Quiz 1.5

The maximum volume of medication to be delivered into the deltoid muscle is:

A. 3 mL
B. 2 mL
C. 5 mL
D. 1 mL

Using microdrip IV tubing, how many drops of fluid equal 1 mL?

A. 60
B. 10
C. 20
D. 15

A plastic or glass container with a self-sealing rubber top is known as a(n):

A. prefilled syringe
B. ampule
C. vial
D. blister pack

Your patient weighs 22 pounds and is to receive 0.02 mg/kg of Atropine IV push.  You have a multidose vial of Atropine containing 20 mL at a concentration of 0.04 mg/mL.  What volume (in mL) of medication is to be injected?

A. 0.5
B. 2.5
C. 0.25
D. 5

When preparing for venipuncture, a constricting band should be applied tight enough to restrict _____ flow.

A. neither arterial nor venous
B. venous but not arterial
C. arterial but not venous
D. both arterial and venous

Your protocols call for a dopamine infusion beginning at 5 mcg/kg/min.  You estimate that Mrs. Lincoln weighs 190 pounds.  Using a standard dopamine concentration of 800 mg in 500 mL, at what drip rate (in drops/minute) will you need to administer the infusion using microdrip tubing?

A. 432
B. 16
C. 27
D. 4

Which of the following is considered a site of central venous access?

A. external jugular vein
B. femoral vein
C. median cephalic vein
D. saphenous vein

Which of the following is the appropriate method for preparing a site for venipuncture or injection?

A. use of a sanitizer
B. use of an antiseptic
C. chemical sterilization
D. use of a disinfectant

Into which of the following containers would it be necessary to inject a volume of air equal to the intended volume of medication before withdrawing the medication with a needle and syringe?

A. vial
B. ampule
C. prefilled syringe
D. nebulizer

Administration of medication into the dorsal gluteal muscle must be injected into which quadrant of the muscle?

A. upper, inner
B. lower, outer
C. upper, outer
D. lower, inner

By which of the following routes will medication have the quickest onset of action?

A. intradermal
B. subcutaneous
C. intramuscular
D. oral

Mr. Hinkley is a 46-year-old with a history of pancreatitis.  He has had abdominal pain and vomiting for 24 hours.  The ED physician requests that you initiate an IV for rehydration.  You will be using a 15 drops/mL infusion set to administer 250 mL of 5% dextrose in 0.9% NS per hour.  What drip rate (drops/minute) is needed to deliver the fluids at this rate?

A. 63
B. 41
C. 75
D. 100

You are to give Mr. Jenkins 50 mg of Toradol (ketorolac) IM for musculoskeletal pain.  Ketorolac is supplied 60 mg/2 mL.  What volume of drug (in mL) is to be drawn up for administration?

A. 0.17
B. 17
C. 1.7
D. 170

What is the preferred access site for intraosseous infusion in both pediatric and adult patients?

A. proximal tibia
B. distal femus
C. distal tibia
D. proximal humerus

Having a patient swallow a tablet of medication with a drink of water is an example of which route of medication administration?

A. Oral
B. Sublingual
C. Aural
D. Buccal

Ms. Krinkle is experiencing RLQ pain following a syncopal episode.  She reports her last menstrual period (LMP) was about six weeks ago.  While she is awaiting an abdominal CT, the surgery resident asks that you initiate an IV of lactated Ringer's solution using a blood set (10 drops/mL) and infuse 1 liter over 1 hour.  What drip rate (drops/minute) will you use to attain this rate of administration?

A. 167
B. 600
C. 67
D. 17

Shortly after starting an IV on your patient, you note that the IV is not dripping.  You have removed the constricting band, and all the clamps on the tubing are open.  You note that there is minor swelling around the venipuncture site.  There is no discoloration of the site, but it is cool and firm to the touch.  Which of the following most likely accounts for your findings?

A. fluids extravasated into the tissue surrounding the IV site
B. the tip of the catheter is occluded by a valve in the vein
C. the site has become infected
D. the tip of the catheter is occluded by a blood clot

Which of the following is a parenteral route of drug administration?

A. intramuscular
B. rectal
C. oral
D. gastric tube

Which of the following is NOT a percutaneous route of medication administration?

A. Sublingual
B. Inhalation
C. Buccal
D. Transdermal

Which of the following catheters would allow the greatest volume of fluid to be delivered in a given period?

A. 16 guage, 1 1/8"
B. 16 guage, 2"
C. 14 guage, 2"
D. 14 guage, 1 1/4"

Which of the following is a contraindication to intraosseous needle placement?

A. Too large a needle or forceful insertion
B. Development of a pulmonary embolism
C. Long-term growth complications and swelling
D. Establishment of a peripheral IV line

Which of the following solutions is appropriate for the patient needing vascular volume replacement in the pre-hospital setting?

A. 0.9% sodium chloride solution
B. 0.45% sodium chloride and 5% dextrose in water
C. 5% dextrose in water
D. Dextran 40

Which of the following is NOT a site of peripheral venous access?

A. external jugular
B. saphenous
C. subclavian
D. median basilic

Which of the following is NOT a pulmonary route of mediation administration?

A. Nasal drops and sprays
B. Instillation of liquid medications into an endotracheal tube
C. Inhalation of aerosolized medications
D. Nebulization of liquid medications by pressurized air

Just as you are arriving at the emergency department bay, your patient, on whom you started an IV at the scene, complains of sudden chills, back pain, and nausea.  The patient appears flushed, and his skin is hot and moist to the touch.  Which of the following most likely accounts for your patient's presentation?

A. Pyrogenic reaction
B. Anaphylaxis
C. Pulmonary thromboembolism
D. Circulatory overload