Not necessarily, I have computer-related content which gets results like this (a bit better than this, but I assumed that the parent poster was exaggerating a bit about the 3x10^6 traffic). The problem is quite notorious, and AdSense now refuses new "tech" content.
I was under the impression that most modern blockers (uBlock etc) simply block that request from the site to the adserver, so no they wouldn't count as an impression.