Deck 11: Emergency Medications

Question 1

Activated charcoal may be administered to a patient who has

A) been poisoned through ingesting ammonia.
B) called EMS 4 hours after ingesting poison.
C) vomited the first dose of activated charcoal.
D) signs of semi-consciousness and awareness.

Answer 1

vomited the first dose of activated charcoal.

Question 2

A 47 year old man who weighs 150 pounds requires an administration of activated charcoal. The approximate dosage amount of activated charcoal for him is

A) 80 grams.
B) 50 grams.
C) 60 grams.
D) 70 grams.

Answer 2

70 grams.

Question 3

Aspirin may be used in

A) high doses to inhibit platelet clumping.
B) adolescent patients with high fever.
C) patients suffering from chest pain.
D) patients who have allergies to NSAIDs.

Answer 3

patients suffering from chest pain.

Question 4

You are at the house of a friend whose 45 year old wife is experiencing symptoms which warrant the administration of aspirin. Your first action is to

A) obtain an order from medical direction.
B) ask about any contraindications she may have.
C) ensure that she is conscious and awake.
D) measure the correct dose of aspirin.

Question 5

Oral glucose may be given to a diabetic patient who

A) has entered into a diabetic coma.
B) requires a sublingual medication route.
C) is suffering from high blood sugar levels.
D) is experiencing an altered mental status.

Question 6

You are in the process of administering glucose to a 47 year old diabetic female. During the administration process she begins to seize and lose consciousness. Your next action should be to

A) quickly administer the remaining glucose.
B) call for medical direction and monitor her vitals.
C) use the tongue depressor to keep her mouth open.
D) remove the tongue depressor from her mouth.

Question 7

A 67 year old female is unconscious and in cardiac arrest. The type of oxygen administration route she requires is a

A) bag-valve mask.
B) nonrebreather mask.
C) venturi device.
D) nasal cannula.

Question 8

An epinephrine autoinjector can be administered

A) only once.
B) through clothing.
C) without medical direction.
D) in the forearm.

Question 9

An 11 year old boy is on the ground and experiencing severe allergic reactions. You see an EpiPen Jr. on the ground next to him. Your first step is to

A) quickly assist him with his EpiPen Jr.
B) obtain his vital signs and history.
C) assist him with an EpiPen Jr. from your kit.
D) check the expiration date on his EpiPen Jr.

Question 10

A prescription spacer acts on an MDI to

A) record the frequency of the MDI delivery.
B) provide a more comfortable MDI mouthpiece.
C) measure the dose of the MDI delivered.
D) increase the amount of medication delivered.

Question 11

You are assisting a 23 year old male patient with the administration of his metered-dose inhaler (MDI). During this procedure you should

A) instruct the patient to quickly exhale after administration.
B) depress the MDI as the patient holds the applicator.
C) ask the patient to exhale deeply before administration.
D) gently roll the MDI in your palms to mix the medication.

Question 12

An adverse effect of an inhaled bronchodilator is

A) nausea.
B) fatigue.
C) decreased heart rate.
D) confusion.

Question 13

An effect of nitroglycerin is to

A) relax components of the respiratory system.
B) dilate the smooth muscles of blood vessels.
C) increase blood amount returning to the heart.
D) expand muscle systems of the heart.

Question 14

You have just assisted a 45 year old male with the administration of a nitroglycerin tablet, and after reassessing his vitals you record a heart rate of 88 beats per minute and a BP of 98/66 mm Hg. You should

A) lay the patient supine and reassess his blood pressure.
B) check the patient's pulse oximeter readings and provide oxygen.
C) wait five minutes before administering another nitroglycerin tablet.
D) consult with medical direction before you administer another tablet.

Question 15

You arrive at an emergency scene where a woman is in severe medical distress. She is attempting to take a nitroglycerin tablet. A contraindication for this patient is

A) if she has used Viagra or Cialis medications in the last 24 to 48 hours.
B) if her blood pressure is 30mm Hg above her baseline systolic blood pressure.
C) if she has already taken two tablets before your arrival.
D) if her heart rate is more than 50 beats per minute.

Question 16

The correct dosage of nitroglycerin is

A) one tablet under the tongue.
B) two sprays under the tongue.
C) three sprays under the tongue.
D) four tablets under the tongue.

Question 17

A mild symptom of nerve agent exposure is

A) unexplained runny nose.
B) blurred vision.
C) drooling.
D) excessive sweating.

Question 18

Atropine administration may cause

A) muscle twitching.
B) relaxed bronchioles.
C) increased gastric motility.
D) pinpoint pupils.

Question 19

Pralidoxime chloride is

A) administered through a subcutaneous route.
B) a secondary treatment for nerve agent exposure.
C) a component of the CANA antidote kit.
D) used to increase respiratory function.

Question 20

Diazepam administration may result in

A) respiratory depression.
B) headache.
C) nausea.
D) muscular twitches.

Question 21

A 57 year old man is having seizures. You apply oxygen via nasal cannula at a rate of

A) 4 to 10 L/min.
B) 2 to 5 L/min.
C) 6 to 13 L/min.
D) 1 to 6 L/min.

Question 22

Which one of these statements is true about an adult epinephrine autoinjector?

A) The autoinjector will relax blood vessels in order to increase oxygen in the blood.
B) The autoinjector should be administered alone without the use of oxygen.
C) Administration of the autoinjector may cause nausea and vomiting.
D) The adult epinephrine autoinjector contains 0.15 mg of epinephrine.

Question 23

You are at a park when a 10 year old girl is stung by a bee. She quickly develops a severe allergic reaction but she is having difficulty using her EpiPen. You can assist her with the autoinjector if

A) her caretaker is not there to help her.
B) her reaction becomes life threatening.
C) she asks you for your help.
D) you have permission from medical direction.

Question 24

The following are ____________ signs of nerve agent exposure: salivation, lacrimation, urination, defecation, gastrointestinal upset, and emesis.

A) intermediate
B) moderate
C) mild
D) severe

Question 25

A side effect that a patient may develop after administration of epinephrine may include

A) stomach upset.
B) mild confusion.
C) weakness in the limbs.
D) decreased heart rate.

Question 26

You are at a farm where several workers are displaying the same symptoms: seizures, pinpoint pupils, difficulty breathing and vomiting. Your patient is a 23 year old woman. You should first

A) administer the contents of a CANA kit.
B) administer the contents of a Mark I kit.
C) obtain her vital signs.
D) call for medical direction.

Question 27

Which one of the following statements about the Mark I kit is correct?

A) The Mark I kit may cause respiratory depression.
B) The Mark I kit should be administered after a CANA kit.
C) The Mark I kit should be administered before a CANA kit.
D) The Mark I kit is used to control seizures caused by nerve agents.

Question 28

A 63 year old male has been exposed to a nerve agent. His symptoms include seizures, confusion, and difficulty breathing. You administer the contents of a Mark I kit, but his condition does not improve. You should

A) apply oxygen.
B) administer an epinephrine auto-injector.
C) administer a CANA kit.
D) administer another Mark I kit.

Question 29

The medication in the CANA kit

A) can be used to treat respiratory distress associated with nerve agent exposure.
B) is short-acting; symptoms may recur after the drug has been administered.
C) should be administered when moderate symptoms of nerve agent exposure appear.
D) takes approximately 5-10 minutes to take effect when it is administered intramuscularly.