NAPLEX QBANK Public Health and Immunizations 3 — Questions and Answers
Question 1: Which adult vaccine is recommended for all adults aged 50 and older to prevent shingles?
- Recombinant zoster vaccine (Shingrix) (Correct answer)
- Live attenuated zoster vaccine only
- MMR
- Tdap
Correct answer: Recombinant zoster vaccine (Shingrix)
Recombinant zoster vaccine (Shingrix) is recommended as a two-dose series for adults 50 and older.
Question 2: A patient presents with a deep, dirty wound and an unknown tetanus history. What should be administered?
- Tetanus toxoid-containing vaccine plus tetanus immune globulin (Correct answer)
- Tetanus immune globulin only
- Antibiotics only
- No intervention needed
Correct answer: Tetanus toxoid-containing vaccine plus tetanus immune globulin
For dirty wounds with uncertain vaccination history, both a tetanus toxoid-containing vaccine and tetanus immune globulin are indicated.
Question 3: Which counseling point is correct regarding the recombinant zoster vaccine schedule?
- Two doses given 2 to 6 months apart (Correct answer)
- A single lifetime dose
- Annual dosing
- Two doses 28 days apart
Correct answer: Two doses given 2 to 6 months apart
Shingrix is administered as two doses separated by 2 to 6 months.
Question 4: What is the most common local adverse effect counseled for after intramuscular vaccination?
- Injection site soreness (Correct answer)
- Anaphylaxis
- Seizures
- Permanent paralysis
Correct answer: Injection site soreness
Injection site soreness is the most common and expected local adverse effect.
Question 5: A 65-year-old with no prior pneumococcal vaccination should receive which option?
- PCV20 alone, or PCV15 followed by PPSV23 (Correct answer)
- PPSV23 alone always
- No pneumococcal vaccine
- Two doses of PCV13 only
Correct answer: PCV20 alone, or PCV15 followed by PPSV23
Current recommendations allow either PCV20 alone or PCV15 followed by PPSV23 for pneumococcal-naive older adults.
Question 6: Which vaccine can be co-administered at the same visit with another inactivated vaccine without interval restrictions?
- Inactivated influenza vaccine (Correct answer)
- Two different live attenuated vaccines on different days
- Only one vaccine per visit allowed
- None can be co-administered
Correct answer: Inactivated influenza vaccine
Inactivated vaccines can generally be administered simultaneously with other inactivated or live vaccines without spacing concerns.
Question 7: What documentation must legally be provided to patients before vaccination in the US?
- Vaccine Information Statement (VIS) (Correct answer)
- A prescription copy
- Insurance card
- Pharmacy license
Correct answer: Vaccine Information Statement (VIS)
Federal law requires that a current Vaccine Information Statement be provided before administering covered vaccines.
NAPLEX QBANK Public Health and Immunizations 3
Which adult vaccine is recommended for all adults aged 50 and older to prevent shingles?