Overdose and Naloxone Awareness Course 2026

1. Pergunta 1 de 25

   Which eye sign is common in an opioid overdose?

   • ARed, watery eyes only
   • BVery large pupils
   • CEyes that move quickly side to side
   • DVery small (pinpoint) pupils
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   Resposta: D. Very small (pinpoint) pupils

   Health Canada lists very small, pinpoint pupils as a sign of opioid overdose.

2. Pergunta 2 de 25

   Which breathing sign can point to an opioid overdose?

   • ACoughing and sneezing after drinking cold water
   • BHiccups that start and stop on their own
   • CFast, deep breathing like after running up stairs
   • DSlow, weak or no breathing, or gurgling and snoring sounds
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   Resposta: D. Slow, weak or no breathing, or gurgling and snoring sounds

   Opioids slow down breathing. Choking, gurgling or snoring sounds and slow or no breathing are warning signs.

3. Pergunta 3 de 25

   What colour may the lips and nails of a person having an opioid overdose turn?

   • AYellow, like a healing bruise
   • BBlue, purple or grey
   • CBright red, like a sunburn
   • DPink and flushed from heat
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   Resposta: B. Blue, purple or grey

   Lack of oxygen can make lips and nails turn blue, purple or grey.

4. Pergunta 4 de 25

   What does naloxone do?

   • AIt cures opioid addiction so cravings stop for good
   • BIt reverses the effects of too much alcohol
   • CIt works as a strong pain reliever after injury
   • DIt temporarily reverses the effects of an opioid overdose
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   Resposta: D. It temporarily reverses the effects of an opioid overdose

   Naloxone pushes opioids off the brain's receptors for a short time, which can restore breathing.

5. Pergunta 5 de 25

   Naloxone works on overdoses caused by which drugs?

   • ACannabis, including edibles and vapes
   • BAny drug at all, including stimulants used alone
   • COpioids, such as fentanyl, heroin, morphine and codeine
   • DAlcohol, when a person has had far too much
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   Resposta: C. Opioids, such as fentanyl, heroin, morphine and codeine

   Naloxone only works when opioids are in the body. It still helps when opioids are mixed with other drugs.

6. Pergunta 6 de 25

   Naloxone is active for about 30 to 120 minutes. Why must you stay with the person after giving it?

   • AYou must collect the empty device for police
   • BOpioids may outlast it, so breathing can stop again
   • CThe person will need a ride home
   • DNaloxone always causes a second overdose
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   Resposta: B. Opioids may outlast it, so breathing can stop again

   Health Canada warns naloxone can wear off before the opioids do, so the overdose can come back.

7. Pergunta 7 de 25

   You gave one dose of naloxone and there is no response after 2 to 3 minutes. What should you do?

   • AWait 30 minutes before trying again
   • BGive the person water to drink
   • CGive another dose
   • DStop, because a second dose is dangerous
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   Resposta: C. Give another dose

   Health Canada says more doses can be given safely if there is no response within 2 to 3 minutes.

8. Pergunta 8 de 25

   You are not sure whether an unresponsive person took opioids. Should you give naloxone?

   • ANo, only if you see drugs nearby
   • BNo, only a doctor can decide
   • COnly if the person asks for it
   • DYes, give it even if you are in doubt
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   Resposta: D. Yes, give it even if you are in doubt

   Health Canada says to give naloxone even if you are in doubt. An overdose is always an emergency.

9. Pergunta 9 de 25

   What happens if naloxone is given to someone who has not taken opioids?

   • AIt has no effect and causes no harm
   • BIt stops their heart
   • CIt makes them very drowsy
   • DIt causes a dangerous overdose
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   Resposta: A. It has no effect and causes no harm

   Naloxone is safe and has no effect on a person who has not taken opioids.

10. Pergunta 10 de 25

    Health Canada lists four steps to respond to an overdose. What is the right order?

    • AStay, wait 10 minutes, call 9-1-1, give naloxone
    • BGive naloxone, leave, call 9-1-1 later, write a report
    • CCall a friend, give water, give naloxone, leave
    • DKnow the signs, call 9-1-1, give naloxone, stay until help arrives
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    Resposta: D. Know the signs, call 9-1-1, give naloxone, stay until help arrives

    Health Canada's steps are: know the signs, call 9-1-1, give naloxone and stay until help arrives.

11. Pergunta 11 de 25

    The Good Samaritan Drug Overdose Act protects people who call for help during an overdose from which charge?

    • ADrug trafficking or selling
    • BAny crime committed at the scene
    • CImpaired driving after using drugs
    • DSimple drug possession
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    Resposta: D. Simple drug possession

    The Act protects against simple possession charges, and breaches of conditions tied to simple possession.

12. Pergunta 12 de 25

    Which is NOT covered by the Good Samaritan Drug Overdose Act?

    • ASimple drug possession
    • BBreaching probation conditions about simple possession
    • CBreaching parole conditions about simple possession
    • DOutstanding arrest warrants
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    Resposta: D. Outstanding arrest warrants

    The Act does not protect against outstanding warrants, trafficking or production, or other crimes.

13. Pergunta 13 de 25

    Who is protected by the Good Samaritan Drug Overdose Act?

