Med Admin Test 51-62

Question 1

Neither subcutaneous nor intramuscular injections should be given to patients:
Choose one answer. A. who require less than 5 mL of a drug.
B. with a systolic BP greater than 140 mm Hg.
C. who are morbidly obese or very thin.
D. with inadequate peripheral perfusion.

Answer 1

D

Question 2

The site MOST commonly used for inserting an IO needle is the:
A. manubrium of the sternum.
B. tibial tuberosity below the knee.
C. flat bone of the proximal tibia.
D. medial malleolus of the leg.

Answer 2

C

Question 3

The IV route is the fastest route of medication administration because:
A. veins do not collapse during hypoperfusion.
B. medications immediately enter the right atrium.
C. blood pressure expedites absorption of the drug.
D. it bypasses most barriers to drug absorption.

Answer 3

D

Question 4

0.2 mg equals:
  A. 0.02 µg.  
  B. 200 µg. 
  C. 2,000 µg.  
  D. 0.02 g

Answer 4

B

Question 5

How much isotonic crystalloid solution should you administer to a patient who weighs 65 kg and who has signs and symptoms of internal bleeding?
A. An amount adequate to maintain perfusion
B. Enough to increase blood pressure to a normal level
C. 10 to 20 mL/kg every 5 to 10 minutes
D. Boluses of up to 1,625 mL each

Answer 5

A

Question 6

You reassess your patient after administering a medication via the IV bolus route and note that his clinical condition is unchanged. What is the LEAST likely cause of the patient’s unchanged condition?
A. The dose was too low for the patient’s clinical condition.
B. The patient may require another dose of the same drug.
C. You diluted the bolus by following it with a 20-mL saline flush.
D. The IV tubing was occluded proximal to the injection port.

Answer 6

D

Question 7

In the prehospital setting, saline locks are used primarily for patients who:
A. have cancer and require continuous infusions of chemotherapy.
B. have fragile veins that are easily infiltrated by rapid IV fluid boluses.
C. are in compensated shock and only require small IV fluid boluses.
D. do not need additional fluids but may need rapid medication delivery

Answer 7

D

Question 8

A 2-year-old girl in cardiac arrest requires epinephrine at a dose of 0.01 mg/kg. The mother tells you that her daughter weighs about 25 lb. How much epinephrine will you administer?
  A. 0.2 mg    
  B. 0.15 mg    
  C. 0.01 mg    
  D. 0.1 mg

Answer 8

D

Question 9

Prior to cannulating an external jugular vein, it is MOST important to:
A. cleanse the puncture site.
B. palpate for the carotid pulse.
C. occlude the vein distal to the puncture site.
D. turn the patient’s head to the side.

Answer 9

B

Question 10

The purpose of a Volutrol (Buretrol) administration set is to:
Choose one answer. A. facilitate piggyback medication infusions.
B. avoid inadvertent fluid overload.
C. deliver large volumes of IV fluid.
D. deliver a maximum of 50 mL of IV solution.

Answer 10

B

Question 11

Blood tubing is a:
A. special type of microdrip administration set that contains an inline filter designed to cleanse transfused blood of impurities.
B. macrodrip administration set that is designed to be used exclusively with 1,000-mL bags of type O-negative blood.
C. special administration set with dual piercing spikes that allows the paramedic to administer IV fluids to two critically ill or injured patients at the same time.
D. macrodrip administration set that is designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or a combination of IV fluids and blood.

Answer 11

D

Question 12

Which of the following statements regarding synthetic blood substitutes is correct?
A. Type O-negative blood is a synthetic blood substitute.
B. They do not possess the ability to carry and deliver oxygen.
C. Hespan is the most commonly used synthetic blood substitute.
D. They have the ability to carry oxygen to the body’s cells.

Answer 12

D