Immunization & Vaccination Final Exam (aPhA) (2025/2026) | Verified Masterfile
To reduce liability, pharmacists administering immunizations should take the following three steps:
✔️Receive specialized training and stay current with vaccine information updates; educate patients
about the benefits and risks of vaccinations; and emulate local standards of care.
Can technicians administer vaccinations? ✔️No
Pregnant women should not get what kind of vaccines? ✔️Live
Antigenic shifts produce ________ changes in type _____ antigens ✔️MAJOR; A
Antigenic drifts produce ________ changes in type ______ antigens ✔️minor; A and B
Children are more likely to get what type of influenza strain? ✔️B
Which type of influenza strain is responsible for pandemics? ✔️A
How long does immunity from the influenza vaccine typically last? ✔️6-8 months
If a baby is born prematurely, do you need to adjust their vaccination schedule to begin at their due
date? ✔️No, no adjustment--use actual birthday
True or false: you should never vaccinate somebody with a mild illness? (mild fever, upper respiratory
tract infection, otitis media, mild diarrhea) ✔️False--you can vaccinate people with mild illnesses
Will administering multiple vaccines on one day produce adverse effects? ✔️No
Can a pregnant pharmacist administer a live vaccine? ✔️Yes
Which publication does the CDC generally use to quickly notify providers of updates to vaccine
recommendations? ✔️MMWR.
What is the only flu vaccine approved for patients under 3 years old? ✔️Fluzone IIV
What is an example of mass screening? ✔️Providing vaccine information at a booth of a health fair.
What is an example of a procedure-based screening? ✔️Recommending vaccinations for a patient
undergoing a splenectomy.
What is an example of an occurrence-based screening? ✔️Providing hospital discharge counseling to a
patient.
What type of immunity targets pathogens that are circulating freely in body fluids, such as blood,
plasma, and lymph. ✔️Humoral immunity
What is the written vaccine update source also known as the "pink book?" ✔️Epidemiology and
Prevention of Vaccine-Preventable Diseases.
What form is required to receive compensation for giving a vaccination? ✔️CMS-1500.
,All Medicare Part B enrollees are covered for which two vaccines? ✔️Influenza and pneumococcal.
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.
Which of the following statements is true regarding administration of LAIV? ✔️Administer with the
patient's head tilted slightly backward.
Live vaccines are contraindicated in a patient who: ✔️Is immunosuppressed.
Which of the following diseases has been successfully eradicated worldwide through vaccination
efforts? ✔️Smallpox
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:
3 doses of HepB
4 doses of PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
4 doses of DTaP
1 dose of varicella
4 doses of Hib
Which vaccines should David receive at this visit? ✔️DTaP, IPV, MMR, and varicella.
Which of the following statements is true regarding how vaccines evoke an immune response? ✔️The
antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged:
✔️60 years and older.
A health care provider who previously has not been vaccinated against hepatitis B is stuck by a
contaminated needle after administering an immunization to a hepatitis B positive patient during a
seasonal influenza clinic. 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 while the vaccine provides long-term protection.
, Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most
appropriate for administration to a 69-year-old man who is preparing to travel to see his newborn
granddaughter next month? ✔️Tdap.
What is the FDA-licensed age range for the use of LAIV? ✔️2 to 49 years of age.
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 155
lb? ✔️Inject subcutaneously at a 45° angle in the outer aspect of the upper arm.
Which vaccine does ACIP recommend for all college freshmen, living in dormitories, who have not been
previously vaccinated? ✔️MCV
Which of the following diseases are transmitted through mosquito bites? ✔️Yellow fever and Japanese
encephalitis.
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval
between doses of this vaccine? ✔️5 years
Which of the following key questions is important to as a patient before adminestering IIV? ✔️are you
sick today?
How often are the Healthy People targets for vaccination rates updated? Every *blank years* ✔️10 years
Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? *blank*
polysaccharide *blank* ✔️pure vaccines
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)? ✔️VIS
RotaTeq (RV5) should be administered as a: *blank*-dose series to infants *blank,blank,blank* months
of age ✔️3 246
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval
between doses of this vaccine?
*blank years* ✔️5 years
After reconstitution, within what time frame must HZV be administered?
*blank mins* ✔️30 mins
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children
younger than 5 years of age? *Haemophilus influenzae type BLANK* ✔️b
HealthMap Vaccine Finder is a free online tool that allows pharmacists to:
*List their vaccination BLANK so patients can find them when searching the website for nearby
immunizers.* ✔️services
Even though state laws may have specific mandates, how long should pharmacists maintain records of
immunizations?
