SNHD Paramedic Protocols 2026 Exam || Most Recent
Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already Graded
A+ | Guaranteed Success!! Brand New Exam | Just
Released!!
When is radio contact needed during adult general assessment ? -
ANSWER-All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? -
ANSWER-Only if routed
via a recorded phone patch through FAO at
702-382-9007
Sexual assault victims <13 years old shall be transported to? -
ANSWER-Sunrise
hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? -
ANSWER-Sunrise
Hospital or
UMC
,Sexual assault victims 18 y/o and older shall be transported to? -
ANSWER-UMC
Sexual assault victims outside a 50-mile radius from UMC or
Sunrise shall be
transported where? - ANSWER-nearest
appropriate facility
Where shall stable patients be transported? - ANSWER-hospital
of choice, if no
preference then closest
facility
When are patients allowed to be placed in the waiting room? -
ANSWER-If transfer of
care has not occurred in accordance with
NRS 450B.790
excludes patient placed on a legal
psych hold
meets all following
criteria
Waiting Room Criteria Vital Signs - ANSWER-Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
,Potassium of 5.5-6.5 mmol/L Cardiac changes - ANSWER-tall tented t
waves
Potassium m of 6.5-7.5 mmol/L cardiac changes - ANSWER-Loss of P
waves
Potassium of 7.5-8.5 mmol/L cardiac changes - ANSWER-Widening
QRS
Potassium of >8.5 mmol/L cardiac Changes - ANSWER-QRS
continues to widen,
approaching sine
wave
Obstetrical Emergency
Pregnant patient exhibiting seizures? - ANSWER--Magnesium Sulfate
IV/IO; 4 gm/50 ml NS over 20 min
-If refractory to Mag, give Midazolam IN/IM/IV/IO; 0.1 mg/kg, max dose
5mg; repeat x1 after 5 min at 0.05 mg/kg, max dose 2.5mg further
doses require physician order
OR
- Diazepam 5mg IV; May repeat q 5 min additional doses require
physician order
Obstetrical Emergency
Pregnant patient exhibiting pre-eclampsia - ANSWER-Mag Sulfate
IV/IO 2 gm/50ml NS over 10 min
, Obstetrical Emergency PEARLS - ANSWER-Severe headaceh, vision
changes or RUQ
pain may indicate pre-
eclampsia
Pregnancy Hypertension - ANSWER->140 systolic or >90 diastolic or a
relative increase
of 30 systolic and 20 diastolic from pt normal pre
pregnancy BP
Opiate OD - ANSWER-Naloxone 0.4mg-2mg IN/IM/IV/IO titrated to
an increase in
respiratory effort. May repeat to max
dose of 10mg
Cyanide poisoning - ANSWER-Hydroxocobalamin 5g IV/IO over 15 min
if available
Dystonic Reaction - ANSWER-Diphenhydramine 50 mg IV/IM/IO
TCA/ASA OD - ANSWER-
Wide QRS
Sodium Bicarb 50 mEq IV/IO may repeat x1 in 3-5 minis QRS
remains wide
Calcium Channel Blockers OD - ANSWER-Bradycardiac
and hypotensive
- calcium Chloride 1 gm (10%)
slow IV/IO
Exam 2026-2027 Actual Complete Real Exam Questions
And Correct Answers (Verified Answers) Already Graded
A+ | Guaranteed Success!! Brand New Exam | Just
Released!!
When is radio contact needed during adult general assessment ? -
ANSWER-All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? -
ANSWER-Only if routed
via a recorded phone patch through FAO at
702-382-9007
Sexual assault victims <13 years old shall be transported to? -
ANSWER-Sunrise
hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? -
ANSWER-Sunrise
Hospital or
UMC
,Sexual assault victims 18 y/o and older shall be transported to? -
ANSWER-UMC
Sexual assault victims outside a 50-mile radius from UMC or
Sunrise shall be
transported where? - ANSWER-nearest
appropriate facility
Where shall stable patients be transported? - ANSWER-hospital
of choice, if no
preference then closest
facility
When are patients allowed to be placed in the waiting room? -
ANSWER-If transfer of
care has not occurred in accordance with
NRS 450B.790
excludes patient placed on a legal
psych hold
meets all following
criteria
Waiting Room Criteria Vital Signs - ANSWER-Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
,Potassium of 5.5-6.5 mmol/L Cardiac changes - ANSWER-tall tented t
waves
Potassium m of 6.5-7.5 mmol/L cardiac changes - ANSWER-Loss of P
waves
Potassium of 7.5-8.5 mmol/L cardiac changes - ANSWER-Widening
QRS
Potassium of >8.5 mmol/L cardiac Changes - ANSWER-QRS
continues to widen,
approaching sine
wave
Obstetrical Emergency
Pregnant patient exhibiting seizures? - ANSWER--Magnesium Sulfate
IV/IO; 4 gm/50 ml NS over 20 min
-If refractory to Mag, give Midazolam IN/IM/IV/IO; 0.1 mg/kg, max dose
5mg; repeat x1 after 5 min at 0.05 mg/kg, max dose 2.5mg further
doses require physician order
OR
- Diazepam 5mg IV; May repeat q 5 min additional doses require
physician order
Obstetrical Emergency
Pregnant patient exhibiting pre-eclampsia - ANSWER-Mag Sulfate
IV/IO 2 gm/50ml NS over 10 min
, Obstetrical Emergency PEARLS - ANSWER-Severe headaceh, vision
changes or RUQ
pain may indicate pre-
eclampsia
Pregnancy Hypertension - ANSWER->140 systolic or >90 diastolic or a
relative increase
of 30 systolic and 20 diastolic from pt normal pre
pregnancy BP
Opiate OD - ANSWER-Naloxone 0.4mg-2mg IN/IM/IV/IO titrated to
an increase in
respiratory effort. May repeat to max
dose of 10mg
Cyanide poisoning - ANSWER-Hydroxocobalamin 5g IV/IO over 15 min
if available
Dystonic Reaction - ANSWER-Diphenhydramine 50 mg IV/IM/IO
TCA/ASA OD - ANSWER-
Wide QRS
Sodium Bicarb 50 mEq IV/IO may repeat x1 in 3-5 minis QRS
remains wide
Calcium Channel Blockers OD - ANSWER-Bradycardiac
and hypotensive
- calcium Chloride 1 gm (10%)
slow IV/IO
