NAPLEX QBANK Public Health and Immunizations 3

Question 1

Which adult vaccine is recommended for all adults aged 50 and older to prevent shingles?

Accepted Answer

Recombinant zoster vaccine (Shingrix)

Answer

Live attenuated zoster vaccine only

Answer

MMR

Answer

Tdap

Question 2

A patient presents with a deep, dirty wound and an unknown tetanus history. What should be administered?

Accepted Answer

Tetanus toxoid-containing vaccine plus tetanus immune globulin

Answer

Tetanus immune globulin only

Answer

Antibiotics only

Answer

No intervention needed

Question 3

Which counseling point is correct regarding the recombinant zoster vaccine schedule?

Accepted Answer

Two doses given 2 to 6 months apart

Answer

A single lifetime dose

Answer

Annual dosing

Answer

Two doses 28 days apart

Question 4

What is the most common local adverse effect counseled for after intramuscular vaccination?

Accepted Answer

Injection site soreness

Answer

Anaphylaxis

Answer

Seizures

Answer

Permanent paralysis

Question 5

A 65-year-old with no prior pneumococcal vaccination should receive which option?

Accepted Answer

PCV20 alone, or PCV15 followed by PPSV23

Answer

PPSV23 alone always

Answer

No pneumococcal vaccine

Answer

Two doses of PCV13 only

Question 6

Which vaccine can be co-administered at the same visit with another inactivated vaccine without interval restrictions?

Accepted Answer

Inactivated influenza vaccine

Answer

Two different live attenuated vaccines on different days

Answer

Only one vaccine per visit allowed

Answer

None can be co-administered

Question 7

What documentation must legally be provided to patients before vaccination in the US?

Accepted Answer

Vaccine Information Statement (VIS)

Answer

A prescription copy

Answer

Insurance card

Answer

Pharmacy license