I feel lucky!
Blood tubing is a:
A) special type of microdrip administration set that contains an inline filter designed to cleanse transfused blood of impurities.
B) macrodrip administration set that is designed to be used exclusively with 1,000-mL bags of type O-negative blood.
C) macrodrip administration set that is designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or a combination of IV fluids and blood.
D) special administration set with dual piercing spikes that allows the paramedic to administer IV fluids to two critically ill or injured patients at the same time.
C) macrodrip administration set that is designed to facilitate rapid fluid replacement by manual infusion of multiple IV bags or a combination of IV fluids and blood. page 482
When selecting a vein for cannulation, you should avoid areas of the vein that:
A) are straight.
B) pass over joints.
C) are firm and springy.
D) appear to be straight.
B) pass over joints. page 482
A severely burned patient requires 4,500 mL of isotonic crystalloid solution over 8 hours, so medical control orders you to begin the infusion in the field. If your administration set allows 10 gtts/mL, at how many gtts/min will you set the IV flow rate in order to deliver the ordered amount of fluid?
A) 76
B) 84
C) 88
D) 94
D) 94 page 506
To convert 2.5 liters to milliliters, you should:
A) divide 2.5 by 500.
B) multiply 2.5 by 500.
C) divide 2.5 by 1,000.
D) multiply 2.5 by 1,000.
D) multiply 2.5 by 1,000. page 502
When determining whether an occluded IV line should be reestablished, you should:
A) attempt to improve the IV flow rate by applying a pressure infuser device around the IV bag.
B) infuse 10 mL of normal saline through the injection port to attempt to disrupt the occlusion.
C) lower the IV bag below the level of the patient's heart and observe for blood return in the IV tubing.
D) apply manual pressure to the IV bag while observing for a sudden increase in the IV flow rate.
B) infuse 10 mL of normal saline through the injection port to attempt to disrupt the occlusion. page 493
When initiating an IV line in the upper extremity of a stable patient, you should:
A) always use the antecubital vein.
B) look at the anterior forearm first.
C) start proximally and work distally.
D) start distally and work proximally.
D) start distally and work proximally. page 482
1 mg is equal to ______ µg.
A) 10
B) 100
C) 1,000
D) 10,000
C) 1,000 page 503
A 130-lb patient weighs ____ kg.
A) 49
B) 55
C) 59
D) 62
C) 59
Anaphylaxis - 0.3-0.5mg
Asthma- 0.3-0.5mg
Brady/Hypotension- 2-10mcg/min (in d5w)
Cardiac Arrest- 1mg
Which of the following conditions or situations is associated with the HIGHEST risk of vein rupture during IV cannulation?
A) Diabetes
B) Hypertension
C) Ibuprofen use
D) Atherosclerosis
A) Diabetes page 494
Large protruding arm veins in an otherwise healthy adult can be difficult to cannulate because they often:
A) are covered by thick skin that bends the IV catheter.
B) constrict in response to insertion of the IV catheter.
C) roll from side to side during the cannulation attempt.
D) rupture spontaneously when punctured with the needle.
C) roll from side to side during the cannulation attempt. page 482
0.2 mg equals:
A) 0.02 g.
B) 200 µg.
C) 0.02 µg.
D) 2,000 µg.
B) 200 µg. page 504
An 80-kg patient weighs ____ lb.
A) 176
B) 179
C) 182
D) 185
A) 176 page 504
A 1% lidocaine (Xylocaine) concentration contains:
A) 1 mg/10 mL.
B) 100 mg/100 mL.
C) 500 mg/50 mL.
D) 1,000 mg/100 mL.
D) 1,000 mg/100 mL. page 505
The MOST prominent clinical indicator of a pyrogenic reaction is:
A) fever.
B) nausea.
C) a headache.
D) vascular collapse.
A) fever. page 494
"Track marks" along the course of a patient's vein are usually a sign of:
A) sclerosis caused by frequent cannulation.
B) numerous one-way valves inside the vein.
C) small vein rupture caused by hypertension.
D) multiple thromboses deep within the vein.
A) sclerosis caused by frequent cannulation. page 483
Which of the following represents the appropriate metric units of weight from largest to smallest?
A) g, kg, µg, mg
B) kg, g, mg, µg
C) mg, g, µg, kg
D) kg, mg, g, µg
B) kg, g, mg, µg page 502
A prefilled syringe of lidocaine contains 100 mg/5 mL of volume. How many milligrams per milliliter (mg/mL) are present in the syringe?
A) 5
B) 10
C) 20
D) 25
C) 20 page 505
After administering Fentanyl, a controlled medication, to a patient for severe pain, you should:
A) discard any medication that was not used and document the amount you wasted on the patient care report.
B) ensure that any unused medication is disposed of properly and then have the patient's family member sign as a witness.
C) properly dispose of any remaining medication and ask your partner to sign as the person who wasted the medication.
D) have your partner or a supervisor witness you properly disposing of any of the unused medication and then sign as a witness.
Signs and symptoms of circulatory overload include:
A) diarrhea.
B) headache.
C) hypertension.
D) collapsed jugular veins.
C) hypertension. page 495
When selecting the most appropriate IV catheter, you should routinely consider all of the following, EXCEPT:
A) the age of the patient.
B) the purpose of the IV.
C) the location of the IV.
D) the patient's gender.
D) the patient's gender.
100 mL is equal to:
A) 0.1 L
B) 0.01 L
C) 0.001 L
D) 0.0001 L
A) 0.1 L page 503
If a 10-mL vial contains 1 mg of a drug, how many mg/mL are present?
A) 0.1
B) 0.01
C) 0.001
D) 0.0001