An alert adult has crushing chest pressure and diaphoresis, can swallow safely, reports no aspirin allergy, and has not taken aspirin today. Which medication is most appropriate if authorized by protocol?
07 EMT Medications Online Quiz Questions
Use this free practice quiz with 30 questions to review 07 EMT Medications, test your knowledge, and prepare for your next test or exam.
A patient with prescribed nitroglycerin reports taking sildenafil earlier that day. The patient has chest pressure and a systolic blood pressure of 104 mmHg. What should the EMT do?
- A
Assist with nitroglycerin because the systolic pressure is above 90 mmHg
- B
Give two nitroglycerin doses together
- C
Withhold nitroglycerin and contact medical direction or follow protocol
- D
Administer albuterol
A patient suspected of opioid overdose is apneic but has a palpable pulse. Which action has the highest priority?
- A
Wait for naloxone to restore breathing
- B
Begin assisted ventilations and provide oxygen while preparing naloxone
- C
Give oral glucose
- D
Place the patient in a seated position
An altered patient has a blood glucose reading of 48 mg/dL and cannot follow commands or protect the airway. Which intervention is inappropriate?
- A
Request additional resources
- B
Maintain the airway and support breathing
- C
Give oral glucose gel
- D
Reassess mental status and vital signs
An adult with wheezing receives albuterol by nebulizer. Five minutes later, the patient is tremulous and tachycardic but has improved air movement and less respiratory distress. What is the best interpretation?
- A
The medication caused an inevitable fatal reaction
- B
These may be expected adverse effects; continue reassessment and follow protocol
- C
The patient needs an immediate second dose regardless of vital signs
- D
The patient should receive oral glucose
A 20-kg child is experiencing anaphylaxis and has an epinephrine auto-injector prescribed for emergencies. Which device is generally associated with this weight range?
- A
0.05 mg auto-injector
- B
0.1 mg auto-injector only
- C
0.15 mg auto-injector
- D
0.3 mg auto-injector only
Before assisting with a patient’s prescribed medication, which process best reflects the medication cross-check?
- A
Confirm the patient, indication, contraindications, dose, route, timing, product integrity, response, and documentation
- B
Check only the medication label and route
- C
Administer the medication first and obtain vital signs afterward
- D
Repeat the dose if the patient does not improve immediately
An EMT is assisting with a sublingual nitroglycerin tablet. Which instruction is correct?
- A
Between the cheek and gum
- B
Into the nostril
- C
By inhalation through a nebulizer
- D
Under the tongue without swallowing
A medication requires weight-based dosing. Which method should the EMT use to determine the dose to administer?
- A
Multiply the ordered dose per kilogram by the patient’s weight in kilograms
- B
Divide the patient’s weight in kilograms by the ordered dose per kilogram
- C
Multiply the patient’s weight in pounds by the medication concentration
- D
Use the same fixed dose for every patient
A pregnant patient with airway swelling, respiratory distress, and shock has a history of cardiac disease. Which approach is most appropriate when anaphylaxis is present?
- A
Withhold epinephrine because the patient is pregnant
- B
Use an antihistamine instead whenever cardiac disease is present
- C
Administer epinephrine when anaphylaxis is present, while monitoring the patient
- D
Wait until airway swelling completely obstructs breathing
What should an EMT do after administering or assisting with any medication?
- A
Reassess only if the patient reports a problem
- B
Reassess the patient and compare the findings with the baseline assessment
- C
Repeat the medication automatically after five minutes
- D
Document only the medication name
A patient has inadequate breathing and falling oxygen saturation. Which principle should guide oxygen therapy?
- A
Apply oxygen and delay all ventilation
- B
Withhold oxygen from every patient with respiratory distress
- C
Give oral glucose before assessing breathing
- D
Provide appropriate ventilation without allowing oxygen administration to delay it
A patient with prescribed nitroglycerin reports taking sildenafil earlier the same day and has chest pressure with a systolic blood pressure of 104 mmHg. What should the EMT do?
- A
Assist with nitroglycerin because the systolic pressure is above 90 mmHg
- B
Give two nitroglycerin doses together
- C
Withhold nitroglycerin and contact medical direction or follow protocol
- D
Administer albuterol
Before assisting with a patient-specific medication, which action best represents the required medication cross-check?
- A
Administer the medication immediately because the patient requested it
- B
Use the medication only if its color appears normal
- C
Compare the medication with the protocol or prescription and verify the patient, indication, contraindications, dose, route, timing, and integrity
- D
Ask the patient to select the dose from the available medications
Which statement correctly distinguishes medication assistance from medication administration for an EMT?
- A
Assistance always means giving any medication without authorization
- B
Administration means merely reminding the patient that a medication exists
- C
Assistance helps a patient use that patient's prescribed medication, whereas administration involves the EMT giving medication under authorized direction
- D
There is no operational distinction between assistance and administration
A patient develops a serious adverse effect immediately after receiving an EMT medication. What is the most appropriate initial response?
