Name: ________________________ Class: ___________________ Date: __________ ID: A Medication Administration CME Quiz Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. You are ordered to administer morphine sulfate (5 mg) to your patient. Your vial contains 10 mg/mL. How many milliliters will you administer? a. 0.1 b. 0.5 c. 1 d. 5 ____ 2. You are ordered to administer calcium chloride (450 mg) to your patient. Your vial contains 1 gram in 10 mL. How many milliliters will you administer? a. 0.45 b. 4.5 c. 44.5 d. 45 ____ 3. You are ordered to administer adenosine (6 mg rapid IV push). Your vial contains 10 mg in 10 mL. How many milliliters will you administer? a. 0.6 b. 4 c. 6 d. 10 ____ 4. You are ordered to administer 1 mg of atropine IV push. Your vial contains 10 mL at 0.1 mg/mL. How many milliliters will you administer? a. 0.1 b. 1 c. 10 d. 10.1 ____ 5. A vial of Valium is supplied with 10 mg in 2 mL. The dosage for this patient is to receive 2 mg. How much solution should be drawn up for this patient? a. 0.2 mL b. 0.3 mL c. 0.4 mL d. 0.5 mL 1 ____ 6. You are preparing to administer Lasix to a patient. Before administration, you confirm that the drug you are carrying, furosemide, is the generic name for Lasix. This is an example of which of the “six rights”? a. Right documentation b. Right dose c. Right drug d. Right route ____ 7. Which of the following “rights” refers to the appropriate readministration of a medication? a. Right documentation b. Right dose c. Right patient d. Right time ____ 8. You have just administered an IV medication to your patient; the medication was prepared by your paramedic partner. After administering the medication, you realize your partner prepared the wrong medication. Which of the following is your best course of action? a. Document the drug you intended to give. b. Immediately advise medical control and carefully monitor the patient for effects of the medication. c. Immediately call the state Pharmacy Board and inform them of the error. d. Place the blame on your partner and have him or her write the report. ____ 9. Which of the following is the best definition of Standard Precautions? a. Actions required by personnel every time they are in contact with a patient b. Actions required by personnel when they encounter a dirty patient c. Actions required by personnel when they encounter a patient with a known d. disease Actions required by personnel when they encounter an elderly patient ____ 10. It is 0700 hours, and you arrive at the station as usual. Upon inspecting your vehicle, you notice that the sharps container is 75% full. What should you do? a. Attempt to empty “nonsharps” from the container. b. Seal the container properly, and dispose of it according to protocol. c. Do nothing. d. Throw it in the regular garbage and replace it with a new container. ____ 11. You are administering nitroglycerin to a patient. What instructions/information should you give the patient? a. Chew the tablet. b. Place the tablet between the cheek and gum. c. Hold the tablet under the tongue until it dissolves. d. Rub the injection site for 2 minutes after administration. 2 ____ 12. Which of the following is an enteral route of medication administration? a. Buccal b. Intramuscular c. Intravenous d. Subcutaneous ____ 13. Medication administration by the intramuscular, intravenous, or intraosseous route is called: a. Enteral administration b. Integumentary administration c. Parenteral administration d. Periosteal administration ____ 14. Where is the medication placed in the nebulizer system? a. Mask b. Nebulizer cup c. T-piece d. Tubing ____ 15. A medication that comes in a glass container with a narrow neck is called a(n): a. Ampule b. Multidose c. Syringe d. Vial ____ 16. Which of the following is an appropriate way to open an ampule? a. Cover the top with 2 2 gauze. b. Open the top of the ampule with your trauma sheers. c. Open the top toward you. d. Open the top with your bare fingers. ____ 17. A filter needle should be used when withdrawing medication from a(n): a. Ampule b. Multidose vial c. Prefilled syringe d. Reconstituted powder vial ____ 18. Which of the following steps should be taken to avoid a vacuum formation in the vial during withdrawal of a medication? a. Inject 1 mL of normal saline. b. Inject 1 mL of water. c. Inject the exact amount of air in milliliters as the volume that is to be drawn. d. Nothing needs to be done; simply insert the needle and draw back. 3 ____ 19. A glass or plastic container with a rubber stopper that holds multiple medication doses for injection is a(n): a. Ampule b. Prefilled syringe c. Tubex d. Vial ____ 20. When selecting a needle length for an intramuscular injection, which of the following should be considered? a. A 5/8-inch needle is appropriate for most adults. b. A 1-inch needle should be used for a morbidly obese patient. c. It should be long enough to reach the blood vessel. d. It should be long enough to reach the middle of the muscle. ____ 21. Proper application of a tourniquet for use in establishing an IV should result in tamponade of: a. Both the venous and the arterial vessels b. Neither the venous nor the arterial vessel c. The arterial vessel without occlusion of the venous vessel d. Venous blood flow without cutting off the arterial circulation ____ 22. When choosing a location for venipuncture, choose the most suitable: a. Central vein b. Distal vein c. Leg vein d. Proximal vein ____ 23. The technique of giving a medication directly into an infusion port using a syringe is called an IV: a. Bolus b. Hickman c. Infusion d. Intermittent infusion ____ 24. You initiated an IV in the antecubital space of an unconscious hypoglycemic diabetic patient. You notice that the fluids are running very slowly and the skin in the arm above the IV site is cool and pale. What should you do? a. Discontinue the IV and restart it in the other arm. b. Flush the line with normal saline and see if the infusion rate increases. c. Push D50W 25 g IV slowly. d. Start another IV below the first one. ____ 25. Administration of a sublingual medication means that the medication is placed: a. Between the patient’s cheek and gum b. Into the patient’s subcutaneous tissue c. Over the skin of the patient’s chest d. Under the patient’s tongue 4