med admin test 1-25

Question 1

When injecting a medication via the rectal route, you should:
A. recall that the rectal mucosae are relatively avascular.
B. ensure that the patient is fully conscious.
C. use a large uncuffed endotracheal tube.
D. instruct the patient not to bear down.

Answer 1

d

Question 2

To convert 2.5 liters to milliliters, you should:
  A. multiply 2.5 by 1,000.    
  B. divide 2.5 by 500.    
  C. multiply 2.5 by 500.    
  D. divide 2.5 by 1,000.

Answer 2

a

Question 3

The chemical sign for sodium bicarbonate is:
  A. KCl.    
  B. NaHCO3.    
  C. H2CO3.    
  D. NaCl.

Answer 3

b

Question 4

The first step in discontinuing an IV line is to:
A. stabilize the catheter as you remove the tape.
B. shut off the flow of fluid with the roller clamp.
C. ensure that all of the fluid has been administered.
D. remove the tubing from the hub of the catheter.

Answer 4

b

Question 5

After inserting an 18-gauge over-the-needle catheter into the hand vein of a 30-year-old woman and securing the IV line in place, you note edema at the catheter site despite continued flow of the IV. The woman complains of pain and tightness around the IV site. You should:
A. reapply the proximal constricting band to reduce edema at the catheter site.
B. discontinue the IV and circumferentially wrap a dressing around the extremity.
C. recognize that infiltration has occurred and immediately discontinue the IV.
D. apply direct pressure to the venipuncture site and elevate her extremity.

Answer 5

c

Question 6

After observing a flash of blood in the IV catheter’s flash chamber, you should:
A. remove the proximal constricting band and then slide the catheter off the needle and into the vein.
B. apply pressure to the vein just proximal to the end of the indwelling catheter and remove the needle.
C. carefully raise the angle of the catheter to approximately 45° and thread the catheter off of the needle.
D. immediately drop the angle of the catheter to about 15° and advance the catheter a few more centimeters.
.Incorrect

Answer 6

d

Question 7

A 130-lb patient weighs \_\_\_\_ kg.
  A. 49    
  B. 59    
  C. 62    
  D. 55

Answer 7

b

Question 8

Potassium:
A. is a bivalent cation that tends to follow water.
B. helps stimulate the release of insulin.
C. is found predominantly outside the cell.
D. plays a major role in neuromuscular function.

Answer 8

b

Question 9

Which of the following statements regarding the mucosal atomizer device (MAD) is correct?
A. The MAD is used to inject a straight stream of select emergency drugs directly into the nasal canal.
B. When administering a drug with the MAD, you should spray half of the dose into each nostril.
C. Drugs administered with the MAD have an onset of action that is slightly slower than the intramuscular route.
D. Narcan is the only emergency medication that can be administered intranasally with the MAD

Answer 9

b

Question 10

Once an IV solution is removed from its protective sterile plastic bag, it must be used:
  A. within 48 hours.    
  B. within 24 hours.    
  C. immediately.    
  D. within 36 hours

Answer 10

b

Question 11

The use of O-negative blood in the prehospital setting is impractical because:
A. it requires refrigeration.
B. it expires in 24 hours.
C. the blood cannot be typed and cross-matched.
D. not everyone can receive O-negative blood.

Answer 11

a

Question 12

1 mg is equal to \_\_\_\_\_\_ µg.
  A. 1,000    
  B. 10    
  C. 10,000    
  D. 100

Answer 12

a

Question 13

If you discover that an IV is not flowing sufficiently, you should:
  A. reapply the constricting band.    
  B. pull back on the IV catheter.    
  C. check the height of the IV bag.    
  D. discontinue the IV infusion.    
.

Answer 13

c

Question 14

Common risks associated with cannulation of the external jugular vein include all of the following, EXCEPT:
A. an air embolism.
B. cannulation of the subclavian vein.
C. a rapidly expanding hematoma.
D. carotid artery damage.

Answer 14

b

Question 15

Prior to administering a medication to any patient, the paramedic should:
A. always contact medical control.
B. perform a detailed physical exam.
C. inquire about drug allergies.
D. repeat the initial assessment.

Answer 15

c

Question 16

1 cc is equal to \_\_\_\_\_ mL.
  A. 1    
  B. 100    
  C. 1,000    
  D. 10

Answer 16

a

Question 17

Solutes are defined as:
A. atoms that carry an electrical charge.
B. solutions that exclusively carry electrolytes.
C. solutions that contain dissolved components.
D. the dissolved particles contained in a solvent.

Answer 17

d

Question 18

Medication routes, from slowest to fastest rates of absorption, are:
A. intravenous, inhalation, sublingual, subcutaneous, intramuscular.
B. subcutaneous, sublingual, inhalation, intramuscular, intravenous.
C. subcutaneous, intramuscular, sublingual, inhalation, intravenous.
D. intramuscular, sublingual, subcutaneous, intravenous, inhalation.

Answer 18

c

Question 19

IO infusion is a technique of administering IV fluids and medications into:
A. the epiphysis of the proximal tibia.
B. a large vein that lies deep within the neck.
C. the diaphysis of the femur or humerus.
D. the IO space of a long bone.

Answer 19

d

Question 20

On the Fahrenheit scale, water freezes at:
  A. 0°.    
  B. 32°.    
  C. 45°.    
  D. 40°.

Answer 20

b

Question 21

Hypotonic solutions:
A. hydrate the cells while depleting the vascular compartment.
B. draw fluid from the cells and into the vascular space.
C. are the preferred solutions to use in patients with head trauma.
D. include normal saline and lactated Ringer’s solution.

Answer 21

a

Question 22

100 mL is equal to:
  A. 0.01 L    
  B. 0.1 L    
  C. 0.0001 L    
  D. 0.001 L

Answer 22

b

Question 23

A hypertonic solution has an osmolarity higher than that of serum, meaning that the solution:
A. may cause the cells to expand and rupture due to the increased intracellular osmotic pressure exerted by the solution.
B. contains high concentrations of proteins and can result in fluid overloading in patients with impaired cardiac function or renal insufficiency.
C. has more ionic concentration than serum and pulls fluid and electrolytes from the intracellular and interstitial compartments into the intravascular compartment.
D. has a lower ionic concentration than serum and pulls fluid and electrolytes from the intravascular compartment into the intracellular and interstitial compartments.

Answer 23

c

Question 24

Administering large amounts of an isotonic crystalloid solution to a patient with internal bleeding would MOST likely:
A. change the ratio of hemoglobin and red blood cells.
B. increase the severity of internal bleeding by interfering with hemostasis.
C. expand the vascular space and improve systemic perfusion.
D. cause acute hypotension as fluid is drawn from the vascular space.

Answer 24

b

Question 25

A common cause of overhydration is:
  A. kidney failure.    
  B. hypertension.    
  C. prolonged hyperventilation.    
  D. gastrointestinal drainage

Answer 25

a