ICEMA CERTIFICATION TEST BANK 2026 COMPREHENSIVE QUESTIONS AND SOLUTIONS GRADED A+

ICEMA CERTIFICATION TEST BANK 2026
COMPREHENSIVE QUESTIONS AND
SOLUTIONS GRADED A+

● Asthma/Bronchospasm/Toxic Inhalation Tx Algorithm. Answer:
O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
300ml bolus for poor perfusion MR PRN
CPAP
Epi 0.3mg (1:1000) IM MR x1 in 15min (BASE for >40, CAD, HTN,
Cardiac)
ET/NT PRN


● Pediatric Asthma/Bronchospasm/Toxic Inhalation. Answer:
O2/Iv/EKG
Albuterol 2.5mg x3
Atrovent - >1yo 0.5mg x1
<1yo =0.25mg x1
20ml/kg bolus for decreased perfusion
Epi 0.01 mg/kg (1:1000) IM max single dose of 0.3mg
ET/NT intubation PRN

,● Pulmonary Edema/CHF. Answer: O2/IV/EKG/Lung sounds (crackles
wheezing)/JVD/PE
NTG 0.4mg MR q 3min PRN
CPAP
ET/NT intubation PRN
BASE:
-Dopamine 400mg/250ml @ 5 - 20 mcg/kg/min to maintain adequate
perfusion
- Albuterol 2.5mg/Atrovent 0.5mg


● Allergic Reaction. Answer: O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
Epi (1:1000) 0.3mg IM MR 15min
300ml Bolus for poor perfusion
Benadryl 25mg IV or 50mg IM
2nd IV PRN
Epi (1:10,000) 0.1mg SIVP MR PRN (Max total 0.5mg)


● Pediatric Allergic Reaction. Answer: O2/IV/EKG
Albuterol 2.5mg x3
Atrovent - <1yo 0.25mg x1

, >1yo 0.5mg x1
Epi (1:1000) 0.1mg/kg IM max 0.3mg
20ml/kg bolus for poor perfusion MR PRN
Benadryl 1mg/kg SIVP IV/IO or 2mg/kg IM (max of adult dose)
2nd IV PRN
Epi 0.01mg/kg (1:10,000) IV/IO MR PRN (ax single dose 0.1mg/max
total 0.5mg)


● Shock (non-traumatic). Answer: O2/IV/EKG
Trendelenburg
S/S poor perfusion - 300ml Bolus MR x1 to sustain BP >90
If BP >90 give 150ml/hr (25gtts/min using 10gtts/ml
BASE:
2nd large bore IV en route
Dopamine 400mg/250ml @ 5-20 mcg/kg/min if low BP after bolus


● Pediatric Shock (non-tramautic). Answer: O2/IV/EKG
Trendelenburg
S/S poor perfusion
20ml/kg MR x1 tachycardia, changes in central.peripheral pulses, limb
temp changes, ALOC


● ALOC. Answer: O2/IV/EKG