EMT Medication Safety Practice Test

EMT Medication Safety Practice Test

Review EMT medication safety, authorization, cross-checks, routes, reassessment, and documentation with 34 protocol-cautious questions. Local protocols, medical direction, and product instructions govern care.

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34 questions ready

Start with a quiz

Answer from memory first, then review the rationales and revisit weak areas from this course.

Activities

Quiz34 Questions
Study Notes5 Notes

List of Questions30 questions
  1. Question 1
    • State licensure plus the credentialing or local authorization required by the EMS system
    • The candidate must obtain a liability insurance policy that covers the scope of EMT practice.
    • The candidate must complete a 6-month probationary period with a supervising paramedic.
    • The candidate must register with the National Registry of Emergency Medical Technicians (NREMT) as a condition of employment.
  2. Question 2
    • Standard of care is set by state law, while scope of practice is determined by the medical director.
    • Scope of practice and standard of care are interchangeable terms used to describe the legal limits of practice.
    • Standard of care defines the minimum skills an EMT may perform, while scope of practice defines the maximum.
    • Scope of practice defines what is legally permitted, while standard of care defines what should be done in a given situation.
  3. Question 3
    • Requiring all EMTs to obtain national certification before applying for state licensure.
    • Protecting the public by ensuring EMS personnel meet minimum competency standards before authorizing practice.
    • Ensuring that the state's scope of practice does not exceed the minimum skills listed in the national model.
    • Developing a national curriculum for all EMT training programs within the state.
  4. Question 4
    • No, because the EMT lacks the necessary experience to perform the skill safely.
    • No, because the EMT is not licensed by the state to perform the skill.
    • Yes, because the skill is within the national model and is beneficial to patient outcomes.
    • Yes, because the EMT has been educated and certified in the skill.
  5. Question 5
    • An EMT is trained in 12-lead ECG acquisition, is certified, and is licensed by the state, but the local EMS agency has not yet purchased ECG monitors.
    • A paramedic performs rapid sequence intubation, which is taught in paramedic school but not tested on the national certification exam.
    • A medical director wants EMTs to administer a new antidote for a rare toxin, but the skill is not in the state scope of practice and has no established education program.
    • A paramedic who is also a registered nurse performs suturing in the emergency department, a skill included in the nursing scope but not paramedic scope.
  6. Question 6
    • No, the EMT holds their own state license and is individually responsible for their practice.
    • Yes, the physician extends their license to cover the EMT's actions in the field.
    • No, but the EMT's license is subordinate to the physician's license in all matters.
    • Yes, because the physician is legally liable for all errors made by the EMT.
  7. Question 7
    • Training, testing, registration, and supervision.
    • Protocol, policy, procedure, and physician order.
    • Education, certification, licensure, and credentialing.
    • Knowledge, skill, ability, and experience.
  8. Question 8
    • Because the model guides state scope decisions but does not replace licensure, competency, protocol, or credentialing requirements
    • Because every nationally listed skill requires a federal prescription
    • Because the model applies only to paramedics
    • Because national skill names are privately trademarked
  9. Question 9
    • The state should require all EMTs to obtain paramedic-level certification before the expansion.
    • The state should adopt the expansion only if it reduces the cost of EMS education.
    • The state should analyze the potential benefit, safety risks, costs, and required training specific to the state's EMS system.
    • The state should defer to the national model and not make any changes.
  10. Question 10
    • Certification is granted by the state, while licensure is granted by a private organization.
    • Certification is a voluntary process by a private organization, while licensure is a legal grant of authority by the state.
    • Certification focuses on psychomotor skills, while licensure focuses on cognitive knowledge.
    • Certification is permanent, while licensure must be renewed annually.
  11. Question 11
    • Ensuring the medication is stored at the correct temperature in the ambulance.
    • Confirming that the patient's insurance will cover the cost of the medication.
    • Verifying the medication, dose, route, and patient identity against the protocol and product labeling.
    • Checking the expiration date of the medication.
  12. Question 12
    • Misreading the label and preparing the wrong drug or amount
    • Administering a medication via the wrong route due to a protocol error.
    • Administering a medication that the patient is allergic to.
    • Failing to document the administration after the call.
  13. Question 13
    • The patient's primary care physician's name and contact information.
    • The manufacturer's lot number and expiration date of the medication.
    • The drug name, dose, route, time, and the patient's response to the medication.
    • The cost of the medication and the pharmacy that supplied it.
  14. Question 14
