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Why are water bottles recommended to be placed in refrigerators in which vaccines are stored?

To help stabilize the temperature

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

Fluzone

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?

Varicella

Which of the following patients would be a ACIP recommended candidate for PPSV23?

A 21-year-old man who smokes cigarettes.

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?

PCV13 followed by PPSV23 12 months later, Tdap, and herpes zoster.

Which of the following is the routine schedule for vaccinating adolescents with MCV4?

One dose at age 11 to 12 years, followed by a booster dose at age 16 years.

Which of the following patients would be an appropriate candidate for the HPV vaccine?

A 12-year-old boy

Which of these vaccines must replicate to stimulate an immune response?

MMR.

Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community?

Vaccines with multiple doses in a series.

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?

DTaP.

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

Afluria

Which of the following best describes IIV intradermal administration?

Place the syringe perpendicular to the skin over the deltoid muscle.

Which of the following statements is true about risks associated with vaccines and vaccine-preventable diseases?

International travelers import many cases of vaccine-preventable diseases into the United States each year.

Which of these vaccines is an inactivated vaccine?

DTaP.

With which entity should pharmacists collaborate to develop a standing order for vaccine administration?

Physicians

The majority of cases of vasovagal syncope occur within which of the following time frames following vaccination?

15 minutes.

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?

Revaccinate with MCV4 every 5 years.

Which of the following is the recommended schedule for administration of the hepatitis A vaccine?

Two doses at least 6 months apart.

Which of the following vaccines should be administered subcutaneously?

MMR

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?

PPSV23, Hepatitis B, and influenza.

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?

0.65 mL subcutaneously.

Which of the following is a method to motivate patients to be vaccinated?

Acknowledge the patient’s concerns.

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:

Regardless of age.

Which of the following would be an appropriate needle size and length for administering varicella vaccine to an adult woman who weighs 175 lbs?

25 gauge; 5/8 inch.

Vaccines evoke an immune response because they contain:

Antigens that stimulate the production of antibodies.

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

Rotavirus.

Which of the following is a provider factor associated with low vaccination rates in adults?

Lack of effective reminder or recall systems.

Which of the following is a symptom of a true allergic reaction?

Hives.

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?

HPV9.

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?

Tdap

Which of the following is the youngest age at which a child should receive inactivated influenza vaccine?

6 months.

What is the most appropriate recommendation for administering Tdap to pregnant patients?

Administer one dose with every pregnancy in the third trimester.

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?

Any influenza vaccine.

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?

Ask the patient to sit down and begin to monitor the patient’s vital signs.

Which of the following best describes how to administer hepatitis B vaccine to an adult man who weighs 225 lbs?

Intramuscularly at a 90-degree angle in the deltoid muscle.

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?

Two doses of MMR.

Which of the following is a requirement of the Occupational Safety and Health Administration (OSHA) bloodborne pathogens standard?

Use of universal precautions.

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

Pregnant providers may administer live vaccines.

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?

Tdap, HPV, MCV, MMR.

A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following?

Vaccine Adverse Events Reporting System (VAERS).

Which of the following is the most appropriate injection site for administering Td to an adult patient?

Deltoid muscle.

Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis?

0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose.

Which of the following patients would be a candidate now for revaccination with PPSV23?

A 66-year-old woman who received the first dose of PPSV23 at 60 years of age.

Vaccines should be avoided or delayed for which of the following patients?

A patient ill enough for referral to a physician or hospital.

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?

Tdap, HPV, MCV, varicella, and influenza (if during influenza season).

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