ICEMA Medication Standing Orders Practice Test

These questions are part of the practice quiz. Start practicing

• For suspected acute coronary syndrome, what is a common aspirin-related action in ICEMA standing orders?
• What is the standard adult dose of Dextrose for hypoglycemia in this protocol?
• Tranexamic acid dosing for eligible patients is:
• What routes are commonly authorized for naloxone in EMS standing orders?
• Fentanyl - Adult (ALS): What is the maximum cumulative fentanyl dose allowed per protocol?
• In patients age 9 and older, what is the maximum total dose of Ondansetron that may be given prior to base hospital contact?
• In the setting of epinephrine use for anaphylaxis under ICEMA standing orders, what is the priority?
• Pediatric patients (ALS) with suspected tricyclic poisoning should receive which Sodium Bicarbonate dose?
• For non-intubated patients with hypoxia, what is the recommended target oxygen saturation to maintain without over-oxygenation?
• In pediatric organophosphate poisoning, what is the initial atropine dose?
• Which statement about Nitroglycerin administration in suspected acute coronary syndrome is accurate?
• In adults with suspected opiate overdose causing respiratory depression, what is the initial Naloxone dose and possible repeat dosing if needed?
• For lidocaine used in pediatric and adult ALS, what is the maximum total dose in terms of mg/kg?
• How does ICEMA address potential drug interactions when multiple standing orders would be given?
• Which situation would contraindicate oral glucose administration in the field?
• Which of the following is a primary contraindication to albuterol administration?
• In pediatric ALS, what is the repeat lidocaine dose after five minutes during cardiac arrest?
• Which statement is NOT listed as an indication for fentanyl in adults?
• In the adult ALS protocol, what best describes the indication for intravenous acetaminophen (Tylenol)?
• Which route is specified for tranexamic acid administration in ALS standing orders?
• In adult eclampsia with seizures, what is the initial magnesium sulfate dose?
• For post-ROSC agitation in adults, what is a key requirement before giving midazolam?
• In adult EMS, Diazepam is indicated for seizures only when associated with nerve agent exposure with deployment of ChemPack.
• What is the adult dose for Albuterol when given as an aerosolized solution?
• In adult magnesium sulfate management of eclampsia, what is the maintenance infusion rate to prevent continued seizures?
• What is the concentration of dextrose used in Dextrose 10% solutions?
• Which statement about nitrate use in suspected right ventricular infarction is true?
• Aspirin chewable dosing for LALS/ALS: which option is correct?
• Acetaminophen IV/IO dosing rule in ALS?
• In pediatric anaphylaxis with no palpable pulse, using epinephrine 0.1 mg/mL, what is the maximum per-dose IV/IO epinephrine?
• For suspected fentanyl overdose in adults, what Naloxone regimen is recommended as an initial loading dose followed by additional dosing if needed?
• For ketamine, after how many minutes may a second dose be given if the pain score remains five or higher?
• Pediatric Albuterol MDI dosing: which statement is correct?
• Newborn care: if heart rate is less than 60 after airway assessment, what epinephrine dose is given IV/IO?
• Are there absolute contraindications to epinephrine in anaphylaxis under ICEMA standing orders?
• When Ipratropium Bromide MDI is used with Albuterol in adults, how should the Albuterol dose be determined?
• In adults, hypoglycemia is defined as a blood glucose less than what value for this protocol?
• What is a common adjunct bronchodilator used with albuterol in ICEMA standing orders?
• Pediatric patients aged 1 day to 8 years presenting with respiratory depression from suspected opioid overdose should receive which initial Naloxone dosing?
• What is the typical route for epinephrine administration in anaphylaxis under ICEMA standing orders?
• What is the initial intramuscular dose of Epinephrine 1 mg/mL for an adult with a severe allergic reaction?
• In addition to oxygen, which bronchodilator is commonly administered via nebulizer under ICEMA standing orders for bronchospasm?
• What exam strategy can help maximize performance on ICEMA medication questions?
• What is the standard adult Diphenhydramine dose given IV/IO?
