Immunization ACP
which of the following is recommended schedule for administration of the HepA vaccine
*2 dose series at least 6 months apart* 18 and younger 0.5 mL intramuscularly and 19 and older 1 mL intramuscularly
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
*all live vaccines should be avoided in patients with altered immunocompetence* ex. Varicella people with severe combined immunodeficiency (SCID) cannot receive herpes zoster or rotavirus vaccine
which of the following patients would be an appropriate candidate for adjuvanted influenza vaccine (aIIV3)
*anyone 65 and older*, individual younger than 65 would need to receive either the trivalent or quadrivalent unadjuvanted standard-dose influenza vaccine *but someone who has diabetes is higher risk for influenza-related complications*
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
*being born AFTER 1957* he would need 2 doses of MMR
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
0, 1, and 6 months
what is the standard dose of epinephrine for managing anaphylazis
0.01 mg per kg of body weight, up to a maximum of 0.5 mg
which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis
0.01mg/kg/dose/0.01mL up to 0.05mg per dose
a 63-year-old woman arrives at your pharmacy for her herpes zoster vaccine which of the following is the appropriate dose and route of administration
0.65 mL given subcutaneously
which of the following is the routine schedule for vaccinating adolescents with MCV4
1 dose at age 11-12 and a booster at age 16 *if 21 years old have not gotten and is going to be living in the dorms at college then need one dose*
adolescents should be routinely vaccinated with MCV4 on the following schedule
1 dose at age 11-12 years, followed by a booster at age 16
olivia a 9-year-old girl has no record of ever receiving and 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 olivia
1 dose of IIV
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
1 dose of Tdap followed by a TB booster every 10 years
angie is a 16-year-old high school student with no medical conditions she completed the primary series of DTaP, IPV, PCV, Hib, and MMR, she received the complete series of HepA and B vaccines before entering high school, which of the following would be the most appropriate recommendation for angie today
1 dose of Tdap, MCV4, 1 dose of varicella vaccine and another in 4 weeks, and the 1st of the 3 doses of 9vHPV *also influenza vaccination if during flu season*
what is the minimum needle length for administering HepB vaccine to an adult patient weighing 130 lb
1 inch
the incubation period for influenza can range from
1-4 days
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 inch needle intramuscularly (90 degrees)
which of the following patients are appropriate candidates for the 2-dose schedule of HPV9
11 year-old girl with no medical conditions, series has not been started yet
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?
14 days
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
14 days
the majority of cases of vasovagal syncope occur within which of the following time frames following vaccination
15 minutes
justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease he should receive
2 doses of varicella vaccine separated by at least 4 weeks
which of the following patients would be a candidate for PPSV23
25-year-old man who smokes cigarretts
RotaTeq (RV5) should be administered as a
3-dose series to infants at 2, 4, and 6 months of age
after reconstitution, within what time frame must HZV be administered
30 minutes
if a patient is a candidate for revaccination with PPSV23 what is the ACIP-recommended interval between dose of this vaccine
5 years
according to ACIP recommendations which of the following needle lengths would be appropriate for administering HZV to an adult patient
5/8 inch
for which age group is the adjuvanted inactivated influenza vaccine approved
65 years and older
kyle is a 5-year-old boy who is up to date with his vaccinaations he has never experienced any adverse effects from vaccinations at his 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
DTaP
which of these vaccines is an inactivated vaccine
DTaP
lily is a 15-month-old girl who is up-to-date with he vaccinations which of the following tetanus toxoid containing vaccines would be appropriate for lily
DTaP and another one at age 4-6 years, at 11-12 years she would get Tdap followed by Td every 10 years
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, and 1 dose of IPV. which vaccines should ava receive at today's visit
DTaP, Hib, PCV13, IPV, and rotavirus
david is a health 5-year-old boy who is scheduled to see his pediatrician for a checkup in july prior to starting kindergarten david's immunization 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' and 4 doses of Hib which vaccines should david receive at this visit
DTaP, IPV, MMR, and varicella
in 2014, which vaccination rate was lowest among adolescents 13-17 years of age
HPV
which of the following vaccines should be administered to boys and young men aged 9-26 years to reduce their likelihood of acquiring genital warts
HPV
