The Kroger Pharmacy

Vaccine Administration Training Program

Self-Study Quiz
Name: __________________________________ Date: ____________

Score: _________

Please darken the letter on the Answer Sheet (last page) that corresponds to the correct
answer, and bring the completed Answer Sheet to your training class.
1. A patient cannot develop the flu from a dose of the seasonal inactivated influenza vaccine.
A. True
B. False
2. Circulating antibodies may interfere with administration of which type of vaccine?
A. Inactivated
B. Polysaccharide
C. Living attenuated
D. Toxoid
3. _________ week(s) is the minimum interval between administration of two live vaccines, if
not administered simultaneously.
A. 1
B. 4
C. 6
D. 8
4. Severe local reactions are typically caused by:
A. High levels of circulating antibodies
B. Simultaneous administration of two vaccines
C. Improper injection technique
D. The preservative in certain vaccine formulations
5. An example of a permanent contraindication to vaccination is:
A. Moderate or severe illness
B. HIV
C. Anaphylactic reaction to a previous dose
D. Concurrent antibiotic therapy
6. Antigenic drifts can occur with which of the following types of influenza viruses:
A. Influenza A
B. Influenza B
C. Influenza C
D. All of the above

7. The most common complication of seasonal influenza is:

A. Bacterial pneumonia
B. Death
C. Meningitis
D. Reye syndrome
8. The inactivated seasonal influenza vaccine contains:
A. Thimerosal
B. Two influenza A viruses, and one influenza B virus
C. Two influenza B viruses, and one influenza A virus
D. Both A and B
9. Patients at high risk for developing complications from seasonal influenza include all of the
following except:
A. > 50 years old
B. A 35 year old busy mother who does not want the flu
C. Diabetics
D. Asthmatics
10. Asthma is an indication for a seasonal influenza vaccine, but not for a pneumococcal
vaccine.
A. True
B. False
11. Living attenuated seasonal influenza vaccine is indicated for which of the following persons:
A. Diabetics
B. Asthmatics
C. Pregnant women in their 2nd or 3rd trimester
D. None of the above
12. Which of the following is the most common adverse event associated with the living
attenuated seasonal influenza vaccine?
A. Muscle soreness
B. Runny nose
C. Nasal congestion
D. Headache
13. Recipients of the living attenuated seasonal influenza vaccine must avoid close contact with
severely immunocompromised persons for:
A. 21 days
B. 14 days
C. 10 days
D. 7 days

14. If a patient sneezes after they receive the living attenuated seasonal influenza vaccine, they
should be re-vaccinated.
A. True
B. False
15. FluMist should be stored refrigerated (not frozen).
A. True
B. False
16. Menactra is _______.
A. Believed to have a longer duration of protection than older meningitis vaccines
B. The preferred meningitis vaccine for persons ages 11-55 years of age
C. Often indicated for persons living in close quarters
D. Is a single, 0.5ml intramuscular dose
E. All of the above
17. Gardasil ________.
A. Is approved for females ages 9-26 years
B. Is not recommended for use during pregnancy
C. Should be administered prior to potential exposure to HPV
D. Is a series of 3 doses, given at 0, 2, and 6 months, each 0.5ml IM
E. All of the above
18. Zostavax ______.
A. Is stored in the refrigerator
B. Is approved for patients 60 years of age and older
C. Can be used for the treatment of shingles
D. Is a series of three intramuscular injections
19. Revaccination with pneumococcal vaccine is indicated:
A. Every 5 years
B. One time, 5 years after the initial dose (if the initial dose was given at age < 65)
C. Never
D. Every 3 years
20. Pneumococcal vaccine is most effective in:
A. Preventing pneumococcal bacteremia
B. Preventing pneumonia
C. Preventing otitis media
D. Those with underlying illnesses

21. Adacel is approved for use in patients age 65 and older.

A. True

B. False
22. Prior to 1995, all of the following were primary methods for preventing hepatitis A except:
A. Short-term passive immunity with immune globulin
B. Sterilizing water
C. Proper food handling
D. Vaccination
23. The hepatitis A illness typically has an abrupt onset of signs and symptoms including:
A. Fever
B. Dark urine
C. Jaundice
D. All of the above
24. Persons at increased risk for hepatitis A infection who should be routinely vaccinated
include all of the following except:
A. Health care workers
B. International travelers
C. Drug users
D. Homosexual males
25. The most common reactions to inactivated vaccines (seen in 20-50% of recipients) include:
A. Pain at the injection site
B. Erythema
C. Swelling
D. All of the above
26. Contraindications to Zostavax include:
A. Pregnancy
B. Immunosuppression
C. Neomycin allergy
D. All of the above
27. Approximately __________ of adults with acute hepatitis B infections are asymptomatic.
A. 2%
B. 10%
C. 50%
D. 80%

28. The most common complication of pertussis is secondary bacterial pneumonia, especially in
young infants.
A. True
B. False

29. A vaccine is a type of _________ immunity.

A. Passive-acquired
B. Innate
C. Active-acquired
D. Non-specific
30. Hepatitis B vaccination is recommended for all of the following except __________.
A. All infants
B. Adolescents aged 11-12 (all children not previously vaccinated)
C. Certain groups of at-risk adults
D. Food handlers
31. As of June 2009, certified pharmacists in the state of Ohio may administer Zostavax to
appropriate patients, but only with an individual prescription from their physician dated
within the last 30 days.
A. True
B. False
32. Tetanus vaccine is recommended for _____________.
A. People travelling to hot, damp climates
B. Farm workers
C. Everyone over 6 weeks of age
D. Diabetics
33. Recent increases in the number of pertussis cases have caused changes in recommendations
for the tetanus/diphtheria booster vaccination.
A. True
B. False
34. Adacel _________________.
A. Is approved for persons age 11-64 years of age
B. Should be used in place of a persons next booster dose of tetanus/diphtheria
C. Is administered as a 0.5ml, intramuscular dose
D. All of the above
35. A booster dose of tetanus may be needed more frequently than every 10 years if _________.
A. patient has a major wound
B. patient has an unclean wound
C. 5 years have passed since last booster
D. all of the above