APHA IMMUNIZATION EXAM 4 CORE VACCINE
SCHEDULES AND IMMUNIZATION GUIDELINES
REVIEW 2026
◉ According to ACIP recommendations, which of the following
needle lengths would be appropriate for administering HZV to an
adult patient?
Answer: 5/8 in needle at 45 degrees in the outer upper arm (SC)
◉ How often are the Healthy People targets for vaccination rates
updated?
Answer: every 10 years
◉ Which of the following patients is a candidate for both MenACWY
and MenB vaccines?
Answer: A 10 year old who just had his spleen removed
*MenA can be administered at 2months, MenB not recommended
until 10 yrs
HIV infection and being in the military are risk factors for MenA
,◉ What must be documented for VIS?
Answer: -patient name
-date vaccine was administered
-vaccine manufacturer, lot number
-name, address, title of the administer
-date printed on VIS
-date VIS was given to patient or guardian
*signatures of patient/guardian not required by federal law, but
some employers/companys may require signatures
◉ Who should receive MMR vaccine?
Answer: 2 dose series at 12-15 months and 4-6 years
*no additional doses needed
MMR is a live vaccine, not recommended until 12 months old
Adults w/o immunity evidence (being born before 1957,
documentation of MMR vaccine, lab evidence of disease) should
receive one dose
, Healthcare professionals should receive 2 doses
◉ If a patient received the first dose of HepB but did not return for
the remaining doses in the series, under what circumstances should
the HepB series be restarted?
Answer: Do not have to start series over (oral typhoid is the
exception)
*Increasing the interval between doses of a multi-dose vaccine
series does not diminish the ultimate effectiveness of the vaccine,
but it does delay protection for the patient.
◉ Which of the following best describes how to administer MMR
vaccine to an adult patient weighing 210 lb?
Answer: SC at 45 degree angle
*weight of patient does not matter in regards to route of
administration
◉ HPV vaccine is recommended for..
Answer: Both males and females ages 9-26 years
*routinely recommended for 11 or 12 years of age
SCHEDULES AND IMMUNIZATION GUIDELINES
REVIEW 2026
◉ According to ACIP recommendations, which of the following
needle lengths would be appropriate for administering HZV to an
adult patient?
Answer: 5/8 in needle at 45 degrees in the outer upper arm (SC)
◉ How often are the Healthy People targets for vaccination rates
updated?
Answer: every 10 years
◉ Which of the following patients is a candidate for both MenACWY
and MenB vaccines?
Answer: A 10 year old who just had his spleen removed
*MenA can be administered at 2months, MenB not recommended
until 10 yrs
HIV infection and being in the military are risk factors for MenA
,◉ What must be documented for VIS?
Answer: -patient name
-date vaccine was administered
-vaccine manufacturer, lot number
-name, address, title of the administer
-date printed on VIS
-date VIS was given to patient or guardian
*signatures of patient/guardian not required by federal law, but
some employers/companys may require signatures
◉ Who should receive MMR vaccine?
Answer: 2 dose series at 12-15 months and 4-6 years
*no additional doses needed
MMR is a live vaccine, not recommended until 12 months old
Adults w/o immunity evidence (being born before 1957,
documentation of MMR vaccine, lab evidence of disease) should
receive one dose
, Healthcare professionals should receive 2 doses
◉ If a patient received the first dose of HepB but did not return for
the remaining doses in the series, under what circumstances should
the HepB series be restarted?
Answer: Do not have to start series over (oral typhoid is the
exception)
*Increasing the interval between doses of a multi-dose vaccine
series does not diminish the ultimate effectiveness of the vaccine,
but it does delay protection for the patient.
◉ Which of the following best describes how to administer MMR
vaccine to an adult patient weighing 210 lb?
Answer: SC at 45 degree angle
*weight of patient does not matter in regards to route of
administration
◉ HPV vaccine is recommended for..
Answer: Both males and females ages 9-26 years
*routinely recommended for 11 or 12 years of age