which of the following vaccines may be administered to boys and young men aged 9-26 years to reduce the likelihood of acquiring genital warts
HPV9
barbra is a 60-year-old woman who presents to the pharmacy for two vaccines HZV and IIV which of the following are the appropriate dose and routes for administering these vaccines to this patient
HZV 0.65 ml subcutaneously and IIV 0.5 ml intramuscularly
prior to the introduction of a vaccine what was the leading cause of bacterial meningitis in children younger than 5 years of age
Heamophilus influenzae type b
a history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines
IPV
which vaccine does ACIP recommend for all college freshmen aged 21 years of younger living in dormitories who have no been previously vaccinated
MCV4
which of the following vaccines should be administered subcutaneously
MMR
larry is a 65-year old man with heart disease who comes to the pharmacy to refill a prescription on october 21st his immunization record indicated that she completed the primary series of MMR, DTaP, HepA, and HepB vaccines and he received a dose of Tdap 12 years ago, in addition to influenza which of the following vaccines should larry receive
PCV13 now and PPSV23 in 12 months, adults 65 and older need herpes zoster vaccine, *since he was born before 1980 he does not need varicella vaccine*
kate is a 24-year-old woman with asthma she requests a refill of her albuterol inhaler on November 1st kate's immunization record indicated 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
PPSV23, IIV, and HPV
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
PPSV23, Tdap, and IIV
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 containg teetanus, diphtheria, and or pertussis would be most appropriate for him
Tdap
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
Tdap
which of the following tetanus booster vaccines would be the most appropriate for administration to a 12-year-old boy who has completed a primary series with DTaP and has no known allergies
Tdap
which of the following statements best describes recommendations for vaccine administration during pregnancy
Tdap with each pregnancy at the beginning of the 3rd trimester, influenza vaccine is recommended if the woman is pregnant during flu season
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-dignosed case of chickenpox at 2 years of age. which of the following would be the most appropriate recommendation for her today?
Tdap, HPV, MCV, HepB, and influenza (if during influenza season)
which of the following patients should receive the MMR vaccine
a pharmacist born in 1975 with documentation of 1 dose of MMR vaccine
when preparing to offer a vaccination service which document should be up-to-date and readily available anytime vaccines are given
a written exposure control plan outlining how the employer intends to eliminate or minimize potential exposure to bloodborne pathogens
which of the following is a method to motivate patients to be vaccinated
acknowledge and have compassion when addressing their concerns
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
active and passive immunity
vaccines as well as exposure to natural disease are both examples of which type of immunity
active immunity
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
administer PCV13 at age 65, then PPSV23 at age 69
if a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza
administer and age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV)
for a patient who needs to receive IV and HZV which of the following best describes appropriate administration of these vaccines
administer these 2 vaccines at the same visit
which of the following statements about pharmacy-based vaccination programs is true
administratively, billing for vaccines covered by medicare part D may be easier for pharmacist than physicians
which of the following patients would be appropriate candidate for the HPV vaccine
ages 11-12 *age 9 might if there is a history of sexual abuse*
which of the following patients would be a ACIP recommended condidate for PPSV23
all adults age 65 and older and those 2 years of age and older with high-risk for pneumococcal disease *having cerebrospinal fluid leak or cochlear implants, diabetes, chronic heart disease, chronic lung disease, chronic liver disease, alcoholism, and people 19-64 with asthma or smoke cigarettes*
which of the following is most likely to result in a influenza pandemic
antigenic shift in an influenza a virus
vaccines evoke an immune response because the containe
antigens that stimulate an immune response and result in immunologic memory
a patient who reports an allergy to eggs but is able to eat lightly cooked eggs (like scrambled eggs) without a reaction could receive which of the following influenza vaccines
any recommended influenza vaccine
at what point during pregnancy is it recommended to administer the influenza vaccine
anytime is safe
which of the following key questions is important to ask a patient before administering IIV
are you sick today
during which step of the pharmacist patient care process would a pharmacist analyze a patient's need for certain vaccines
