of the following represents a true contraindication to measles vaccine? - Moderate or severe acute illness with or without fever - Vaccine candidate's mother is pregnant - History of thrombocytopenia - Vaccine candidate is pregnant
Vaccine candidate is pregnant
Which of the following vaccines must be stored in the freezer? - Varicella vaccine - Recombinant zoster vaccine - Human papillomavirus vaccine - Pnemococcal polysaccharide vaccine
Varicella vaccine
