APhA Pharmacy Based Immunization
Delivery Exam Questions with Correct
Rationales Graded A+
Under the direction of the U.S. Department of Health and Human Services, the Healthy People initiative
has identified the following as a goal for 2030: - Answer: Increase the proportion of persons who are
vaccinated annually against seasonal influenza
The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and the 2016
International Pharmaceutical Federation global report identify pharmacists as: - Answer: Integral to
increasing vaccination rates
Opportunities for Advocacy and Collaboration include: - Answer: Membership in state immunization
coalition to serve as an expert on policy and practice issues affecting pharmacy
Which of the following is one of the five guidelines identified by the APhA Board of Trustees in 2019 to
assist pharmacists in incorporating immunization activities into their practice? - Answer: Prevention
Which of the following diseases have been eradicated worldwide, allowing vaccination to be
discontinued? - Answer: Smallpox
Which of the following statements is false regarding polysaccharide and conjugated vaccines? - Answer:
The conjugate protein used, such as diphtheria, can also provide adequate protection against itself in
addition to the polysaccharide
Which of the following vaccines listed is a live attenuated vaccine? - Answer: Varicella (VAR)
When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine (PCV13) to a
patient at their 15-month appointment, what must be considered regarding vaccine spacing? - Answer:
MMR and PCV14 may be administered simultaneously or at any interval between doses
, Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to boost
its immune response by targeting pathogen recognition receptors that are expressed on dendritic cells
to trigger a pro-inflammatory response? Though this technology creates a more robust immune
response, it can also increase local site reactions and systemic reactions, such as fevers, chills, and body
aches. - Answer: Adjuvants
Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? - Answer:
Inactivated polysaccharide vaccine
Star Pharmacy has been providing influenza vaccines for years and is now implementing a Hepatitis B
vaccine program in their pharmacy next month. A crucial step in the Pharmacists' Patient Care Process
for this vaccine is: - Answer: Create a reminder and recall system
A male patient presents to the pharmacy for a shingles vaccine appointment. The patient is a new
patient to the pharmacy. Which of the following information would be most appropriate to collect as
part of the patient care process? - Answer: Patient's age, current health, vaccine history, and allergies
An electronic prescription for glipizide 10mg is received by a pharmacist for a new patient. The
prescription indicates a diagnosis of E11, Type 2 diabetes mellitus. In addition to filling the prescription,
the pharmacist could assess the patient for potential immunizations to recommend. What form of
assessment is the pharmacist utilizing? - Answer: Diagnosis-based screening
The community pharmacist, while filling discharge orders from the hospital, recognizes a patient's need
for receiving the pneumococcal vaccine during a transition of care to a personal care home. This is an
example of what part of the patient care process? - Answer: Assess
Which of the following statements best meets the definition of precaution? - Answer: A condition that
may alter or diminish the patient's response or may increase the patient's risk of a serious reaction to a
vaccine.
Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine (LAIV) no
longer recommended? - Answer: 50 years
If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of time that
must occur between dose 1 and dose 3 when getting this child caught up? - Answer: 16 weeks
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