    • AOnly the person who calls 9-1-1, if they stay until help comes
    • BCallers, the person overdosing and others at the scene
    • COnly people who stay and give a statement to police
    • DOnly health care workers and first responders
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    Resposta: B. Callers, the person overdosing and others at the scene

    The Act covers anyone who seeks emergency help during an overdose, including the person overdosing, whether they stay or leave before help arrives.

14. Pergunta 14 de 25

    When did the Good Samaritan Drug Overdose Act become law in Canada?

    • A2012
    • B2017
    • C2023
    • D2007
    Mostrar resposta

    Resposta: B. 2017

    The Act became law on May 4, 2017.

15. Pergunta 15 de 25

    The person does not answer when you speak loudly. What does Alberta's naloxone kit insert say to try next to check for a response?

    • APinch their earlobe gently and wait
    • BSlap them hard across the face
    • CRub your knuckles hard on the middle of their chest
    • DPour cold water on their face and the back of their neck
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    Resposta: C. Rub your knuckles hard on the middle of their chest

    The insert says to speak loudly and rub your fist hard on the middle of the chest. If there is no response, call 9-1-1.

16. Pergunta 16 de 25

    The person is unresponsive but breathing normally. While you wait for help, how should you position them?

    • AFace down on their stomach
    • BSitting up against a wall
    • CIn the recovery position, on their side
    • DFlat on their back with legs raised
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    Resposta: C. In the recovery position, on their side

    The recovery position keeps the airway open and lets fluids drain if they vomit.

17. Pergunta 17 de 25

    Alberta's naloxone kit insert teaches rescue breathing. How often do you give a breath?

    • AOne breath every 5 seconds
    • BTen quick breaths, then stop
    • COne breath every 30 seconds
    • DTwo breaths every minute
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    Resposta: A. One breath every 5 seconds

    The insert says to give one breath every 5 seconds, about 24 breaths over 2 minutes.

18. Pergunta 18 de 25

    An adult is unresponsive and not breathing normally after a suspected opioid overdose. What do Heart & Stroke 2025 guidelines say?

    • AOnly give naloxone; CPR is not needed
    • BGive naloxone and wait 10 minutes before CPR
    • CWait for paramedics before doing anything
    • DCall 9-1-1, start CPR, and give naloxone too
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    Resposta: D. Call 9-1-1, start CPR, and give naloxone too

    Lay rescuers may give naloxone for a suspected opioid overdose as long as it does not interfere with high-quality CPR.

19. Pergunta 19 de 25

    How many doses come in a standard nasal spray naloxone kit for Ontario workplaces?

    • ATen doses of 0.4 mg
    • BFive doses of 2 mg
    • COne dose of 1 mg
    • DTwo doses of 4 mg
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    Resposta: D. Two doses of 4 mg

    Ontario lists a nasal spray kit as two 4 mg/0.1 ml doses, a rescue breathing barrier and non-latex gloves.

20. Pergunta 20 de 25

    In Ontario, when must an employer have a naloxone kit at a workplace?

    • AOnly when members of the public use drugs near the site
    • BAt every workplace in Ontario, no matter the risk
    • CWhen one of its own workers may overdose at work
    • DOnly at hospitals, pharmacies and supervised sites
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    Resposta: C. When one of its own workers may overdose at work

    Since June 1, 2023, Ontario's Occupational Health and Safety Act requires a kit when the overdose risk comes from the employer's own workers.

21. Pergunta 21 de 25

    A person wakes up after naloxone. What hazard should you be ready for?

    • AThey will immediately fall asleep for hours
    • BThey may be in withdrawal and feel sick or upset
    • CThey will have no memory of anything for days
    • DThey will be fully recovered and can drive
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    Resposta: B. They may be in withdrawal and feel sick or upset

    Ontario notes that people in withdrawal may react with aggressive behaviour. Stay calm, explain what happened and that help is coming.

22. Pergunta 22 de 25

    Where is injectable naloxone usually given?

    • AInto a thigh or upper arm muscle
    • BInto the stomach area, like an insulin shot
    • CUnder the tongue, like a dissolving tablet
    • DInto a vein on the back of the hand
    Mostrar resposta

    Resposta: A. Into a thigh or upper arm muscle

    Alberta's insert says to inject into the thigh (preferred) or shoulder, and that it can be given through clothing.

23. Pergunta 23 de 25

    Suspected fentanyl powder gets on your skin. How should you clean it off?

    • AWipe with bleach
    • BBrush it off and keep working
    • CRub on alcohol hand sanitizer
    • DWash with soap and water
    Mostrar resposta

    Resposta: D. Wash with soap and water

    CCOHS advises soap and water. Alcohol sanitizer may increase absorption through the skin, and bleach should not be used on skin.

24. Pergunta 24 de 25

    Before you give care, what should you put on if it is in your kit?

    • AA full chemical suit and respirator
    • BA dust mask instead of gloves
    • CGloves and the breathing barrier
    • DNothing; protective gear only slows you down
    Mostrar resposta

    Resposta: C. Gloves and the breathing barrier

    Naloxone kits include gloves and a one-way rescue breathing barrier to protect you while you help.

25. Pergunta 25 de 25

    When paramedics arrive, which information is most useful to give them?

    • AHow many naloxone doses you gave and at what times
    • BYour opinion about drug use
    • CThe person's address and job
    • DHow many drugs you think they take each week
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    Resposta: A. How many naloxone doses you gave and at what times

    Doses and times help paramedics decide on further treatment. Also tell them what you saw and any changes in breathing.

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