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Which would be most important when administering aspirin to a patient with chest pain?


A) Instructing the patient to chew the medication
B) Giving the patient water with the aspirin
C) Determining that the patient has a prescription for the aspirin
D) Ensuring that the patient has an intact gag reflex

Correct Answer

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The EMT shows she understands the difference between a metered-dose inhaler (MDI) and a small-volume nebulizer (SVN) when she states:


A) "The MDI uses oxygen to administer the medication; the small-volume nebulizer does not."
B) "The MDI provides medication with one or two of the patient's breaths; the SVN provides a continuous flow of medication until gone."
C) "The MDI uses a mask to administer the medication; the SVN merely requires the patient to hold the device in his mouth and inhale."
D) "The MDI requires the EMT to set up and prepare the medication for administration; the SVN does not."

Correct Answer

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As an EMT, you may assist the patient in taking which of the following prescribed medications?


A) Inhalers used for difficulty breathing
B) Medications for high blood pressure
C) Drugs for heart-rhythm disorders
D) Seizure-control medications

Correct Answer

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Which of the following is the best indication for the administration of oral glucose to a diabetic patient?


A) Chest pain
B) Low blood sugar
C) Diabetic history
D) Headache

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After administering oral glucose to a patient with altered mental status, which one of the following best indicates a positive therapeutic effect or response to the medication?


A) Blood pressure decrease from 156/90 to 120/80 mmHg
B) No signs or symptoms of an allergic reaction
C) Pulse oximeter reading of 99% without supplemental oxygen
D) Mental status that is now alert and oriented

Correct Answer

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A patient with a cardiac history complains of chest pain. He already took four baby aspirins and medical direction has given you the go ahead to assist the patient with his nitroglycerin. After administering nitroglycerin to the patient, he complains of a headache. Which of the following is appropriate?


A) Inform the patient that he is allergic to nitroglycerin.
B) Administer additional aspirin for the headache.
C) Recognize a contraindication to the administration of nitroglycerin.
D) Realize an undesirable side effect of the nitroglycerin and continue care.

Correct Answer

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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?


A) On-line
B) Direct
C) Off-line
D) Retrospective

Correct Answer

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C

Atrovent, if prescribed to the patient, is indicated for what condition?


A) Headache
B) Chest discomfort
C) Nausea or vomiting
D) Difficulty breathing

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Which one of the following medical emergencies would most likely result in the use of epinephrine by the EMT?


A) Cardiac arrest
B) Asthma
C) Bee sting
D) Confusion

Correct Answer

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Which medication is included in the EMT scope of practice?


A) Pepcid
B) Oxygen
C) 50% dextrose (Dβ‚…β‚€)
D) Benadryl

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You are by the side of an alert and oriented 56-year-old male patient complaining of generalized weakness and a pounding headache. His pulse is 104, respirations 18, and blood pressure 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 two weeks and hands you a container with the medication inside. You would:


A) assist the patient in taking the lisinopril.
B) ensure that it is the patient's medication and then administer it.
C) contact medical direction to request an order for the lisinopril.
D) continue treatment and transport to the hospital.

Correct Answer

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A patient with severe chest pain hands you a bottle of nitroglycerin. After reading the label, you determine that the medication expired two months ago. You should:


A) administer two of the nitroglycerin tablets.
B) withhold the medication and transport.
C) administer the nitroglycerin orally.
D) place one tablet under the patient's tongue.

Correct Answer

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Of the following, which one best illustrates how the EMT should document the administration of a medication?


A) 325 mg of aspirin administered orally at 1325
B) 0.4 of nitroglycerin administered sublingually at 0800
C) Medical direction (Dr. Cole) ordered albuterol at 1245. Given as ordered.
D) Assisted patient with administration of medication via metered-dose inhaler

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A patient with chest pain tells you that he feels the same as when he had a heart attack two years ago. He is diaphoretic, nauseated, vomiting, and has a pulse of 84, respirations of 16, and a blood pressure of 78/50 mmHg. He is allergic to aspirin. He asks you to assist him in taking one of his nitroglycerin pills. Which one of the assessment findings that follows represents a contraindication to the nitroglycerin?


A) Blood pressure of 78/50 mmHg
B) Heart rate below 100
C) Nausea and vomiting
D) Allergy to aspirin

Correct Answer

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A

A 49-year-old male has summoned EMS for crushing chest pain. He states that he needs his nitroglycerin, but it is in his car in a nearby parking lot. A friend states that he also takes nitroglycerin and hands you his bottle of nitroglycerin. The patient appears very sick. Given the patient's condition, your best action would be to:


A) administer the friend's nitroglycerin.
B) have the patient retrieve his nitroglycerin from the car.
C) ask the friend to get the patient's nitroglycerin.
D) administer half a pill of the friend's nitroglycerin.

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C

Which of the following is one of the five rights of medication administration?


A) Right dose
B) Right EMT
C) Right allergies
D) Right physician

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Which of the following is the most reliable source for information about a medication?


A) Nurses who routinely administer medications
B) Paramedics and Advanced EMTs
C) Physician's Desk Reference (PDR)
D) EMS-related magazines and websites

Correct Answer

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What selection illustrates a generic drug name?


A) Albuterol
B) Advil
C) Aspirin
D) Acetylsalicylic acid

Correct Answer

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A betaβ‚‚ medication benefits a patient by:


A) diminishing the need for oxygen.
B) slowing the respiratory and heart rate.
C) eliminating chest pain.
D) dilating the small airways.

Correct Answer

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Which one of the following best describes why the EMT administers or assists with the administration of medications?


A) To stabilize a patient's medical condition
B) To prevent illness and injury
C) To justify a lights-and-siren transport
D) To expand the scope of the EMT's practice

Correct Answer

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