• What is a typical route for aspirin administration in EMS per ICEMA?
• Under standing orders, when should you contact medical control for dose adjustment?
• In adults, what is the Ketamine dose for acute pain from trauma, given via IV over five minutes, and can be repeated after 15 minutes if pain persists, and which routes are prohibited?
• What is the adult dose of Calcium Chloride (ALS)?
• Which statement best describes the primary purpose of medical control within the ICEMA standing orders framework?
• SpO2 targets for COPD patients on oxygen may differ from the standard target; which statement is accurate?
• Buprenorphine-Naloxone (Suboxone) initial and max dosing for opioid withdrawal.
• What are common contraindications to ondansetron?
• In the event of a medication error or adverse reaction, what is the immediate action per ICEMA?
• Before administering activated charcoal, which condition must be assured?
• For pediatric patients aged 9 to 14 years with suspected opiate overdose, which Naloxone dose is correct?
• For pain associated with IO infusion, what is the lidocaine IO dose?
• In a pediatric patient with hypoglycemia when IV access cannot be established, what is the glucagon dose and how is it given?
• In pediatric patients, what is the standard nebulized Albuterol dose and repeat pattern?
• Epinephrine is indicated in ICEMA standing orders for what emergency?
• What is the common route for nitroglycerin under ICEMA standing orders?
• For adults with seizures when IV is unavailable, which Diazepam dosing option is valid?
• In push-dose epinephrine prepared by mixing 9 mL of normal saline with 1 mL of epinephrine 0.1 mg/mL in a 10 mL syringe, how much epinephrine is delivered per dose?
• When is it appropriate to consult medical control regarding standing order medications?
• When midazolam is not commercially available, which Diazepam dosing option is valid for adults via IV/IO as a single dose?
• For pediatric patients with seizures, what is the maximum total number of midazolam doses that may be given for continued seizure activity?
• What is the recommended alternative if IV access is unavailable for hypoglycemia treatment?
• Which of the following reflects the baseline assessment that should be completed before administering any standing order medication?
• Which of the following options represents a contraindication to aspirin administration under ICEMA standing orders?
• In pediatric patients experiencing seizures, what is the initial midazolam dose for IV/IO administration (max dose 2.5 mg)?
• What study approach is recommended to prepare for the ICEMA medication questions?
• In a pediatric patient (2-14 years) with an allergic reaction, what is the IV/IO diphenhydramine dose?
• Which benzodiazepine is commonly used under ICEMA standing orders for seizure management?
• Regarding pregnancy when administering standing order medications, what should you consider?
• Atropine dosing for organophosphate poisoning in ALS: which is correct?
• For severe asthma/respiratory distress in adults, what is the magnesium sulfate dose?
• What is the primary indication for glucose management under ICEMA standing orders?
• In an adult experiencing hypoglycemia with no IV access, what is the glucagon dose and route?
• Which statement about activated charcoal use is most accurate?
• For adults, what is the indication for Adenosine (Adenocard) in ALS?
• Which of the following is a common contraindication to nitroglycerin administration?
• Atropine dose for adult bradycardia in ALS: which statement is correct?
• In pediatric patients experiencing seizures, what is the maximum IM/IN midazolam dose for a single administration?
• For children aged 9 to 14 years with suspected opioid overdose, what is the Naloxone dose?
• After giving any standing order medication, what reassessment should you perform?
• What is the maximum total dose of Naloxone in adult overdose protocols, regardless of route?
• What is the pediatric dose of Calcium Chloride (ALS)?
• For pediatric patients 1 year to 14 years, what is the nebulized dose of Ipratropium Bromide Inhalation Solution with Albuterol?
• Which statement accurately describes Nitroglycerin paste dosing in the management of ACS?
• When is oral glucose appropriate under ICEMA standing orders?
• Why is rotating stock recommended for standing order medications?
• The atropine pediatric indication applies to patients under what age?
• What routes are available for ondansetron in EMS standing orders?
