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Prehospital Emergency Care Practice Test: Basics of General Pharmacology and Medication Administration
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Prehospital Emergency Care Practice Test: Basics of General Pharmacology and Medication Administration
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25 Questions

1. A patient with a history of diabetes is confused and irritable. According to family members, he accidentally took too much insulin this morning and did not eat breakfast. Since he is conscious with an intact gag reflex, medical direction orders you to administer oral glucose. Which component of this situation best represents the indication for the medication?
2. Which of these is one of the five rights of medication administration?
3. What is the most likely indication for the administration of oral glucose to a patient with diabetes?
4. The route by which the EMT would administer epinephrine is:
5. In which form is activated charcoal administered?
6. A 66-year-old male patient is complaining of chest pain. The EMT is considering assisting with the patient's prescribed nitroglycerin. Which of these statements made by the patient is most relevant to the EMT at this time?
7. Which piece of information regarding drug administration by the EMT according to protocol is not necessary to document on the patient care report?
8. A patient with a cardiac history complains of chest pain. He already took four baby aspirins, and medical direction has given you permission to assist the patient with his nitroglycerin dose. After you administer nitroglycerin to the patient, he complains of a headache. What would be your most appropriate next step?
9. Which of these actions would be most important when administering aspirin to a patient with chest pain?
10. Which of these descriptions on a patient care report best illustrates how the EMT should document the administration of a medication?
11. A patient who is short of breath and has a history of right arm paralysis from a stroke has asked you to help him use his metered-dose inhaler containing albuterol. Since your medical director requires on-line authorization for albuterol, you would:
12. Which of these medications can be administered by the EMT only if the patient has a prescription for it?
13. The EMT should consider aspirin for a patient with:
14. The EMT shows she understands the difference between a metered-dose inhaler (MDI) and a small-volume nebulizer (SVN) when she states:
15. Which medical emergency would most likely be treated with the use of epinephrine by the EMT?
16. Which of these medications may be administered by a mucosal atomizer device (MAD) by the EMT if the EMT has authorization from medical direction to do so?
17. Which of these medications is included in the EMT scope of practice?
18. Atrovent, if prescribed to the patient, is indicated for:
19. You are treating a patient who has a history of gout, hypertension, diabetes, emphysema, and high cholesterol. As you review his medications, you notice that one of his pill bottles has the name 'levalbuterol' on its label. You would recognize this name as:
20. Medical direction has ordered you to administer 162 mg of aspirin to a patient with chest pain. Your best response to this order would be:
21. What is the best reason why the EMT administers or assists with the administration of medications?
22. After administering oral glucose to a patient with altered mental status, which of these findings best indicates a positive therapeutic effect or response to the medication?
23. You have administered Xopenex to a patient, using a small-volume nebulizer. You then notify medical direction that you have administered the drug. This is an example of which type of medical control?
24. A patient with severe chest pain hands you a bottle of nitroglycerin. After reading the label, you determine that the prescribed dose is two pills when chest pain is present, but the medication expired almost a month ago. You should:
25. You are by the side of an alert and oriented 56-year-old male patient who complains of generalized weakness and a pounding headache. His pulse is 104, respirations are 18 breaths/min, and blood pressure is 218/110 mmHg. He has a history of high blood pressure, for which he takes lisinopril. He states that he has not taken the Lisinopril for 2 weeks and hands you a container with the medication inside. You would: