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Medication Administration Training Final Exam for Emergency Medications
Kentucky Department of Education
Participants must score 85% (miss 6 questions or less) or above for a closed book exam or 100% on an open book exam in addition or scoring 100% on all skills competency evaluations.
Medication Administration Training Program for Unlicensed School Personnel Regular and Emergency Medications Revised 2025
Medication Training Presentation for Regular and Emergency Medications:
https://drive.google.com/file/d/1v5JOcLlSUiSq222emNYNind3W7Eu19qS/view?usp=drive_link
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1. When accepting delegation to perform medication administration in the school setting from an RN, APRN, physician, physician assistant or dentist, KDE 156.502grands liability protection to unlicensed school personnel.
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1 point
True
False
2. The Family Educational Rights and Privacy Act (FERPA) is the federal law that protects student educational records, including health records, and may only be share on a “need to know” basis.
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1 point
True
False
3. If administering epinephrine, EMS (911) should be called because the effect of the epinephrine will only last 10 to 15 minutes.
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1 point
True
False
4. You should always place something in the student’s mouth when having a seizure.
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1 point
True
False
5. The supervising RN of unlicensed school personnel does not have to be present in the same building but at least be available by phone for consultation.
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1 point
True
False
6. Proof of successful completion of the medication administration training course provided by the Kentucky Department of Education is only valid for the current school year.
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1 point
True
False
7. Prefilled syringes of midazolam have a shelf life of how many months?
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1 point
12
9
4
6
8. Signs/symptoms of an opioid overdose include:
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1 point
Pale, clammy skin
Very shallow breathing or no breathing at all
Unresponsive to stimuli
Slowed heartbeat/pulse
Pinpoint pupils
All the above
9. If after receiving epinephrine, if the person recovers quickly, transporting for further medical treatment is not necessary.
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1 point
True
False
10. After administering midazolam, how should the student be positioned?
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1 point
On their side
On their back
In a sitting position
11. A seizure is considered an emergency when:
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1 point
Convulsive (tonic-clonic) seizures lasts longer than 5 minutes
Student has repetitive seizures without regaining consciousness
Student is injured or has Diabetes
Student has a first-time seizure
Student has difficulty breathing
Student has a seizure in water
All of the above
12. Which emergency drug may be prescribed to treat a severely low blood sugar?
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1 point
Glucagon
Diastat®
Epi-pen®
13. Which symptom is NOT typically associated with adrenal insufficiency?
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1 point
Fatigue and weakness
Weight gain
Nausea and vomiting
Low blood pressure
14. Who should be notified first during a student medical emergency?
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1 point
The student’s friend
The school nurse and the principal
The student’s teacher
The student’s coach
15. Prescribed medication sent to the school should be in the:
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1 point
Original labeled container
A generic container
A labeled envelope
A pill organizer (Medi planner)
16. Signs and symptoms of anaphylaxis include:
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1 point
Itchy skin and hives
Swelling or flushing of the lips, throat and tongue
Wheezing, shortness of breath, coughing, hoarseness and/or loss of consciousness
All the above
17. Potential causes for a low blood sugar level may include:
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1 point
Too much insulin
Delay in receiving snack/meal
Increased physical activity
All of the above
18. Anaphylaxis is NOT a life-threatening emergency.
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1 point
True
False
19. Clothing must be removed before using an Epipen® autoinjector.
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1 point
True
False
20. Is it acceptable for school nurse and trained school staff to administer medication without a medical provider's order?
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1 point
Yes
No
21. Which emergency drug may be prescribed to treat a severe allergic reaction to peanuts?
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1 point
Narcan
Insulin
Epinephrine
22. All seizures are an emergency and require administration of Diazepam (Diastat) immediately.
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1 point
True
False
23. What should you document when administering an emergency medication?
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1 point
Record date, time and dosage
Notify the student’s parents/guardians
Update the student’s health record
All of the above
24. What should you do if a student experiences an adverse reaction to a medication?
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1 point
Ignore it and continue monitoring
Administer another dose
Notify parent and seek immediate medical attention
Send back to class
25. What is the primary treatment for an adrenal crisis?
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1 point
Antibiotics
Hydrocortisone injection
Pain relievers
Antihistamines
26. What is the purpose of an emergency action plan(EAP)?
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1 point
To provide a detailed response plan for emergencies
To document student attendance
To track medication inventory
To schedule staff training
27. Which of the following is NOT a symptom of hypoglycemia?
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1 point
Shakiness
Sweating
Confusion
High blood sugar
28. Local school district policies and procedures should provide information on topics such as:
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1 point
Storage of medication
How to dispose of medication
Administration of medications on field trips
All of the above
29. A common problem in using an inhaler is:
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1 point
Forgetting to shake the canister
Not waiting long enough between puffs
Not taking the medication as prescribed
All the above
30. Baqsimi® is used to treat very low blood sugar (severe hypoglycemia) in people with diabetes age 4 years and above.
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1 point
True
False
31. Which of the following is NOT a care task for a person recovering from severe hypoglycemia and receiving glucagon?
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1 point
Allow the student to return to class with normal activities
Stay with the person and monitor blood glucose levels
Provide a fast-acting carbohydrate once they are awake and able to swallow
Send for medical evaluation
32. Which of the following is NOT a type of inhaler?
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1 point
Voltoco®
Epipen®
Narcan® nasal spray
Neffy®
33. Where can information regarding medications and side effects be found?
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1 point
Medication education sheets
Drug handbooks
Online medical websites
All of the above
34. Diastat® is used to treat severe allergic reactions.
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1 point
True
False
35. Emergency medications should be in a locked cabinet at all times.
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1 point
True
False
36. A generalized tonic-clonic (also called Grand Mal) seizure has muscle rigidity and jerking.
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1 point
True
False
37. KRS 158.834 and KRS 158.836 permit a student to self-carry and self-administer emergency medications
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1 point
True
False
38. What is diabetes?
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1 point
Inability to produce insulin
Eating too much sugar
Contagious disease
Obesity
39. What would you do FIRST if a student becomes unconscious and emergency medications are needed to be administered?
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1 point
Call the parent
Designate someone to call 9-1-1
Call the school nurse
Call the school secretary
40. Anaphylaxis may be caused by:
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1 point
Insect bites or stings
Foods
Medications
All of the above
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