Q: Which of the following live vaccines is recommended to be administered prior to one year of age?
A: Rotavirus

Q: Vaccines should be avoided or delayed for which of the following patients?
A: Patient ill enough for referral to a physician

Q: Which of the following statements best describes appropriate administration of pneumococcal vaccines for adults 19 to 64 years of age who are immunocompromised?
A: PCV13 should be given first, followed by PPSV23 8 weeks later.

Q: Which of the following is the youngest age at which a child should receive inactivated influenza vaccine?
A: 6 months

Q: Which of the following best describes immunization coalitions?
A: Organizations that foster collaboration among stakeholders to increase immunization rates.

Q: Katy is a 12-year-old middle school student with no chronic medical conditions who comes to your pharmacy on September 30 for her flu shot. She completed the primary series of DTaP, IPV, hepatitis A, hepatitis B, and Hib, and had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would also be appropriate to recommend for Katy today?
A:Tdap, HPV, MCV, MMR

Q: 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?
A: 0.65 mL subcutaneously.

Q:Which influenza vaccine is approved to be used with the jet injector needle-free system?
A:Afluria

Q: Which of these vaccines is an inactivated vaccine?
A: DTaP.

Q: The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination?
A: 15 minutes.

Q: Among all states in the United States, which of the following is the youngest minimum patient age for vaccination by a pharmacist allowed by a state?
A: Newborn.

Q: Which age group is appropriate to receive the 2-dose HPV9 vaccine series?
A: 9 through 14 years.


Q: Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community?
A: Vaccines with multiple doses in a series.

Q: Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl?
A: Fluzone

Q: 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?
A: Tell a staff member to call 911 and administer a dose of epinephrine.

Q: Which of the following patients would be an appropriate candidate for the HPV vaccine?
A: A 12-year-old boy.

Q: A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following?
A: Vaccine Adverse Events Reporting System (VAERS).

Q: Which of the following is a method to motivate patients to be vaccinated?
A: Acknowledge the patient’s concerns.

Q: If a patient experiences symptoms of anaphylaxis, which of the following would be the first action to take?
A: Call 911, or have a staff member call.

Q: Which of the following best describes IIV intradermal administration?
A: Place the syringe perpendicular to the skin over the deltoid muscle.

Q:  Vaccines evoke an immune response because they contain:
A: Antigens that stimulate the production of antibodies.

Q: Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard?
A: Use of universal precautions

Q: What could potentially happen if an intramuscular vaccine is administered too high?
A: Severe shoulder pain and injury.

Q: 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?
A: Varicella.


Q: A patient who reports an allergy to eggs but is able to eat lightly cooked eggs (e.g., scrambled eggs) without a reaction could receive which of the following influenza vaccines?
A: Any influenza vaccine.

Q: Which of the following is the recommended schedule for administration of the hepatitis A vaccine?
A: Two doses at least 6 months apart.

Q: Which of the following is a symptom of a true allergic reaction?
A: Hives.

Q:Which of the following is the correct dose and route of administration for the high-dose influenza vaccine?
A: 0.5 mL intramuscularly.

Q: Olivia, 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 an influenza vaccination for Olivia?
A: Recommend one dose of IIV.

Q: Larry is a 65-year-old man with heart disease who comes to the pharmacy to refill a prescription on October 21. His immunization record indicates that he has completed the primary series of DTaP, MMR, hepatitis B, and hepatitis A. His last Td booster dose was 12 years ago. In addition to influenza, which of the following vaccines should Larry receive?
A: PCV13 followed by PPSV23 12 months later, Tdap, and herpes zoster.


Q: Which of the following patients would be a candidate now for revaccination with PPSV23?
A: A 66-year-old woman who received the first dose of PPSV23 at 60 years of age.

Q: Which of these vaccines must replicate to stimulate an immune response?
A: MMR

Q: Missy is a 36-year-old woman with diabetes mellitus. She requests a refill of her insulin on November 1.  She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive?
A: PPSV23, Hepatitis B, and Influenza

Q: With which entity should pharmacists collaborate to develop a standing order for vaccine administration?
A: Physicians
Not Nurses either

Q: Why are water bottles recommended to be placed in refrigerators in which vaccines are stored?
A: To help stabilize the temperature.

Q: Which of the following is the most appropriate injection site for administering Td to an adult patient?
A: Deltoid Muscle

Q: Which of the following statements best describes the approach to take with patients regarding simultaneous administration of vaccines?
A :A delay in the administration of vaccines increases the risks for infection and outbreaks.

Q: Which of the following statements is true about risks associated with vaccines and vaccine-preventable diseases?
A: International travelers import many cases of vaccine-preventable diseases into the United States each year.

Q: Within a few minutes after receiving a vaccine, a patient reports not feeling well and would like a drink of water. Which of the following would be the most appropriate action to take?
A: Ask the patient to sit down and begin to monitor the patient’s vital signs.

Q: Albert is a 61-year-old man who wants to receive the herpes zoster vaccine.  He is up to date on his other immunizations and reports receiving his inactivated influenza vaccine two weeks ago.  Which of the following would be the best recommendation to make regarding the herpes zoster vaccine for Albert?
A: He can receive the herpes zoster vaccine today.

Q: When preparing to offer a vaccination service, which document should be up-to-date and readily available anytime vaccines are given?
A:Not Employee Immunization Record

Q: 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?
A: Two doses of MMR.

Q: What is the most appropriate recommendation for administering Tdap to pregnant patients?
A:Administer one dose with every pregnancy in the third trimester.

Q: Which of the following vaccines should be administered subcutaneously?
A: MMR.

Q: Which of the following is the minimum needle length recommended for intramuscular administration of the influenza vaccine to an adult woman weighing 215 lbs?
A: 1½ inches


Q: Which of the following is the routine schedule for vaccinating adolescents with MCV4?
A: One dose at age 11 to 12 years, followed by a booster dose at age 16 years.

Q: Which of the following should be one of the first steps involved in establishing a pharmacy-based immunization program?
A: Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice.

Q: Which of the following vaccines should be administered to boys and young men aged 9 through 26 years to reduce their likelihood of acquiring genital warts?
A: HPV9

Q: Which of the following would be an appropriate needle size and length for administering varicella vaccine to an adult woman who weighs 175 lbs?
A: 25 gauge; 5/8 inch.

Q: Angie is a 16-year-old high school student with no chronic medical conditions. She completed the primary series of DTaP, IPV, PCV, Hib, and MMR. She received the complete series of hepatitis A and hepatitis B vaccines before entering high school. Which of the following would be the most appropriate recommendation for Angie today?
A: Tdap, HPV, MCV, varicella, and influenza (if during influenza season)

Q: 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?
A: Tdap

Q: Which of the following best describes how to administer hepatitis B vaccine to an adult man who weighs 225 lbs?
A: Intramuscularly at a 90-degree angle in the deltoid muscle.

Q: Which of the following patients would be a ACIP recommended candidate for PPSV23?
A: A 21-year-old man who smokes cigarettes

Q: Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis?
A: 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose.

Q: Which of the following is a provider factor associated with low vaccination rates in adults?
A: Lack of effective reminder or recall systems.

Q: Which of the following statements best describes recommendations for vaccine administration during pregnancy?
A:

Q: Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following tetanus toxoid-containing vaccines would be appropriate for Lily?
A: DTaP

Q: Liz, a 37-year-old woman, was diagnosed with HIV 2 months ago. She received one 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?
A:

Q: Which of the following patients would be an appropriate candidate for adjuvanted influenza vaccine (aIIV3)?
A: A 67 year-old man with diabetes.

Q: 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:
A: Regardless of age.