FREE Paramedics Pharmacology and Medication Administration Questions and Answers

Question 1

You are managing a patient in cardiac arrest. Intravenous access is unsuccessful after two attempts. Which of the following is the most appropriate next action for medication administration?

Accepted Answer

Establish an intraosseous (IO) line as it provides drug absorption comparable to IV access.

Answer

Administer medications via the endotracheal (ET) tube since it is already in place.

Answer

Administer intramuscular (IM) epinephrine while continuing to attempt IV access.

Answer

Attempt to establish a subclavian central line for the most direct access to circulation.

Question 2

You are ordered to start a dopamine infusion at 5 mcg/kg/min for a 198 lb patient. Your dopamine concentration is 400 mg in 250 mL of D5W. Using a microdrip (60 gtt/mL) administration set, what is the correct drip rate?

Accepted Answer

17 gtts/min

Answer

21 gtts/min

Answer

11 gtts/min

Answer

34 gtts/min

Question 3

What is the primary mechanism of action by which adenosine terminates stable, narrow-complex supraventricular tachycardia (SVT)?

Accepted Answer

It temporarily blocks conduction through the atrioventricular (AV) node.

Answer

It acts as a potent beta-blocker, decreasing myocardial contractility.

Answer

It blocks sodium channels in the ventricular myocardium, slowing repolarization.

Answer

It increases sympathetic tone, causing vasoconstriction and increasing heart rate.

Question 4

You are treating a 62-year-old male with substernal chest pain. His BP is 92/60 mmHg and he states he took tadalafil (Cialis) about 12 hours ago. Which of the following is correct regarding the administration of nitroglycerin?

Accepted Answer

Nitroglycerin is contraindicated due to the risk of profound hypotension.

Answer

A lower dose of nitroglycerin (0.2 mg) should be administered cautiously.

Answer

Nitroglycerin is indicated as long as the systolic blood pressure is above 90 mmHg.

Answer

Nitroglycerin is indicated to relieve his pain by dilating the coronary arteries.

Question 5

A 70-year-old is found unresponsive with severe bradycardia (30 bpm) and hypotension (BP 60/40 mmHg). Family states she may have taken too much of her metoprolol. After atropine is ineffective, which medication is the most appropriate specific antidote to consider?

Accepted Answer

Glucagon

Answer

Calcium Chloride

Answer

Epinephrine

Answer

Dopamine

Question 6

A paramedic draws up a medication, shows the vial to their partner who confirms it is the correct drug and dose, and then labels the syringe. This safety check primarily addresses which of the 'Six Rights of Medication Administration'?

Accepted Answer

Right Drug and Right Dose

Answer

Right Route and Right Documentation

Answer

Right Patient and Right Time

Answer

Right Patient and Right Indication

You are managing a patient in cardiac arrest.Intravenous access is unsuccessful after two attempts.Which of the following is the most appropriate next action for medication administration?

You are managing a patient in cardiac arrest.
Intravenous access is unsuccessful after two attempts.
Which of the following is the most appropriate next action for medication administration?