Immunization exam –APHA QUESTIONS
AND ANSWERS| (80 QUESTIONS)
Which of the following vaccines may be administered to boys and young men aged 9 through 26 years
to reduce the likelihood of acquiring genital warts? Correct Answer: HPV9
Barbara is a 60-year-old woman who presents to the pharmacy for two vaccines: HZV and IIV. Which of
the following are the appropriate doses and routes for administering these vaccines to this patient?
Correct Answer: HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly.
Which of the following patients would be a candidate for PPSV23? Correct Answer: 25-year-old man
who smokes cigarettes.
Why should refrigerated vaccines be stored in the middle of the refrigerator? Correct Answer: There are
fewer temperature fluctuations
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? Correct Answer:
Precautions for vaccination
Which of the following statements is true regarding how vaccines evoke an immune response? Correct
Answer: The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and
memory cells.
How often are the Healthy People targets for vaccination rates updated? Correct Answer: *not* every
year
According to ACIP recommendations, which of the following needle lengths would be appropriate for
administering HZV to an adult patient? Correct Answer: 5/8 inch
Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in
dormitories, who have not been previously vaccinated? Correct Answer: mcv4
What is the time interval for which the development of Guillain-Barré syndrome following influenza
vaccination would result in a precaution for future influenza vaccines? Correct Answer: Within 6 weeks
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: Correct Answer: Prompt immunity
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He
leaves in 3 weeks and will be gone a month. He received his first dose of hepatitis A vaccine today. Alex
should be counseled to return for his second dose of hepatitis A vaccine: Correct Answer: In 6 months
, What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect
the infant from pertussis after birth? Correct Answer: Passive immunity
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: Correct Answer: VAERS
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what
should be done with the vaccine? Correct Answer: Mark "do not use," place in the refrigerator, and call
the manufacturer for further guidance.
For which age group is the adjuvanted inactivated influenza vaccine approved? Correct Answer: 65
years and older
Which of the following statements about establishing clinics for administering vaccines is true? Correct
Answer: Technicians can administer screening questionnaires and distribute VISs.
If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which
vaccine is likely to be needed by many of the victims? Correct Answer: Tetanus
Which of the following patients should receive the MMR vaccine? Correct Answer: A pharmacist born in
1975 with documentation of 1 dose of MMR vaccine.
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children
younger than 5 years of age? Correct Answer: Haemophilus influenzae type b.
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? Correct Answer: Diagnosis of chickenpox by a health care provider.
Even though state laws may have specific mandates, how long should pharmacists maintain records of
immunizations? Correct Answer: For a patient's lifetime
Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the
disease. He should receive Correct Answer: 2 doses of varicella vaccine separated by at least 4 weeks.
The childhood/adolescent and adult immunization schedules are updated and published annually during
which months? Correct Answer: January or February.
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: Correct Answer:
Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? Correct
Answer: 11 year-old girl with no medical conditions, series has not been started
What is the standard dose of epinephrine for managing anaphylaxis? Correct Answer: 0.01 mg per kg
body weight, up to a maximum of 0.5 mg.
AND ANSWERS| (80 QUESTIONS)
Which of the following vaccines may be administered to boys and young men aged 9 through 26 years
to reduce the likelihood of acquiring genital warts? Correct Answer: HPV9
Barbara is a 60-year-old woman who presents to the pharmacy for two vaccines: HZV and IIV. Which of
the following are the appropriate doses and routes for administering these vaccines to this patient?
Correct Answer: HZV 0.65 mL subcutaneously; IIV 0.5 mL intramuscularly.
Which of the following patients would be a candidate for PPSV23? Correct Answer: 25-year-old man
who smokes cigarettes.
Why should refrigerated vaccines be stored in the middle of the refrigerator? Correct Answer: There are
fewer temperature fluctuations
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? Correct Answer:
Precautions for vaccination
Which of the following statements is true regarding how vaccines evoke an immune response? Correct
Answer: The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and
memory cells.
How often are the Healthy People targets for vaccination rates updated? Correct Answer: *not* every
year
According to ACIP recommendations, which of the following needle lengths would be appropriate for
administering HZV to an adult patient? Correct Answer: 5/8 inch
Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in
dormitories, who have not been previously vaccinated? Correct Answer: mcv4
What is the time interval for which the development of Guillain-Barré syndrome following influenza
vaccination would result in a precaution for future influenza vaccines? Correct Answer: Within 6 weeks
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: Correct Answer: Prompt immunity
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He
leaves in 3 weeks and will be gone a month. He received his first dose of hepatitis A vaccine today. Alex
should be counseled to return for his second dose of hepatitis A vaccine: Correct Answer: In 6 months
, What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect
the infant from pertussis after birth? Correct Answer: Passive immunity
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: Correct Answer: VAERS
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what
should be done with the vaccine? Correct Answer: Mark "do not use," place in the refrigerator, and call
the manufacturer for further guidance.
For which age group is the adjuvanted inactivated influenza vaccine approved? Correct Answer: 65
years and older
Which of the following statements about establishing clinics for administering vaccines is true? Correct
Answer: Technicians can administer screening questionnaires and distribute VISs.
If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which
vaccine is likely to be needed by many of the victims? Correct Answer: Tetanus
Which of the following patients should receive the MMR vaccine? Correct Answer: A pharmacist born in
1975 with documentation of 1 dose of MMR vaccine.
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children
younger than 5 years of age? Correct Answer: Haemophilus influenzae type b.
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? Correct Answer: Diagnosis of chickenpox by a health care provider.
Even though state laws may have specific mandates, how long should pharmacists maintain records of
immunizations? Correct Answer: For a patient's lifetime
Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the
disease. He should receive Correct Answer: 2 doses of varicella vaccine separated by at least 4 weeks.
The childhood/adolescent and adult immunization schedules are updated and published annually during
which months? Correct Answer: January or February.
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: Correct Answer:
Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? Correct
Answer: 11 year-old girl with no medical conditions, series has not been started
What is the standard dose of epinephrine for managing anaphylaxis? Correct Answer: 0.01 mg per kg
body weight, up to a maximum of 0.5 mg.
