FREE NAPLEX QBANK Public Health and Immunizations Questions and Answers

Question 1

A 67-year-old patient with no chronic medical conditions presents to the pharmacy for an annual influenza vaccine.
The patient's record shows they have completed their primary childhood vaccinations but have not received any pneumococcal vaccines.
According to the most current ACIP recommendations, which vaccine should the pharmacist also recommend to this patient?

Accepted Answer

Prevnar 20 (PCV20)

Answer

Tdap (Tetanus, diphtheria, acellular pertussis)

Answer

Shingrix (Recombinant zoster vaccine)

Answer

Pneumovax 23 (PPSV23) only

Question 2

Which of the following patient scenarios represents an absolute contraindication to the administration of a live attenuated vaccine, such as the Measles, Mumps, and Rubella (MMR) vaccine?

Accepted Answer

A 28-year-old woman who is confirmed to be pregnant.

Answer

A 30-year-old who is currently breastfeeding her 4-month-old infant.

Answer

A 5-year-old child with a severe egg allergy, including anaphylaxis.

Answer

A 55-year-old man with a mild upper respiratory infection and a temperature of 99.5°F.

Question 3

A pharmacist is preparing to administer an intramuscular (IM) inactivated influenza vaccine to a 50-year-old male patient who weighs 275 lbs (125 kg). Which needle length is most appropriate to ensure the vaccine is delivered into the deltoid muscle?

Accepted Answer

1.5 inch

Answer

5/8 inch

Answer

1 inch

Answer

2 inch

Question 4

A pharmacy's vaccine refrigerator experiences a power failure overnight. In the morning, the digital data logger shows the temperature has been 11°C (51.8°F) for the past 6 hours. The recommended storage temperature is 2°C to 8°C. What is the MOST appropriate initial action for the pharmacist to take?

Accepted Answer

Label the exposed vaccines "DO NOT USE," move them to a stable refrigerator, and contact the vaccine manufacturers for guidance.

Answer

Immediately discard all vaccines from the affected refrigerator.

Answer

Administer the vaccines as usual, as the excursion was less than 8 hours.

Answer

Lower the refrigerator's thermostat to its coldest setting to quickly bring the temperature back into range.

Question 5

A 42-year-old landscaper sustains a deep puncture wound from a garden tool contaminated with soil. He believes he had a tetanus shot about 12 years ago but is unsure and has no records. According to ACIP guidelines for wound management, which course of action is most appropriate?

Accepted Answer

Administer both Tdap vaccine and Tetanus Immune Globulin (TIG).

Answer

Administer Tetanus Immune Globulin (TIG) only.

Answer

Clean the wound and recommend a Tdap vaccine within 7 days.

Answer

Administer Tdap vaccine only.

Question 6

A patient reports to the pharmacy that they developed significant joint pain and a fever of 102°F two days after receiving a routine vaccination. As a healthcare provider, the pharmacist should report this clinically significant adverse event to which national safety surveillance program?

Accepted Answer

The Vaccine Adverse Event Reporting System (VAERS)

Answer

The Institute for Safe Medication Practices (ISMP)

Answer

The FDA MedWatch Program

Answer

The Centers for Medicare & Medicaid Services (CMS)