APHA Risk Management & Mitigation 3

Question 1

A pharmacist discovers a multi-dose vial of influenza vaccine was left at room temperature for 6 hours. What is the most appropriate risk mitigation step?

Accepted Answer

Discard the vial according to facility policy and document the excursion

Answer

Vaccines exposed to temperature excursions beyond manufacturer and CDC guidance should be discarded, and the event documented to prevent future errors.

Question 2

Which of the following is a TRUE statement about contraindications versus precautions in immunization?

Accepted Answer

A contraindication generally warrants withholding the vaccine, while a precaution requires weighing risks and benefits

Answer

Contraindications typically mean the vaccine should not be given, while precautions indicate a situation where benefits and risks must be carefully weighed before vaccinating.

Question 3

A patient who received the MMR vaccine 4 weeks ago needs a varicella vaccine. What risk consideration applies?

Accepted Answer

Both vaccines should have been given simultaneously or the varicella must be delayed at least 4 weeks after MMR

Answer

Two live vaccines not given simultaneously must be separated by at least 28 days; if the varicella was not given on the same day as MMR, it must be delayed 4 weeks.

Question 4

When completing a VAERS report after a serious adverse event, which information is considered essential to include?

Accepted Answer

Manufacturer's lot number, vaccine administered, adverse event description, and patient demographics

Answer

A complete VAERS report includes the vaccine name, lot number, patient demographics, adverse event details, and timing to help identify safety signals.

Question 5

Which strategy most effectively reduces the risk of vaccine administration to the wrong patient?

Accepted Answer

Using at least two patient identifiers (e.g., name and date of birth) before vaccine preparation and administration

Answer

Using two independent patient identifiers before vaccine preparation and administration is a standard patient safety practice to prevent wrong-patient errors.

(APHA) APhA Pharmacy-Based Immunization Certificate Practice Test

(APHA) APhA Pharmacy-Based Immunization Certificate Practice Test

APHA Risk Management & Mitigation 3