SNHD Paramedic Protocols Exam
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
The GOAL of the manual is to _________ prehospital patient care in clark county. -
CORRECT ANSWER✅✅Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - CORRECT ANSWER✅✅b. En route
The General assessment protocols must be followed how? - CORRECT ANSWER✅✅In
specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders
have been given? - CORRECT ANSWER✅✅Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: -
CORRECT ANSWER✅✅1. A person who has a complaint or mechanism suggestive of
potential illness or injury
2. a person who has obvious evidence of illness or injury; or
3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
Pediatric Treatment protocols are to be used on children who have not experienced what? -
CORRECT ANSWER✅✅puberty
For what age do you use the Pediatric Patient Destination protocol? - CORRECT
ANSWER✅✅<18 years old
When is radio contact needed during adult general assessment ? - CORRECT
ANSWER✅✅All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - CORRECT
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? - CORRECT
ANSWER✅✅Sunrise hospital
,Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - CORRECT
ANSWER✅✅Sunrise Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - CORRECT
ANSWER✅✅UMC
Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be transported
where? - CORRECT ANSWER✅✅nearest appropriate facility
Where shall stable patients be transported? - CORRECT ANSWER✅✅hospital of choice,
if no preference then closest facility
When are patients allowed to be placed in the waiting room? - CORRECT 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 - CORRECT ANSWER✅✅Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - CORRECT ANSWER✅✅Normal Vital Signs
did not receive any parental meds during transport except single dose of analgesia and/or
antiemetic
Does not require continuous cardiac monitoring, judgement of Paramedic
can maintain in sitting position
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - CORRECT ANSWER✅✅if pulse
oximetry can be maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - CORRECT ANSWER✅✅≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - CORRECT ANSWER✅✅500 ml NS
or LR bolus IV/IO; may repeat up to 2000 ml
Abdominal/flank pain
What to give if there is N/V? - CORRECT ANSWER✅✅consider an antiemetic:
Ondansetron 4mg ODT/IM/IV/IO
, Droperidol 1.25mg IM/IV/IO
Abdominal/ flank pain
what should be considered in women of childbearing age? - CORRECT
ANSWER✅✅Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - CORRECT
ANSWER✅✅Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - CORRECT ANSWER✅✅Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - CORRECT ANSWER✅✅Albuterol 2.5mg SVN, repeat as
needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - CORRECT ANSWER✅✅Albuterol 2.5mg in 3ml SVN, repeat
as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - CORRECT ANSWER✅✅Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or IO
Allergic Reaction
What is the next step if there is refractory anaphylaxis? - CORRECT
ANSWER✅✅Contact medical control
Allergic Reaction
There are no absolute contraindications to episodes, but when should it be used in caution? -
CORRECT ANSWER✅✅In elderly patients, patients with known cardiovascular disease,
or significant tachycardia or hypertension, and only should be administered when the patients
signs and symptoms are severe
Mild allergic reaction - CORRECT ANSWER✅✅Skin rashes
itchy sensation
hives with NO respiratory involvement
Moderate allergic reaction - CORRECT ANSWER✅✅skin disorders
May include some respiratory involvement like wheezing - still maintains good tidal volume
UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
The GOAL of the manual is to _________ prehospital patient care in clark county. -
CORRECT ANSWER✅✅Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - CORRECT ANSWER✅✅b. En route
The General assessment protocols must be followed how? - CORRECT ANSWER✅✅In
specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders
have been given? - CORRECT ANSWER✅✅Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: -
CORRECT ANSWER✅✅1. A person who has a complaint or mechanism suggestive of
potential illness or injury
2. a person who has obvious evidence of illness or injury; or
3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury
Pediatric Treatment protocols are to be used on children who have not experienced what? -
CORRECT ANSWER✅✅puberty
For what age do you use the Pediatric Patient Destination protocol? - CORRECT
ANSWER✅✅<18 years old
When is radio contact needed during adult general assessment ? - CORRECT
ANSWER✅✅All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - CORRECT
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? - CORRECT
ANSWER✅✅Sunrise hospital
,Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - CORRECT
ANSWER✅✅Sunrise Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - CORRECT
ANSWER✅✅UMC
Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be transported
where? - CORRECT ANSWER✅✅nearest appropriate facility
Where shall stable patients be transported? - CORRECT ANSWER✅✅hospital of choice,
if no preference then closest facility
When are patients allowed to be placed in the waiting room? - CORRECT 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 - CORRECT ANSWER✅✅Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - CORRECT ANSWER✅✅Normal Vital Signs
did not receive any parental meds during transport except single dose of analgesia and/or
antiemetic
Does not require continuous cardiac monitoring, judgement of Paramedic
can maintain in sitting position
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - CORRECT ANSWER✅✅if pulse
oximetry can be maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - CORRECT ANSWER✅✅≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - CORRECT ANSWER✅✅500 ml NS
or LR bolus IV/IO; may repeat up to 2000 ml
Abdominal/flank pain
What to give if there is N/V? - CORRECT ANSWER✅✅consider an antiemetic:
Ondansetron 4mg ODT/IM/IV/IO
, Droperidol 1.25mg IM/IV/IO
Abdominal/ flank pain
what should be considered in women of childbearing age? - CORRECT
ANSWER✅✅Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - CORRECT
ANSWER✅✅Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - CORRECT ANSWER✅✅Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - CORRECT ANSWER✅✅Albuterol 2.5mg SVN, repeat as
needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - CORRECT ANSWER✅✅Albuterol 2.5mg in 3ml SVN, repeat
as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - CORRECT ANSWER✅✅Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or IO
Allergic Reaction
What is the next step if there is refractory anaphylaxis? - CORRECT
ANSWER✅✅Contact medical control
Allergic Reaction
There are no absolute contraindications to episodes, but when should it be used in caution? -
CORRECT ANSWER✅✅In elderly patients, patients with known cardiovascular disease,
or significant tachycardia or hypertension, and only should be administered when the patients
signs and symptoms are severe
Mild allergic reaction - CORRECT ANSWER✅✅Skin rashes
itchy sensation
hives with NO respiratory involvement
Moderate allergic reaction - CORRECT ANSWER✅✅skin disorders
May include some respiratory involvement like wheezing - still maintains good tidal volume
