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

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?

Accepted Answer

Tetanus toxoid-containing vaccine plus tetanus immune globulin

Answer

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?

Accepted Answer

Two doses given 2 to 6 months apart

Answer

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?

Accepted Answer

Injection site soreness

Answer

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?

Accepted Answer

PCV20 alone, or PCV15 followed by PPSV23

Answer

Current recommendations allow either PCV20 alone or PCV15 followed by PPSV23 for pneumococcal-naive older adults.

NAPLEX QBANK Practice Test