To reduce liability, pharmacists administering immunizations should take the following three steps:
✔️Receive specialized training and stay current with vaccine information updates; educate patients
about the benefits and risks of vaccinations; and emulate local standards of care.
Can technicians administer vaccinations? ✔️No
Pregnant women should not get what kind of vaccines? ✔️Live
Antigenic shifts produce ________ changes in type _____ antigens ✔️MAJOR; A
Antigenic drifts produce ________ changes in type ______ antigens ✔️minor; A and B
Children are more likely to get what type of influenza strain? ✔️B
Which type of influenza strain is responsible for pandemics? ✔️A
How long does immunity from the influenza vaccine typically last? ✔️6-8 months
If a baby is born prematurely, do you need to adjust their vaccination schedule to begin at their due
date? ✔️No, no adjustment--use actual birthday
True or false: you should never vaccinate somebody with a mild illness? (mild fever, upper respiratory
tract infection, otitis media, mild diarrhea) ✔️False--you can vaccinate people with mild illnesses
Will administering multiple vaccines on one day produce adverse effects? ✔️No
Can a pregnant pharmacist administer a live vaccine? ✔️Yes
Which publication does the CDC generally use to quickly notify providers of updates to vaccine
recommendations? ✔️MMWR.
What is the only flu vaccine approved for patients under 3 years old? ✔️Fluzone IIV
What is an example of mass screening? ✔️Providing vaccine information at a booth of a health fair.
What is an example of a procedure-based screening? ✔️Recommending vaccinations for a patient
undergoing a splenectomy.
What is an example of an occurrence-based screening? ✔️Providing hospital discharge counseling to a
patient.
What type of immunity targets pathogens that are circulating freely in body fluids, such as blood,
plasma, and lymph. ✔️Humoral immunity
What is the written vaccine update source also known as the "pink book?" ✔️Epidemiology and
Prevention of Vaccine-Preventable Diseases.
What form is required to receive compensation for giving a vaccination? ✔️CMS-1500.
,All Medicare Part B enrollees are covered for which two vaccines? ✔️Influenza and pneumococcal.
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.
Which of the following statements is true regarding administration of LAIV? ✔️Administer with the
patient's head tilted slightly backward.
Live vaccines are contraindicated in a patient who: ✔️Is immunosuppressed.
Which of the following diseases has been successfully eradicated worldwide through vaccination
efforts? ✔️Smallpox
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:
3 doses of HepB
4 doses of PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
4 doses of DTaP
1 dose of varicella
4 doses of Hib
Which vaccines should David receive at this visit? ✔️DTaP, IPV, MMR, and varicella.
Which of the following statements is true regarding how vaccines evoke an immune response? ✔️The
antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged:
✔️60 years and older.
A health care provider who previously has not been vaccinated against hepatitis B is stuck by a
contaminated needle after administering an immunization to a hepatitis B positive patient during a
seasonal influenza clinic. 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 while the vaccine provides long-term protection.
, Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most
appropriate for administration to a 69-year-old man who is preparing to travel to see his newborn
granddaughter next month? ✔️Tdap.
What is the FDA-licensed age range for the use of LAIV? ✔️2 to 49 years of age.
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 155
lb? ✔️Inject subcutaneously at a 45° angle in the outer aspect of the upper arm.
Which vaccine does ACIP recommend for all college freshmen, living in dormitories, who have not been
previously vaccinated? ✔️MCV
Which of the following diseases are transmitted through mosquito bites? ✔️Yellow fever and Japanese
encephalitis.
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval
between doses of this vaccine? ✔️5 years
Which of the following key questions is important to as a patient before adminestering IIV? ✔️are you
sick today?
How often are the Healthy People targets for vaccination rates updated? Every *blank years* ✔️10 years
Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? *blank*
polysaccharide *blank* ✔️pure vaccines
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)? ✔️VIS
RotaTeq (RV5) should be administered as a: *blank*-dose series to infants *blank,blank,blank* months
of age ✔️3 246
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval
between doses of this vaccine?
*blank years* ✔️5 years
After reconstitution, within what time frame must HZV be administered?
*blank mins* ✔️30 mins
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children
younger than 5 years of age? *Haemophilus influenzae type BLANK* ✔️b
HealthMap Vaccine Finder is a free online tool that allows pharmacists to:
*List their vaccination BLANK so patients can find them when searching the website for nearby
immunizers.* ✔️services
Even though state laws may have specific mandates, how long should pharmacists maintain records of
immunizations?