• In adults with polymorphic ventricular tachycardia, what is the magnesium sulfate dose when prolonged QT is observed after cardioversion?
• What is the primary purpose of ICEMA Medication Standing Orders?
• What blood glucose threshold defines hypoglycemia in neonates (0-4 weeks) according to the protocol?
• In pediatric patients aged four to eight years, what is the recommended Ondansetron dose for nausea or vomiting?
• How should you study for the ICEMA Medication Standing Orders Practice Test?
• When is glucagon used in ICEMA standing orders?
• Which route is NOT typically available for ondansetron in EMS standing orders?
• Nerve Agent Antidote Kit (NAAK) dosing: how many times may be repeated?
• Which medication’s administration explicitly prohibits IV push, IO, IM, or IN routes?
• What is ondansetron used for in ICEMA standing orders?
• Name a key contraindication to nitroglycerin administration in ICEMA standing orders.
• In pediatric glucagon dosing for hypoglycemia when IV access cannot be established, after how many minutes may a second dose be given?
• What is the general purpose of activated charcoal in ICEMA standing orders?
• What is the recommended administration time for the pediatric calcium chloride dose (20 mg/kg)?
• Which item identifies the clinician who administered the standing order medication?
• After naloxone administration, what should you monitor for?
• Fentanyl - Pediatric (ALS): If a 10 kg child is given 0.5 mcg/kg IV fentanyl, how many micrograms is that dose?
• Glucose - Oral - Adult (BLS, LALS, ALS): Indication is an adult with blood glucose less than 80 mg/dL. Dose: one tube for patients with an intact gag reflex. What is the recommended dose form?
• Who has the authority to modify or suspend a standing order during an emergency per ICEMA?
• For Buprenorphine-Naloxone, a second repeat dose may be given after how many minutes if symptoms persist?
• What SpO2 target range is commonly used for non-hypoxic patients on oxygen per ICEMA?
• Ondansetron indications include nausea and vomiting, and may be used prophylactically with narcotics.
• In pediatric patients with severe asthma/respiratory distress, what magnesium sulfate dose is recommended?
• What is the indication for naloxone under ICEMA standing orders?
• In pediatric Advanced Life Support (ALS) for cardiac arrest, what is the initial dose of lidocaine given IV/IO?
• What is the difference between standing orders and direct physician orders in EMS?
• Under ALS standing orders, postpartum hemorrhagic shock is treated with tranexamic acid only under what condition?
• In pediatric seizures when midazolam is not available, what is the IV/IO dose of Diazepam (single dose)?
• In adults with suspected crush injury–related hyperkalemia, what is the recommended Sodium Bicarbonate dose?
• If SBP falls below the threshold after nitroglycerin administration, what is the appropriate action?
• When is supplemental oxygen indicated according to ICEMA standing orders?
• How should you approach pediatric dosing when standing orders specify weight-based dosing?
• What is the pediatric dose of Dextrose 10% (D10W) for hypoglycemia?
• Epinephrine (0.1 mg/mL) - Pediatric (ALS) - Cardiac Arrest: Age 9 to 14 years requires 1.0 mg IV/IO. Which is the correct per-dose amount?
• How often should atropine be repeated if the patient remains symptomatic after an initial atropine dose in pediatric organophosphate poisoning?
• Before giving any standing order medication, you should confirm the indication per the standing order.
• What should you do if a standing order medication is not entirely covered by the patient’s age or weight?
• Ketamine administration protocols specify which routes are not allowed for administration in this protocol?
• Naloxone administration routes in EMS standing orders may include which of the following?
• For pediatric patients 1 day to 12 months, what is the nebulized dose of Ipratropium Bromide Inhalation Solution with Albuterol?
• What documentation is required after administering a standing order medication?
• Before giving any standing order medication, what baseline assessment should you perform?
• What is a primary contraindication to albuterol administration?
• Pediatric Diazepam dose via IV for seizures is:
• In ICEMA standing orders, what is the recommended route for glucagon administration when IV access is not available?
• Which statement best describes the standard reassessment after administering any standing order medication?