- A
Repeat the same dose immediately to overcome the reaction
- B
Stop further doses unless directed otherwise and support airway, breathing, and circulation
- C
Leave the patient alone while retrieving the medication label
- D
Document the reaction only after transport is complete
An EMT is assisting with a medication that must be placed under the tongue rather than swallowed. Which route is being used?
- A
Buccal
- B
Oral
- C
Sublingual
- D
Intranasal
A protocol orders a medication at 0.1 mg/kg for a patient who weighs 18 kg. What dose should be calculated before checking the available concentration and maximum dose?
- A
0.18 mg
- B
1.08 mg
- C
1.8 mg
- D
18 mg
A patient has not improved immediately after an EMT medication. What should the EMT do before considering a repeat dose?
- A
Repeat the dose immediately because there has been no instant improvement
- B
Check the protocol's interval, maximum dose limits, vital-sign requirements, and medical-control instructions
- C
Repeat the dose whenever the patient requests it
- D
Give a different medication without reassessing the patient
A patient requests another dose of a medication but cannot remember when the previous dose was taken. Which medication-safety action is most appropriate before giving another dose?
- A
Repeat the dose immediately because the patient still has symptoms
- B
Determine when the previous dose was taken and whether the minimum interval has passed
- C
Give a different medication without further assessment
- D
Ignore the previous dose if the patient cannot remember the medication name
An alert adult reports chest discomfort but also has active significant bleeding. What should the EMT do regarding aspirin?
- A
Give chewable aspirin because chest discomfort always indicates aspirin
- B
Give aspirin only after administering oral glucose
- C
Withhold aspirin and follow protocol or contact medical direction
- D
Give aspirin if the patient has taken no other medications
A protocol specifies a desired dose of 5 mg. The available medication contains 2.5 mg in 1 mL. What volume should be administered?
- A
0.5 mL
- B
1 mL
- C
2 mL
- D
5 mL
A patient has inadequate breathing. Which action best reflects the medication and oxygen-safety principle emphasized for this emergency?
- A
Begin assisted ventilations and provide oxygen as appropriate
- B
Administer oxygen only and wait for spontaneous improvement
- C
Give oral glucose before addressing breathing
- D
Have the patient walk to improve oxygenation
After a medication is given, the patient develops a serious adverse effect. Which response is most appropriate?
- A
Give the next dose immediately to overcome the reaction
- B
Leave the patient unmonitored while documenting the event
- C
Assume the reaction will resolve and continue the same treatment
- D
Stop further doses unless directed otherwise, support ABCs, and seek appropriate additional care
A patient with known cardiac disease develops airway swelling and respiratory distress consistent with life-threatening anaphylaxis. Which action is supported by the material?
- A
Withhold epinephrine whenever the patient has a history of cardiac disease
- B
Administer or assist with epinephrine when indicated for life-threatening anaphylaxis, while monitoring the patient
- C
Use an antihistamine instead whenever cardiac disease is present
- D
Wait until hypotension develops before considering epinephrine
During an equipment check, you find a medication container with no readable label. A patient now needs medication for a complaint that might match the container. What is the safest EMT action?
- A
Administer it if the patient recognizes the container
- B
Administer it only after positively identifying the medication and confirming authorization
- C
Ask the patient to estimate the dose and route
- D
Mix it with another medication to reduce uncertainty
A patient needs an authorized intranasal medication, but both nostrils have severe bleeding and obstruction. Which action best applies the route-safety principle?
- A
Give the full dose into the obstructed nostril without further assessment
- B
Delay all treatment until the obstruction resolves on its own
- C
Follow protocol and consider another authorized route or device while supporting the patient
- D
Tell the patient to swallow the medication instead
A patient has a prescribed transdermal medication patch and asks you to remove it before transport. Which response is safest?
- A
Wear gloves, avoid medication residue, and act on the patch only if protocol authorizes it
- B
Remove the patch immediately because all patches are unsafe during transport
- C
Apply a second patch if the patient reports inadequate relief
- D
Touch the medication surface briefly to identify the product
An older adult takes several prescribed medications and is being considered for an EMT medication. Which action best addresses the patient-specific risk described in the materials?
- A
Ignore the medication history because the prescribed dose is always appropriate
- B
Give an additional dose whenever symptoms persist briefly
- C
Assume that age does not affect medication response
- D
Verify the medication history and apply local age-specific guidance before proceeding
An EMT realizes immediately after administration that the wrong medication was given. What is the most appropriate initial response?
- A
Hide the error unless the patient develops symptoms
- B
Support the patient first, notify the appropriate clinical authorities, and document objectively
- C
Wait until the end of the shift before taking any action
- D
Change the documentation so the intended medication appears to have been given