APhA Pharmacy-Based Immunization
Delivery Assessment Exam Questions
with Correct Rationales Graded A+
What is the most common complication of pertussis?
A. Seizures
B. Pneumonia
C. Hypoxemia
D. Colic - Answer: B. Pneumonia
Herd immunity refers to which of the following situations?
A. Vaccination of enough individuals in a community to protect those who cannot be vaccinated
B. Immunity that occurs following infection with wild-type virus
C. Vaccinating groups of individuals who are at high risk for disease from environmental microbes
D. Immunity from diseases that circulate in other species - Answer: A. Vaccination of enough individuals
in a community to protect those who cannot be vaccinated
Which viruses are associated with the development of cancer?
A. Human papillomavirus and hepatitis B virus
B. Varicella virus and hepatitis A virus
C. Hepatitis A and herpes zoster
D. Rubella and varicella virus - Answer: A. Human papillomavirus and hepatitis B virus
Which of the following patients would be a candidate for PPSV23?
A. 12-month-old boy with asthma
B. 25-year-old man who smokes cigarettes
C. 33-year-old woman who is pregnant
D. 50-year-old woman with no medical conditions - Answer: B. 25-year-old man who smokes cigarettes
,Which of the following is recognized by sociologists as a factor in a patient's decision whether to be
vaccinated?
A. History of medication use
B. History of chronic medical condition
C. Influence of health care provider
D. Discount coupon in local newspaper - Answer: C. Influence of health care provider
How often are Healthy People targets for vaccination rates updated?
A. Every year
B. Every 5 years
C. Every 10 years
D. Every 20 years - Answer: C. Every 10 years
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?
A. 0 and 2 months
B. 0 and 6 months
C. 0, 1, and 2 months
D. 0, 1, and 6 months - Answer: D. 0, 1, and 6 months
Which of the following key questions is important to ask a patient before administering IIV?
A. Are you sick today?
B. During the past year, have you received a blood transfusion or immune (gamma) globulin?
C. Have you received any vaccinations in the past 4 weeks?
D. Do you have any cancer, Leukemia, AIDS, or any other immune problem? - Answer: A. Are you sick
today?
, What is the type of immunity occurs when a pregnant woman is vaccinated with Tdap to protect the
infant from pertussis after birth?
A. Active immunity
B. Acquired immunity
C. Cell-mediated immunity
D. Passive immunity - Answer: D. Passive immunity
What is the minimum needle length recommended for administering HepB vaccine to an adult patient
weighing 130 lb?
A. 1/2 in
B. 5/8 in
C. 1 in
D. 1 1/2 in - Answer: C. 1 in
Which of the following statements would be accurate when responding to a patient's concerns about
the safety of vaccines?
A. In recent years, several hot lots of the vaccine have been known to cause adverse effects. We do not
stock vaccines.
B. Thimerosal vaccines poses a risk for autism - we can use a vaccine that is thimerosal-free.
C. The immune system is capable of stimulating an immune response to multiple vaccines administered
at the same time.
D. While influenza vaccines may cause the flu, the extent of the illness and risk for hospitalization are
greatly reduced. - Answer: C. The immune system is capable of stimulating an immune response to
multiple vaccines administered at the same time.
According to ACIP, which of the following is a contraindication to receiving HZV?
A. Current treatment for lymphoma
B. Age 59 years and younger
C. Past history of herpes zoster
D. Has never received the varicella zoster vaccine (VAR) - Answer: A. Current treatment for lymphoma
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