• Fentanyl - Pediatric (ALS): What is the maximum per-dose IM/IN fentanyl for a child?
• What is the role of documentation in medico-legal contexts for standing orders?
• Which approach is recommended for storage and expiration of standing order medications?
• Which drug is commonly used as an adjunct bronchodilator with albuterol in ICEMA standing orders?
• For an adult with beta blocker poisoning (base hospital order only), what is the glucagon dose and route?
• What should you consider when dosing albuterol for pediatric patients per ICEMA?
• For CPAP-related anxiety in adults, what is the dose and route of midazolam that may be given one time?
• What is the typical route and timing for activated charcoal administration?
• What is the dose of Sodium Bicarbonate for adult using base hospital order for Tricyclic Poisoning?
• What is the pediatric dose for acetaminophen (Tylenol) in ALS?
• What is a major risk when using benzodiazepines like midazolam in the field?
• For postpartum hemorrhagic shock, TXA administration requires what condition?
• Which route is used for epinephrine in anaphylaxis under ICEMA standing orders?
• For pediatric Ipratropium Bromide MDI with Albuterol, how should the Albuterol dose be determined?
• Where should the NAAK auto-injector be administered?
• For persistent severe anaphylaxis using Epinephrine 0.1 mg/mL, what is the initial IV/IO dose?
• In pediatric cardiac arrest, for a child aged 1 day to 8 years, what is the recommended IV/IO epinephrine dose per dose?
• Nitroglycerin is considered for chest pain under ICEMA standing orders when the patient’s systolic BP is above what threshold and there is no contraindication?
• Which oxygen-delivery device is NOT typically authorized for EMS oxygen delivery under ICEMA?
• In adult Adenosine dosing, how many times may the dose be repeated?
• Epinephrine (1 mg/mL) - Pediatric (LALS, ALS): Dose is 0.01 mg/kg IM not to exceed 0.3 mg. What is the maximum single IM dose for this concentration?
• In COPD patients, what is the recommended oxygen saturation target and the upper limit to avoid hyperoxia?
• What delivery devices are typically authorized for oxygen in EMS under ICEMA?
• Why is sildenafil or other PDE-5 inhibitor use within the last 24-48 hours a nitroglycerin contraindication?
• What should you do after a patient refuses a standing order medication?
• Why are weight-based dosing guidelines used for pediatric patients in standing orders?
• Push-dose epinephrine in adults is delivered as 1 mL every 1 to 5 minutes with titration to maintain systolic blood pressure above what value?
• What are common contraindications to activated charcoal under ICEMA standing orders?
• In cardiac arrest or asystole/PEA, Epinephrine 0.1 mg/mL is dosed at what amount IV/IO?
• Glucose - Oral - Pediatric: Neonates (0-4 weeks) with hypoglycemia or pediatric patients (>4 weeks) with glucose below thresholds. Dose: one tube for patients with an intact gag reflex. What is the neonate’s recommended oral glucose dose?
• For a pediatric patient requiring epinephrine 0.01 mg/kg IM, with a maximum dose of 0.3 mg, what is the maximum IM epinephrine dose for a child weighing 20 kg?
• What is the purpose of medical control in the ICEMA standing orders framework?
• In adults with behavioral emergencies, what is the maximum number of midazolam doses that may be administered using any combination of IV/IO/IM/IN routes?
• For lidocaine used in adult ALS with V-tach/VF or wide complex tachycardia with pulses, what is the initial dose and maximum total dose?
• For pediatric beta blocker poisoning (base hospital order only), what is the glucagon dose and route?
• Which best describes the initial dose administration for Adenosine in adults?
• What is the preferred method to titrate naloxone in the field?
• What is the administration duration for the IV/IO acetaminophen dose in adults?
• In adults, Ipratropium Bromide Inhalation Solution used with Albuterol has what nebulized dose and dosing instruction?
• For Albuterol MDI in adults, which dosing instruction is accurate?
• How should you handle a patient who refuses a medication offered under standing orders?
• Pediatric age range for acetaminophen ALS dosing?