assess
in the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to
comfort the child and engage in quiet activities
what is meant by the term "immunization neighborhood"
describes the collaboration, coordination, and communication among immunization stakeholder dedicated to meeting the immunization needs of the patients and protecting the community from vaccine-preventable diseases
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
diagnosis of chickenpox by a health care provider
which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction
diphtheria
which of the following best describes IIV intradermal administration
epinephrine is the first-line treatment choice for acute anaphylaxis *0.01mg/kg/dose/0.01mL up to a max of 0.5mg*
how often are the healthy people targets for vaccination rates uploaded
every 10 years
liz a 37-year-old woman was diagnosed with HIV 2 months ago she received 1 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
following the second dose they should be revaccinated every 5 years
even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations
for the patients lifetime
HZV should not be administered to a patient with a history of anaphylaxis to
gelatin
which of the following patients would be a candidate now for revaccination with PPSV23
having high-risk for pneumococcal disease, revaccination need to be given 5 years apart (if a dose was given before age 65) *a dose is to be given at the age 65*
which of the following is a requirement of the occupational safety and health administration (OSHA's) bloodborne pathogens standart
health care employers must provide safety devices to employees to reduce the risk of occupational exposure to bloodborne pathogens
which of the following is a requirement for the occupational safety and health administration's OSHA's bloodborne pathogens standard
health care providers must use safety devices when administering injectable vaccines
why are water bottles recommended to be placed in refrigerators in which vaccines are stored
help stabilize the temperature in the event of a power failure or upon frequent opening and closing of the units
which of the following vaccines is recommended for infants to receive within 24 hours of birth
hepatitis B
which viruses are associated with the development of cancer
human papillomavirus and hepatitis B virus
which age group is appropriate to receive the 2-dose HPV9 vaccine series
immunocompetent males and females age 9-14 years, routinely recommended for ages 11-12
if a patient received the first dose of HepB but did not return for the remaining doses in the series, under what circumstanse should the HepB series be restarted
in it not necessary to start the series over *oral typhoid is the one exception*
which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated
influence of health care provider
katy is a 12-year-old middle school student with no chronic medical conditions who comes to your pharmacy on september 30th for her flu shot she completed the primary series of DTaP, IPV, HepA, HepB, and Hip and had a physician-diagnosed case of chickenpox at 2 years of age which of the following would be appropriate to recommend for katy today
influenza, Tdap, 1st does of MCV4 and 9vHPV, and 2 doses of MMR 4 weeks apart
which of the following best describes how to administer Tdap vaccines to an adult patient weighing 185 Ib
inject intramuscularly at a 90 degree angle in the deltoid muscle
which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 Ib
inject subcutaneously at a 45 degree angle in the outer aspect of the upper arm
if a patient experiences symptoms of anaphylaxis which of the following would be the first action to take
instruct a staff member to call 911 then prepare and administer epinephrine
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
instruct a staff member to call 911, prepare and administer epinephrine
which of the following is the most appropriate injection site for administering Td to an adult patient
intramuscularly into the deltoid muscle
with the exception of rotavirus the routinely recommended live vaccines are contraindicated in a patient who
is immunosuppressed
which of the following is a symptom of a true allergic reaction
itching, erythema, hives, urticarial, and anaphylaxis
the childhood/adolescent and adult immunization schedules are updated and published annually during which months
january or february
health map vaccine is a free online tool that allows pharmacist to
list their vaccination services so patients can find them when searching the website for nearby immunizers
which of the following vaccines must replicate to stimulate an immune response
live attenuated vaccines must replicate in order for the body to produce an immune response (ex MMR)
which of these vaccines is an inactivated vaccine
live vaccines include: cholera, herpes zoster, live attenuated influenza vaccine (LAIV), MMR, MMRV, rotavirus, tuberculosis (BCG), typhoid (Ty21a), vaccinia (smallpox), varicella, and yellow fever
federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting
long-term care facilities
