35) Which of the following BEST describes the five rights?
A) In date, right medication, right order, right dose, right time
B) Right patient, right medication, in date, right dose, right route
C) Right decision, right medication, right order, right dose, right place
D) Right patient, right medication, right time, right dose, right route
Objective: 16.4
36) You are called to an elementary school for an 8-year-old female patient who is experiencing
respiratory distress. The school nurse states the patient has an epinephrine auto-injector for a
possible anaphylactic reaction to bee stings. The patient also has an Albuterol inhaler for asthma.
The patient is breathing 30 times a minute, is in the tripod position, and is speaking in two- to
three-word sentences. The nurse states the patient was playing basketball in the gym when she
started having difficulty breathing. The patient has wheezing in all lung fields. An ALS unit is en
route but it is 10 minutes away. You are 20 minutes away from the nearest hospital. After placing
the patient on oxygen, your next intervention should be to:
A) contact medical control and request to assist the patient with her epinephrine.
B) provide supportive care until the ALS unit arrives.
C) cancel the ALS unit and call medical control to assist with the Albuterol administration while
en route to the hospital.
D) contact medical control and request to assist the patient with her Albuterol.
Objective: 16.5
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37) You are called to assist a 25-year-old female patient who is in profound respiratory distress.
The patient has a history of asthma and severe allergies to peanuts. She has a prescribed albuterol
inhaler and an epinephrine auto-injector. The patient states she was working in her garden when
she accidentally stirred up a hornets’ nest and was stung multiple times. The patient has wheezing
in all fields, and is breathing at 28 times per minute. She states that she triggered her asthma by
running across the yard to the safety of her home. As you apply oxygen, you notice that she is
now speaking in two- to three-word sentences, her skin has splotches, and her tongue and neck
appear to be swelling. Your next action is to call medical control and then do what?
A) Request to assist the patient with her Albuterol inhaler for her asthma.
B) Request to assist the patient with her epinephrine pen for anaphylaxis.
C) Request to assist the patient with her Albuterol for anaphylaxis.
D) Do not request to give epinephrine. It was prescribed for a peanut reaction, not for asthma.
Objective: 16.5
38) You are on the scene at a fancy hotel room for a 60-year-old male patient who calls 911 at 10
p.m. for chest pains. He states he was about to go to bed when he suddenly had chest pain that
would not go away. He rates his pain as a 7 out of 10 and is diaphoretic. His vital signs are
stable, and he takes medications for hypertension, high cholesterol, and erectile dysfunction. The
patient is allergic to morphine. After placing the patient on oxygen, you contact medical control
and request:
A) to administer aspirin to the patient.
B) to administer nitroglycerin to the patient.
C) to administer both aspirin and nitroglycerin to the patient.
D) no orders.
Objective: 16.6
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39) Name the type of medical direction consisting of standing orders and protocols.
A) Off-line
B) Verbal
C) On-line
D) Written
Objective: 16.6
40) The epinephrine auto-injector is given via the ________ route.
A) oral
B) enteral
C) digestive
D) parenteral
Objective: 16.7
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41) Which of the following describes the sublingual route of medication administration?
A) The medication is injected under the skin.
B) The medication is breathed into the lungs, such as from an inhaler.
C) The medication is placed under the tongue.
D) The medication is swallowed whole, not chewed.
Objective: 16.7
42) Nitroglycerin is given via the ________ route.
A) parenteral
B) lingual
C) sublingual
D) enteral
Objective: 16.7
43) The study of the effects of medications on the body in relation to age and weight is called:
A) pharmacology.
B) pharmacodynamics.
C) measurement and documentation.
D) pharmacokinetics.
Objective: 16.8
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44) The EMT, after administering any medication, must do which of the following?
A) Reconsider the five rights, reassess the patient, and contact medical control.
B) Document the administration, reassess the patient, and report to the receiving facility.
C) Wait 5 minutes, repeat the medication if needed, and reassess the patient‘s vitals.
D) Document the route, dose, and time; reassess the patient; and re-administer the medication.
Objective: 16.9
45) Your patient is a 59-year-old woman with a history of emphysema. Per protocol, you have
assisted the patient in using her medication inhaler. Which of the following must be documented?
A) Chemical name of the medication
B) Expiration date of the medication
C) Patient’s response to the medication
D) All of the above
Objective: 16.9
46) What are the names given to each medication listed in the U.S. Pharmacopoeia?
A) Official, chemical, and generic
B) Manufacturers, general, and governmental
C) Trade, chemical, and generic
D) Trade, brand, and generic
Objective: 16.10
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47) Choose the correct completion to this statement regarding IV administration: This route is
used to administer medication into the body directly or through the bloodstream and is:
A) beyond the scope of the EMT level.
B) allowed in larger cities and more advanced EMS services.
C) used in advanced life support only when the patient is intubated.
D) only performed on advanced life support services.
Objective: 16.11
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