ICEMA Medication Standing Orders Practice Test

These questions are part of the practice quiz. Start practicing

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