SNHD Protocol Exam 2025 Questions
and Answers
what percentage of oxygen should a patient receive? - ....ANSWER ...-greater than
94%
when do you provide telemetry? - ....ANSWER ...-for all trauma and code 3 returns;
the need for a physician orders; per protocol
when can a crew deviate from a designated destination in accordance with the protocol?
- ....ANSWER ...-patients who are more than 50 miles outside of protocol
destinations
which hospital is an adult sexual assault victim to be transported to? -
....ANSWER ...-UMC
In what position should a patient who has a suspected traumatic brain injury be
transported? - ....ANSWER ...-head of the bed elevated to 30 degrees
what should be utilized for an abdominal evisceration? - ....ANSWER ...-wet
trauma dressing
what additional assessment should be considered when assessing a person with
abdominal/flank pain? - ....ANSWER ...-retroperitoneal palpation for kidney pain
what should be a consideration for female patients of childbearing age? -
....ANSWER ...-pregnant until proven otherwise
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,you have a patient who is experiencing some respiratory involvement like wheezing, yet
the patient still maintains good tidal volume air exchange. What is the severity of this
reaction? - ....ANSWER ...-moderate
What is urticaria? - ....ANSWER ...-a skin rash with or without hives
What is angioedema? - ....ANSWER ...-swelling of the face that occurs due to an
allergic reaction, commonly to medications
what is the first line medication with a patient who is experiencing airway and breathing
difficulties in the presence of anaphylaxis? - ....ANSWER ...-epinephrine 1:1,000 0.5
mg via IM (max 1.5 mg)
- you may also administer the patients own auto injector
what other assessment should be performed on a patient who is experiencing an altered
mental status/syncope? - ....ANSWER ...-neurologic exam paying attention to the
head for signs of injury
when is it appropriate to administer oral glucose? - ....ANSWER ...-if the patient
can maintain their airway
an adult who is experiencing a behavioral emergency without excited delirium and is not
a threat to him/herself or others requires what type of restraints? - ....ANSWER ...-
this person does not require restraints
what patient demographic is the most likely to experience an excited delirium? -
....ANSWER ...-male subjects with a history of serious mental illness and/or acute
or chronic drug abuse, particularly stimulants
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, what can cause excited delirium to be life threatening ? - ....ANSWER ...-if there is
prolonged physical restraining or TASERs are utilized
describe each component of the S A F E R model - ....ANSWER ...-- S stabilize the
situation by containing and lowering the stimuli
- A assess and acknowledge the crisis
- F facilitate the identification and activation of resources (chaplain, family, friends, or
police)
- E encourage patient to use resources and take actions in his/her best interest
- R recovery or referral: leave patient in care of responsible person or professional, or
transport to appropriate facility
what is a dystonic reaction, and how is it treated? - ....ANSWER ...-- involuntary
muscle spasms of the face, neck, and upper extremities
- benadryl 50 mg IM/IV/IO
what is the most common cause of bradycardia? - ....ANSWER ...-hypoxemia (low
oxygen levels in your blood) ; be sure to oxygenate the patient and provide ventilatory
support as needed
when is bradycardia to be treated? - ....ANSWER ...-when the patient is
symptomatic
what are the steps in the treatment of a thermal exposure? - ....ANSWER ...-stop
the burning process with water or saline, remove smoldering clothing and jewelry, do not
remove STUCK clothing
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
and Answers
what percentage of oxygen should a patient receive? - ....ANSWER ...-greater than
94%
when do you provide telemetry? - ....ANSWER ...-for all trauma and code 3 returns;
the need for a physician orders; per protocol
when can a crew deviate from a designated destination in accordance with the protocol?
- ....ANSWER ...-patients who are more than 50 miles outside of protocol
destinations
which hospital is an adult sexual assault victim to be transported to? -
....ANSWER ...-UMC
In what position should a patient who has a suspected traumatic brain injury be
transported? - ....ANSWER ...-head of the bed elevated to 30 degrees
what should be utilized for an abdominal evisceration? - ....ANSWER ...-wet
trauma dressing
what additional assessment should be considered when assessing a person with
abdominal/flank pain? - ....ANSWER ...-retroperitoneal palpation for kidney pain
what should be a consideration for female patients of childbearing age? -
....ANSWER ...-pregnant until proven otherwise
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,you have a patient who is experiencing some respiratory involvement like wheezing, yet
the patient still maintains good tidal volume air exchange. What is the severity of this
reaction? - ....ANSWER ...-moderate
What is urticaria? - ....ANSWER ...-a skin rash with or without hives
What is angioedema? - ....ANSWER ...-swelling of the face that occurs due to an
allergic reaction, commonly to medications
what is the first line medication with a patient who is experiencing airway and breathing
difficulties in the presence of anaphylaxis? - ....ANSWER ...-epinephrine 1:1,000 0.5
mg via IM (max 1.5 mg)
- you may also administer the patients own auto injector
what other assessment should be performed on a patient who is experiencing an altered
mental status/syncope? - ....ANSWER ...-neurologic exam paying attention to the
head for signs of injury
when is it appropriate to administer oral glucose? - ....ANSWER ...-if the patient
can maintain their airway
an adult who is experiencing a behavioral emergency without excited delirium and is not
a threat to him/herself or others requires what type of restraints? - ....ANSWER ...-
this person does not require restraints
what patient demographic is the most likely to experience an excited delirium? -
....ANSWER ...-male subjects with a history of serious mental illness and/or acute
or chronic drug abuse, particularly stimulants
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
, what can cause excited delirium to be life threatening ? - ....ANSWER ...-if there is
prolonged physical restraining or TASERs are utilized
describe each component of the S A F E R model - ....ANSWER ...-- S stabilize the
situation by containing and lowering the stimuli
- A assess and acknowledge the crisis
- F facilitate the identification and activation of resources (chaplain, family, friends, or
police)
- E encourage patient to use resources and take actions in his/her best interest
- R recovery or referral: leave patient in care of responsible person or professional, or
transport to appropriate facility
what is a dystonic reaction, and how is it treated? - ....ANSWER ...-- involuntary
muscle spasms of the face, neck, and upper extremities
- benadryl 50 mg IM/IV/IO
what is the most common cause of bradycardia? - ....ANSWER ...-hypoxemia (low
oxygen levels in your blood) ; be sure to oxygenate the patient and provide ventilatory
support as needed
when is bradycardia to be treated? - ....ANSWER ...-when the patient is
symptomatic
what are the steps in the treatment of a thermal exposure? - ....ANSWER ...-stop
the burning process with water or saline, remove smoldering clothing and jewelry, do not
remove STUCK clothing
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
