NREMT Psychomotor exam questions
and answers
Six steps administering any medication ANSWERS Must have local protocol or
order from medical control and repeat order back to physician (echo technique).
- Always ask for clarification if necessary
1. Right patient
- NEVER give a prescription not in her name
2. Right medication
- Check for contraindications
3. Right dose
- How many milligrams per tablet, etc.
4. Right route
5. Right time
- Expiration date and condition (don't use if date smudged)
- Reassess at least every 5 min if condition changes (especially BP and HR)
- If ordered to repeat the medication, make sure enough time has passed/haven't
reached max dose
6. Right documentation
- Time you gave the medication
- Name, dose, and route of administration
- Change to patient condition and side effects
Reassess after administration. Look for side effects and document.
Aspirin Dose ANSWERS 160-325mg
- Use chewable for chest pain
Aspirin Contraindications and Concerns ANSWERS - Hypersensitivity
- Recent bleeding
Don't administer for pain caused by trauma, for fevers in children, or patients with chest
pain who cannot chew
Aspirin Side Effects ANSWERS - Nausea
- Vomiting
- Stomach pain
- Bleeding
- Allergic reactions
,Common Fast-Acting MDI ANSWERS - Albuterol (Proventil, Ventolin)
Common Fast-Acting MDI Dose ANSWERS 1-2 inhalations; wait 5 minutes before
repeating dose
Common Fast-Acting MDI Contraindications and Concerns ANSWERS -
Hypersensitivity
- Tachycardia (relative)
- Chest pain of cardiac origin
Must inhale all medication in one breath - hold breath for 5 seconds after inhalation
Common Fast-Acting MDI Side Effects ANSWERS - Hypertension
- Tachycardia
- Anxiety
- Restlessness
Signs and symptoms: Asthma ANSWERS Wheezing on inspiration/expiration
Bronchospasm
Signs and symptoms: Anaphylaxis ANSWERS Flushed skin and hives (urticaria)
Generalized edema
Decreased blood pressure (hypotension)
Laryngeal edema with dyspnea
Wheezing or stridor
Early signs of hypoxia ANSWERS - Restlessness, irritability, apprehension,
anxiety
- Tachycardia
Late signs of hypoxia ANSWERS - Alt mental status
- Weak/thready pulse
- Cyanosis
- Dyspnea
Normal blood glucose ANSWERS 80-120 mg/dl
When providing spinal immobilization, check PMS __________________.
ANSWERS 1. Before applying the cervical collar
2. After securing to the backboard
Epinephrine (EpiPen) Dose ANSWERS - 0.3mg for adult
- 0.15mg for children
Epinephrine (EpiPen) Contraindications and Concerns ANSWERS - Chest pain of
cardiac origin
, - Hypothermia
- Hypertension
Medication will last approximately 5 minutes; do not repeat dose
Aspirin Action and Indications ANSWERS Anti-inflammatory agent and anti-fever
agent; prevents platelets from clumping, thereby decreasing formation of new clots
Relieve of mild pain, headache, muscle aches; chest pain of cardiac origin
Aspirin Interactions ANSWERS Caution should be used if patient taking
anticoagulants
Common Fast-Acting MDI Action and Indications ANSWERS Stimulates nervous
system, causing bronchodilation
Asthma/difficulty breathing with wheezing
Common Fast-Acting MDI Interactions ANSWERS Increases effects of other
nervous system stimulants
Epinephrine (EpiPen) Side Effects ANSWERS - Hypertension
- Tachycardia
- Anxiety
- Restlessness
Epinephrine (EpiPen) Action and Indication ANSWERS Stimulates nervous
system, causing bronchodilation
Anaphylactic reaction
Epinephrine (EpiPen) Interactions ANSWERS Increases effects of other nervous
system stimulants
Nitroglycerin (Nitrostat, Nitromist) Dose ANSWERS 0.3-0.4mg SL; 0.4 mg spray
Nitroglycerin (Nitrostat, Nitromist) Action and Indication ANSWERS Dilates blood
vessels
Chest pain of cardiac origin
Nitroglycerin (Nitrostat, Nitromist) Contraindications and Concerns ANSWERS -
Hypotension
- Use of sildenafil (Viagra) or another treatment for erectile dysfunction within the
pervious 24 hours
- Head injury
and answers
Six steps administering any medication ANSWERS Must have local protocol or
order from medical control and repeat order back to physician (echo technique).
