PTCB IMMUNIZATION CERTIFICATE 2025/2026 QUESTIONS
WITH SOLUTIONS GRADED A+
✔✔pharmacy's role in providing vaccines - ✔✔1. accessibility
2. ease of access
3. lack of barriers
✔✔VAERS - ✔✔Vaccine Adverse Event Reporting System
✔✔refrigerated vaccines - ✔✔1. DTap
2. Hep A
3. Hep B
4. HPV
5. Influenza
6. MMR
7. PCV 13
8. PPSV 23
9. Polio (IPV)
10. Rotavirus (RV)
11. Shingrix
✔✔frozen vaccines - ✔✔1. Varicella
2. Zostavax
✔✔expiration date - ✔✔1. established by the drug manufacturer
2. month/year format indicates med will expire on the last day of that month
3. month/day/year format indicates med will expire at EOD of that day
✔✔beyond use date - ✔✔based upon when vial is first opened; if none, use expiration
date
✔✔TMD - ✔✔temperature monitoring devices
✔✔refrigerator temperature range - ✔✔36 degrees to 46 degrees Fahrenheit
(2 degrees to 8 degrees Celsius)
✔✔freezer temperature range - ✔✔-58 degrees to 5 degrees Fahrenheit
(-50 degrees to -15 degrees Celsius)
✔✔how long must temperature logs be kept? - ✔✔minimum of 3 years
✔✔how often must be temperatures be recorded? - ✔✔twice daily (once in the morning
and once at EOD)
, ✔✔equipment maintenance includes: - ✔✔1. protecting the power supply
2. maintaining the storage equipment
3. addressing alarm alerts
4. adjusting storage unit temperature
✔✔importance of vaccine administration technique - ✔✔1. reduces the chance of
harming the patient
2. increases the likelihood of immunity from vaccine
3. creates a more positive experience for patient
4. increases efficiency and comfort level as an immunizer
✔✔vaccine preparation - ✔✔1. wash hands and sanitize work environment
2. gather necessary supplies
(i.e. vaccine, needle, syringe and alcohol pad)
3. verify vaccine order and vaccine match
4. prepare vaccine
✔✔single/multidose vial vaccine prep - ✔✔1. remove cap
2. shake vaccine
3. sterilize rubber stopper with alcohol pad and allow to dry
4. place vaccine on flat surface and insert needle into rubber stopper
5. invert the vial and with the tip of the needle in the vaccine, draw up the dose
6. remove needles and with needle facing upward, tap air bubbles to the top and push
out any air with the syringe plunger
7. recap needle
✔✔pre-filled syringe vaccine prep - ✔✔1. shake the pre-filled syringe
2. remove cap or stopper from the syringe
3. attach the appropriate needle
4. with needle tip facing upwards, push air out of the syringe with the plunger
✔✔reconstituted vaccine prep - ✔✔1. verify the diluent matches the vaccine
2. remove the caps from both vials, sterilize both rubber stoppers with separate alcohol
pads and allow them to dry
3. place diluent on flat surface, insert needle into vial and draw up diluent into the
syringe
4. remove the needle, then inject the diluent into other vial containing the vaccine
5. with the needle still in the second vial, shake the vial and syringe together until
dissolved
6. draw up contents of second vial into the syringe, remove air and cap needle
✔✔IM - ✔✔intramuscularly
✔✔intramuscular angle of injection - ✔✔90 degrees
WITH SOLUTIONS GRADED A+
✔✔pharmacy's role in providing vaccines - ✔✔1. accessibility
2. ease of access
3. lack of barriers
✔✔VAERS - ✔✔Vaccine Adverse Event Reporting System
✔✔refrigerated vaccines - ✔✔1. DTap
2. Hep A
3. Hep B
4. HPV
5. Influenza
6. MMR
7. PCV 13
8. PPSV 23
9. Polio (IPV)
10. Rotavirus (RV)
11. Shingrix
✔✔frozen vaccines - ✔✔1. Varicella
2. Zostavax
✔✔expiration date - ✔✔1. established by the drug manufacturer
2. month/year format indicates med will expire on the last day of that month
3. month/day/year format indicates med will expire at EOD of that day
✔✔beyond use date - ✔✔based upon when vial is first opened; if none, use expiration
date
✔✔TMD - ✔✔temperature monitoring devices
✔✔refrigerator temperature range - ✔✔36 degrees to 46 degrees Fahrenheit
(2 degrees to 8 degrees Celsius)
✔✔freezer temperature range - ✔✔-58 degrees to 5 degrees Fahrenheit
(-50 degrees to -15 degrees Celsius)
✔✔how long must temperature logs be kept? - ✔✔minimum of 3 years
✔✔how often must be temperatures be recorded? - ✔✔twice daily (once in the morning
and once at EOD)
, ✔✔equipment maintenance includes: - ✔✔1. protecting the power supply
2. maintaining the storage equipment
3. addressing alarm alerts
4. adjusting storage unit temperature
✔✔importance of vaccine administration technique - ✔✔1. reduces the chance of
harming the patient
2. increases the likelihood of immunity from vaccine
3. creates a more positive experience for patient
4. increases efficiency and comfort level as an immunizer
✔✔vaccine preparation - ✔✔1. wash hands and sanitize work environment
2. gather necessary supplies
(i.e. vaccine, needle, syringe and alcohol pad)
3. verify vaccine order and vaccine match
4. prepare vaccine
✔✔single/multidose vial vaccine prep - ✔✔1. remove cap
2. shake vaccine
3. sterilize rubber stopper with alcohol pad and allow to dry
4. place vaccine on flat surface and insert needle into rubber stopper
5. invert the vial and with the tip of the needle in the vaccine, draw up the dose
6. remove needles and with needle facing upward, tap air bubbles to the top and push
out any air with the syringe plunger
7. recap needle
✔✔pre-filled syringe vaccine prep - ✔✔1. shake the pre-filled syringe
2. remove cap or stopper from the syringe
3. attach the appropriate needle
4. with needle tip facing upwards, push air out of the syringe with the plunger
✔✔reconstituted vaccine prep - ✔✔1. verify the diluent matches the vaccine
2. remove the caps from both vials, sterilize both rubber stoppers with separate alcohol
pads and allow them to dry
3. place diluent on flat surface, insert needle into vial and draw up diluent into the
syringe
4. remove the needle, then inject the diluent into other vial containing the vaccine
5. with the needle still in the second vial, shake the vial and syringe together until
dissolved
6. draw up contents of second vial into the syringe, remove air and cap needle
✔✔IM - ✔✔intramuscularly
✔✔intramuscular angle of injection - ✔✔90 degrees
