Questions and Answers
1. Following insertion of a needle into a patient's skin to administer an
intramuscular injection, you pull back on the plunger and note the
presence of blood in the syringe. You should:
A. advance the needle 1 cm further and administer the drug.
B. slightly withdraw the needle and administer the drug.
C. remove the needle and apply pressure to the site.
D. administer the medication since this is a normal finding
Answer C. remove the needle and apply pressure to the site.
2. A 70-year-old man presents with generalized weakness and
dizziness. His blood pressure is 110/70 mm Hg when he is sitting,
96/56 mm Hg when he is standing. His heart rate is 120 beats/min
and his skin is flushed and dry. What is the MOST likely cause of this
patient's signs and symptoms
Answer Dehydration
3. How many grams are present in 25 mL of 50% dextrose (D 50)
Answer 12.5g
,4. During an attempted resuscitation from cardiac arrest, the
patient inadver- tently receives too much sodium bicarbonate. This
would result in
Answer metabolic alkalosis
5. You are dispatched to a residence for a 4-year-old male who is not
breathing.
When you and your partner arrive at the scene, you find the child's
father
is performing mouth-to-mouth rescue breathing on him. The father
tells you that his son stuck a pin in an electrical socket. After
assessing the child and determining that he is pulseless and apneic,
you should
Answer begin CPR and apply the AED as soon as possible
6. You receive an order from medical control to start an IV of lactated
ringers and administer 150 mL/hr. Using macrodrip (15 gtts/mL)
tubing, how many drops per minute will you set the flow rate at
Answer 38
7. You have a prefilled syringe containing 25g of dextrose in 50 mL
of volume. How many milligrams of dextrose are present in each
milliliter
Answer 500mg
, 8. If you have an epinephrine concentration of 0.1 mg/mL, how
many milligrams would be present in 5 mL
Answer 0.5
9. A 44-year-old man is experiencing a ventricular dysrhythmia.
Medical control orders your paramedic partner to administer 1.5
mg/kg of lidocaine to the patient, who weighs 185 pounds.
Lidocaine is supplied in a concentration of 100 mg/10mL. How many
milliliters should your partner administer to this patient
Answer 12.6 Ml
10. A 70-year-old male with a history of esophageal cancer is
unresponsive with
slow, shallow respirations. Appropriate airway management for this
patient includes
Answer inserting an oral airway and ventilating with a bag-mask device.
11. A 17-year-old female is experiencing a mild asthma attack.
You auscultate her lungs and hear expiratory wheezing. In addition to
oxygen, which of the following classifications of medication would be
indicated for this patient
Answer beta-2 agonist
12. A 66-year-old male with congestive heart failure presents
with pulmonary edema and difficulty breathing. His blood pressure