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APHA IMMUNIZATION FINAL EXAM 2025 ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+, EXAMS OF NURSING
Which of the following best describes how to administer Tdap vaccine to an adult patient
weighing 185 lb? - ANSWER-Inject intramuscularly at a 90° angle in the deltoid muscle.
Why are adjuvants added to vaccines? - ANSWER-To strengthen the immune response to the
antigen.
Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on
November 1st. Kate's immunization record indicates 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? - ANSWER-*not*
PCV13 and IIV.
Kimberly is a 34 year-old woman who is 30 weeks pregnant. She received a Td booster dose 1
year ago when she cut her hand while working in the kitchen. She has no documentation of
receiving a Tdap vaccine. The most appropriate recommendation would be to administer: -
ANSWER-Tdap as soon as possible.
With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in
a patient who: - ANSWER-Is immunosuppressed.
Which of the following vaccines is recommended for infants to receive within 24 hours of birth?
- ANSWER-Hepatitis B.
Which of the following is recognized by sociologists as a factor in a patient's decision whether to
be vaccinated? - ANSWER-Influence of a health care provider.
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Which of the following is most likely to result in an influenza pandemic? - ANSWER-Antigenic
shift in an influenza A virus
According to ACIP, which of the following is a contraindication to receiving HZV? - ANSWER-
Current treatment for lymphoma.
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? -
ANSWER-PPSV23, Tdap, and IIV.
Which of the following documents must be given to every patient or patient's caregiver before
administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? -
ANSWER-VIS
Which entity determines the specific vaccines that a pharmacist may administer? - ANSWER-
States through laws and regulations.
HPV vaccine is recommended for which of the following individuals? - ANSWER-12 y/o boy
At what point during pregnancy is it recommended to administer the influenza vaccine? -
ANSWER-Anytime is safe
Which of the following immunization strategies is preferred for adults under the age of 65 years
with immunocompromising conditions who require both PCV13 and PPSV23? - ANSWER-PCV13
first, followed by PPSV23 at least 8 weeks later.
The incubation period for influenza can range from: - ANSWER-1 to 4 days
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All Medicare Part B enrollees are covered for which vaccines? - ANSWER-Influenza, PPSV23, and
PCV13,
Influenza and pneumococcal.
What is the most common complication of pertussis? - ANSWER-Pneumonia
HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - ANSWER-List their
vaccination services so patients can find them when searching the website for nearby
immunizers.
Which of the following diseases are transmitted through mosquito bites? - ANSWER-Yellow
fever and Japanese encephalitis.
In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? -
ANSWER-HPV
Which of the following is a requirement of the Occupational Safety and Health Administration's
(OSHA's) Bloodborne Pathogens Standard? - ANSWER-Health care providers must use safety
devices when administering injectable vaccines.
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-The series
should not be restarted; resume the series where it was interrupted.
Which disease is characterized by the development of a membrane on the tonsils, pharynx, or
larynx, leading to respiratory obstruction? - ANSWER-Diphtheria.
A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the
following vaccines? - ANSWER-Varicella
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Which disease is almost certain to cause death if infected patients do not receive postexposure
prophylaxis? - ANSWER-Rabies
Which of the following statements would be accurate when responding to a patient's concerns
about the safety of vaccines? - ANSWER-The immune system is capable of stimulating an
immune response to multiple vaccines administered at the same time.
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended
interval between doses of this vaccine? - ANSWER-5 years
Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine
recommendations? - ANSWER-Low effectiveness of this vaccine was seen during the 2013-2014
and 2015-2016 influenza seasons.
After reconstitution, within what time frame must HZV be administered? - ANSWER-30 minutes
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a
patient's need for certain vaccines? - ANSWER-Assess
David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July
prior to starting kindergarten. David's immunization record reveals that he has received the
following vaccines: - ANSWER-DTaP, IPV, MMR, and varicella.
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-diagnosed case of chickenpox at 2 years of age. Which of the
following would be the most appropriate recommendation for her today? - ANSWER-Tdap, HPV,
MCV, HepB, and influenza, if during influenza season.