    • The protocol incorrectly lists the dose for a pediatric patient.
    • The EMT administers the correct dose of a medication via the wrong route.
    • The EMT misreads the medication label and selects the wrong vial.
    • The EMT fails to recognize that the medication has expired.
  15. Question 15
    • That the patient's vital signs are within normal limits.
    • That the medication is being given for a condition listed in the protocol.
    • That the patient has not taken any other medications in the past 24 hours.
    • That the patient's family is aware of the medication being given.
  16. Question 16
    • A condition that makes it unsafe to administer a specific drug
    • The legal requirement to obtain online medical direction before giving any drug
    • The mechanism by which a drug produces its therapeutic effect
    • A specific reason to administer a medication based on the patient's condition
  17. Question 17
    • The patient's age and weight
    • Current product/protocol information, the route, and the need to reassess the actual patient response
    • The severity of the patient's condition
    • The specific mechanism of action of the drug
  18. Question 18
    • To provide a guide for states to develop their scope of practice legislation and regulations
    • To define the standard of care for all EMS personnel in the United States
    • To mandate the specific equipment that must be carried on all ambulances
    • To establish a national curriculum for all EMS education programs
  19. Question 19
    • Ensuring the patient has a patent intravenous line
    • Checking the expiration date of the medication
    • Verifying the right patient, right drug, right dose, right route, and right time
    • Documenting the administration after the call is complete
  20. Question 20
    • Follow the local protocol and device instructions for the medication cup, gas source, interface, patient coaching, and monitoring
    • Instill the medication directly into the patient's nose using a dropper
    • Insert the medication into a syringe, remove the needle, and spray the medication directly into the patient's mouth
    • Attach a metered-dose inhaler (MDI) to a spacer and have the patient take a deep, fast breath
  21. Question 21
    • Immediately reassess and support ABCs, expedite care/transport, and follow protocol or medical direction based on the findings
    • Document that the medication was ineffective and begin transport immediately
    • Contact medical direction for permission to try a different medication
    • Administer a second dose of the same medication immediately
  22. Question 22
    • The name of the EMT who administered the drug and the patient's insurance information
    • The lot number of the medication and the manufacturer's name
    • The drug name, dose, route, time of administration, and the patient's response
    • The patient's name and the hospital they are being transported to
  23. Question 23
    • Do not give it orally; manage immediate threats and follow protocol or required medical direction for an authorized alternative
    • Crush the medication and mix it with applesauce to make it easier to swallow
    • Consult with the patient's family member to determine the best way to administer the medication
    • Administer the medication via the intranasal route instead
  24. Question 24
    • Use the same upper-arm technique for every auto-injector
    • Use a fixed five-second hold for every brand
    • Verify the exact device instructions, medication, patient, site, hold time, and local protocol before use
    • Remove a needle manually before administering any auto-injector
  25. Question 25
    • Assess the patient's vital signs one final time
    • Verify the patient's identity using two identifiers (e.g., name and date of birth)
    • Repeat the full medication cross-check required by the protocol/order and product label
    • Ensure the medication is within its expiration date
  26. Question 26
    • Administer the medication via the intranasal route using a MAD
    • Inject the medication into the patient's IV line
    • Crush the MDI canister and dissolve the contents in water for the patient to drink
    • Continue supportive care and follow the protocol or required medical direction for an authorized alternative
  27. Question 27
    • Administer the medication and monitor for signs of an allergic reaction
    • Administer the medication only if the patient signs a waiver of liability
    • Hold the medication and contact medical direction for an alternative treatment
    • Administer a lower dose of the medication to reduce the risk of an allergic reaction
  28. Question 28
    • Administer the medication if the dose and route are still legible
    • Contact the pharmacy to identify the medication based on the remaining label information
    • Administer the medication if the EMT can identify it by its physical appearance
    • Do not administer it; remove it from use and follow agency policy for replacement and disposal
  29. Question 29
    • 'No adverse effects observed.'
    • 'Patient is feeling better.'
    • 'Patient's respiratory rate improved from 28 to 18 breaths per minute and lung sounds are clear.'
    • 'Patient tolerated the medication well.'
  30. Question 30
    • A person may perform a skill if they are educated and licensed, even if not credentialed
    • A person must be educated, certified, licensed, and credentialed to perform a skill
    • Credentialing is the most important domain and supersedes the others
    • Certification and licensure are interchangeable, and only one is required