- Always ask for clarification if necessary
1. Right patient
- NEVER give a prescription not in her name
2. Right medication
- Check for contraindications
3. Right dose
- How many milligrams per tablet, etc.
4. Right route
5. Right time
- Expiration date and condition (don't use if date smudged)
- Reassess at least every 5 min if condition changes (especially BP and HR)
- If ordered to repeat the medication, make sure enough time has passed/haven't
reached max dose
6. Right documentation
- Time you gave the medication
- Name, dose, and route of administration
- Change to patient condition and side effects
Reassess after administration. Look for side effects and document.
Aspirin Dose ANSWERS 160-325mg
- Use chewable for chest pain
Aspirin Contraindications and Concerns ANSWERS - Hypersensitivity
- Recent bleeding
Don't administer for pain caused by trauma, for fevers in children, or patients with chest
pain who cannot chew
Aspirin Side Effects ANSWERS - Nausea
- Vomiting
- Stomach pain
- Bleeding
- Allergic reactions
,Common Fast-Acting MDI ANSWERS - Albuterol (Proventil, Ventolin)
Common Fast-Acting MDI Dose ANSWERS 1-2 inhalations; wait 5 minutes before
repeating dose
Common Fast-Acting MDI Contraindications and Concerns ANSWERS -
Hypersensitivity
- Tachycardia (relative)
- Chest pain of cardiac origin
Must inhale all medication in one breath - hold breath for 5 seconds after inhalation
Common Fast-Acting MDI Side Effects ANSWERS - Hypertension
- Tachycardia
- Anxiety
- Restlessness
Signs and symptoms: Asthma ANSWERS Wheezing on inspiration/expiration
Bronchospasm
Signs and symptoms: Anaphylaxis ANSWERS Flushed skin and hives (urticaria)
Generalized edema
Decreased blood pressure (hypotension)
Laryngeal edema with dyspnea
Wheezing or stridor
Early signs of hypoxia ANSWERS - Restlessness, irritability, apprehension,
anxiety
- Tachycardia
Late signs of hypoxia ANSWERS - Alt mental status
- Weak/thready pulse
- Cyanosis
- Dyspnea
Normal blood glucose ANSWERS 80-120 mg/dl
When providing spinal immobilization, check PMS __________________.
ANSWERS 1. Before applying the cervical collar
2. After securing to the backboard
Epinephrine (EpiPen) Dose ANSWERS - 0.3mg for adult
- 0.15mg for children
Epinephrine (EpiPen) Contraindications and Concerns ANSWERS - Chest pain of
cardiac origin
, - Hypothermia
- Hypertension
Medication will last approximately 5 minutes; do not repeat dose
Aspirin Action and Indications ANSWERS Anti-inflammatory agent and anti-fever
agent; prevents platelets from clumping, thereby decreasing formation of new clots
Relieve of mild pain, headache, muscle aches; chest pain of cardiac origin
Aspirin Interactions ANSWERS Caution should be used if patient taking
anticoagulants
Common Fast-Acting MDI Action and Indications ANSWERS Stimulates nervous
system, causing bronchodilation
Asthma/difficulty breathing with wheezing
Common Fast-Acting MDI Interactions ANSWERS Increases effects of other
nervous system stimulants
Epinephrine (EpiPen) Side Effects ANSWERS - Hypertension
- Tachycardia
- Anxiety
- Restlessness
Epinephrine (EpiPen) Action and Indication ANSWERS Stimulates nervous
system, causing bronchodilation
Anaphylactic reaction
Epinephrine (EpiPen) Interactions ANSWERS Increases effects of other nervous
system stimulants
Nitroglycerin (Nitrostat, Nitromist) Dose ANSWERS 0.3-0.4mg SL; 0.4 mg spray
Nitroglycerin (Nitrostat, Nitromist) Action and Indication ANSWERS Dilates blood
vessels
Chest pain of cardiac origin
Nitroglycerin (Nitrostat, Nitromist) Contraindications and Concerns ANSWERS -
Hypotension
- Use of sildenafil (Viagra) or another treatment for erectile dysfunction within the
pervious 24 hours
- Head injury