APHA IMMUNIZATION FINAL EXAM 2025 ACTUAL EXAM 70
QUESTIONS AND CORRECT DETAILED ANSWERS|ALREADY
GRADED A+, EXAMS OF NURSING
Which of the following best describes how to administer Tdap vaccine to an adult patient
weighing 185 lb? - ANSWER-Inject intramuscularly at a 90° angle in the deltoid muscle.
Why are adjuvants added to vaccines? - ANSWER-To strengthen the immune response to the
antigen.
Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on
November 1st. Kate's immunization record indicates 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? - ANSWER-*not*
PCV13 and IIV.
Kimberly is a 34 year-old woman who is 30 weeks pregnant. She received a Td booster dose 1
year ago when she cut her hand while working in the kitchen. She has no documentation of
receiving a Tdap vaccine. The most appropriate recommendation would be to administer: -
ANSWER-Tdap as soon as possible.
With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in
a patient who: - ANSWER-Is immunosuppressed.
Which of the following vaccines is recommended for infants to receive within 24 hours of birth?
- ANSWER-Hepatitis B.
Which of the following is recognized by sociologists as a factor in a patient's decision whether to
be vaccinated? - ANSWER-Influence of a health care provider.
,2|Page
Which of the following is most likely to result in an influenza pandemic? - ANSWER-Antigenic
shift in an influenza A virus
According to ACIP, which of the following is a contraindication to receiving HZV? - ANSWER-
Current treatment for lymphoma.
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? -
ANSWER-PPSV23, Tdap, and IIV.
Which of the following documents must be given to every patient or patient's caregiver before
administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? -
ANSWER-VIS
Which entity determines the specific vaccines that a pharmacist may administer? - ANSWER-
States through laws and regulations.
HPV vaccine is recommended for which of the following individuals? - ANSWER-12 y/o boy
At what point during pregnancy is it recommended to administer the influenza vaccine? -
ANSWER-Anytime is safe
Which of the following immunization strategies is preferred for adults under the age of 65 years
with immunocompromising conditions who require both PCV13 and PPSV23? - ANSWER-PCV13
first, followed by PPSV23 at least 8 weeks later.
The incubation period for influenza can range from: - ANSWER-1 to 4 days
,3|Page
All Medicare Part B enrollees are covered for which vaccines? - ANSWER-Influenza, PPSV23, and
PCV13,
Influenza and pneumococcal.
What is the most common complication of pertussis? - ANSWER-Pneumonia
HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - ANSWER-List their
vaccination services so patients can find them when searching the website for nearby
immunizers.
Which of the following diseases are transmitted through mosquito bites? - ANSWER-Yellow
fever and Japanese encephalitis.
In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? -
ANSWER-HPV
Which of the following is a requirement of the Occupational Safety and Health Administration's
(OSHA's) Bloodborne Pathogens Standard? - ANSWER-Health care providers must use safety
devices when administering injectable vaccines.
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-The series
should not be restarted; resume the series where it was interrupted.
Which disease is characterized by the development of a membrane on the tonsils, pharynx, or
larynx, leading to respiratory obstruction? - ANSWER-Diphtheria.
A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the
following vaccines? - ANSWER-Varicella
, 4|Page
Which disease is almost certain to cause death if infected patients do not receive postexposure
prophylaxis? - ANSWER-Rabies
Which of the following statements would be accurate when responding to a patient's concerns
about the safety of vaccines? - ANSWER-The immune system is capable of stimulating an
immune response to multiple vaccines administered at the same time.
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended
interval between doses of this vaccine? - ANSWER-5 years
Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine
recommendations? - ANSWER-Low effectiveness of this vaccine was seen during the 2013-2014
and 2015-2016 influenza seasons.
After reconstitution, within what time frame must HZV be administered? - ANSWER-30 minutes
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a
patient's need for certain vaccines? - ANSWER-Assess
David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July
prior to starting kindergarten. David's immunization record reveals that he has received the
following vaccines: - ANSWER-DTaP, IPV, MMR, and varicella.
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-diagnosed case of chickenpox at 2 years of age. Which of the
following would be the most appropriate recommendation for her today? - ANSWER-Tdap, HPV,
MCV, HepB, and influenza, if during influenza season.