why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine seasons
low effectiveness of this vaccine was seen during the 2013-2016 influenza season
in which publication does the CDC initially publish new or updated vaccine recommendations
morbidity and mortality weekly report (MMWR)
among all states in the US which of the following is the youngest minimum patient age for vaccination by a pharmacist allowed by a state
newborne
tom is a 9-year-old boy who has never has an influenza vaccine tom's mother shows you his up-to-date immunization record and reports that he has never had an adverse reactions to vaccinations what dose and schedule of IIV should be administered to tom
one dose during influenza season of 0.5 mL
olivia is 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 the influenza vaccination for olivia
one dose of the inactivated influenza vaccine (IIV)
how is the live cholera vaccine administered
orally
what is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth
passive immunity
vaccines should be avoided or delayed for which of the following patients
patients with moderate or acute illnesses that require additional care (hospitalization)
which of the following is recognized by sociologists as a factor in patient's decision whether to be vaccinated
perceived susceptibility to a disease, seriousness of a disease, vaccine benefits, vaccine barriers, and social influence
which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases
performing a medication review for a patient who has diabetes
with which entity should pharmacist collaborate to develop a standing order for vaccine administration
physicians
with which entity should pharmacists collaborate to develop a standing order for vaccine administration
physicians
what is the most common complication of pertussis
pneumonia
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
precautions for vaccination
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
prompt immunity
which disease is almost certain to cause death if infected patients do not receive prophylaxis
rabies
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
which of the following live vaccines is recommended to be administered prior to one year of age
rotavirus vaccine
what could potentially happen if an intramuscular vaccine is administered too high
sever persistent shoulder pain and lack of function may occur
what is the most appropriate recommendation for administering Tdap to pregnant patients
should be given with each pregnancy during the 3rd trimester
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
should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later
which of the following diseases has been successfully eradicated worldwide through vaccination efforts
smallpox
which entity determines the specific vaccines that a pharmacist may administer
states through laws and regulations
which of the following statements about establishing clinic for administering vaccines is true
technicians can administer screening questionnaires and distribute VISs
arthus reactions which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine
tetanus and diphtheria toxoid-containing vaccines
arthus reactions, which are exaggerated local reactions that can occur if a patient is vaccinated too frequently, are most commonly reported after which vaccine
tetanus and diphtheria toxoids
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
the date the VIS was given to the patient or caregiver and the date printed on the VIS
which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines
the immune system is capable of stimulating an immune response to multiple vaccines administered at the same time
in a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine
the vaccine should be placed back in the refrigerator and marked do not use, contact the manufacture for further guidance *documentation*
why should refrigerated vaccines be stored in the middle of the refrigerator
there are fewer temperature fluctuations
for a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of the vaccines
there is no need to observe any minimum interval between doses of two different inactivated vaccines, nor between combinations of inactivated and live vaccines
there should be a flat hard surface in the area where vaccines will be administered to ensure
there is room for the patient to lie down if fainting occurs or CPR is required
why are adjuvants added to vaccines
to strengthen the immune response to the antigen
herd immunity refers to which of the following situations
vaccination of enough individuals in a community to protect those who cannnot be vaccinated
which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community
vaccinations that needed to be done in series
a history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines
varicella
what is the time interval for which the development of guillain-barre syndrome following influenza vaccination would result in a precaution for future influenza vaccines
within 6 weeks
which of the following diseases are transmitted through mosquito bites
yellow fever and japanese encephalitis
which of these vaccines is a live attenuated vaccine
zoster