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LA COUNTY PARAMEDIC ACCREDITATION Exam 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100% Latest
Already Graded A+
1. Which LA County reference outlines the criteria for determining
death in the field?
A) Ref 814
B) Ref 815
C) Ref 832
D) Ref 838
Answer: A) Ref 814
Explanation: Ref 814 specifically defines the medical and legal criteria
for when a paramedic may withhold or terminate resuscitation,
establishing the determination of death. This includes assessing for
signs of irreversible death such as dependent lividity, rigor mortis, or
injuries incompatible with life. For pronouncement of death, the
paramedic must assess for an apical pulse for 60 seconds to confirm
absence of cardiac activity.
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2. According to Ref 815, which document is considered the most
authoritative for honoring a patient's DNR wishes?
A) POLST form
B) Physician's verbal order
C) Family member's request
D) Hospital discharge summary
Answer: A) POLST form
Explanation: The POLST (Physician Orders for Life-Sustaining
Treatment) is a signed, portable medical order that supersedes other
informal directives and must be honored per Ref 815. It is the most
authoritative document for DNR wishes in the prehospital setting.
3. When a patient refuses transport and signs a Release at Scene (RAS)
form, which additional step is required by Ref 832?
A) Obtain a second signature from a medical director
B) Document the patient's decision-making capacity
C) Notify the base hospital within 30 minutes
D) Provide a written copy of the patient's medical record
Answer: B) Document the patient's decision-making capacity
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Explanation: Ref 832 mandates that the paramedic document that
the patient was competent, informed, and voluntarily refused transport
before completing a RAS. This includes assessing and documenting the
patient's mental status, understanding of risks, and capacity to make
informed decisions. Without this documentation, the refusal is not valid.
4. Which of the following must be reported under Ref 838 mandatory
reporting guidelines?
A) A patient's non-compliance with medication
B) Suspected child abuse witnessed at the scene
C) A patient's refusal of a DNR order
D) A minor's request for confidential care
Answer: B) Suspected child abuse witnessed at the scene
Explanation: Ref 838 requires immediate reporting of suspected child
abuse, elder abuse, and domestic violence to the appropriate
authorities. Paramedics are mandated reporters and must report when
there is reasonable suspicion that abuse has occurred.
5. In LA County, which communication system is primarily used for
dispatch to ambulances?
A) ReddiNet
B) VMED28
C) E-911
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D) TriageNet
Answer: A) ReddiNet
Explanation: ReddiNet is the county-wide radio and data
communication platform used for ambulance dispatch and ongoing
communication, including hospital diversion status and resource
availability.
6. What is the role of the Mobile Intensive Care Nurse (MICN) in the LA
County EMS system?
A) Provide on-scene advanced airway management only
B) Serve as a medical control liaison and assist with complex
medication orders
C) Operate the ambulance during transport
D) Perform all pediatric assessments in the field
Answer: B) Serve as a medical control liaison and assist with complex
medication orders
Explanation: MICNs act as on-scene medical control, offering
guidance on advanced interventions and medication administration per
county protocols. They serve as the direct link between field paramedics
and base hospital physicians, ensuring appropriate patient care.
LA COUNTY PARAMEDIC ACCREDITATION Exam 2026-2027
BANK QUESTIONS WITH DETAILED VERIFIED ANSWERS
EXAM QUESTIONS WILL COME FROM HERE (100% Latest
Already Graded A+
1. Which LA County reference outlines the criteria for determining
death in the field?
A) Ref 814
B) Ref 815
C) Ref 832
D) Ref 838
Answer: A) Ref 814
Explanation: Ref 814 specifically defines the medical and legal criteria
for when a paramedic may withhold or terminate resuscitation,
establishing the determination of death. This includes assessing for
signs of irreversible death such as dependent lividity, rigor mortis, or
injuries incompatible with life. For pronouncement of death, the
paramedic must assess for an apical pulse for 60 seconds to confirm
absence of cardiac activity.
,2|Page
2. According to Ref 815, which document is considered the most
authoritative for honoring a patient's DNR wishes?
A) POLST form
B) Physician's verbal order
C) Family member's request
D) Hospital discharge summary
Answer: A) POLST form
Explanation: The POLST (Physician Orders for Life-Sustaining
Treatment) is a signed, portable medical order that supersedes other
informal directives and must be honored per Ref 815. It is the most
authoritative document for DNR wishes in the prehospital setting.
3. When a patient refuses transport and signs a Release at Scene (RAS)
form, which additional step is required by Ref 832?
A) Obtain a second signature from a medical director
B) Document the patient's decision-making capacity
C) Notify the base hospital within 30 minutes
D) Provide a written copy of the patient's medical record
Answer: B) Document the patient's decision-making capacity
,3|Page
Explanation: Ref 832 mandates that the paramedic document that
the patient was competent, informed, and voluntarily refused transport
before completing a RAS. This includes assessing and documenting the
patient's mental status, understanding of risks, and capacity to make
informed decisions. Without this documentation, the refusal is not valid.
4. Which of the following must be reported under Ref 838 mandatory
reporting guidelines?
A) A patient's non-compliance with medication
B) Suspected child abuse witnessed at the scene
C) A patient's refusal of a DNR order
D) A minor's request for confidential care
Answer: B) Suspected child abuse witnessed at the scene
Explanation: Ref 838 requires immediate reporting of suspected child
abuse, elder abuse, and domestic violence to the appropriate
authorities. Paramedics are mandated reporters and must report when
there is reasonable suspicion that abuse has occurred.
5. In LA County, which communication system is primarily used for
dispatch to ambulances?
A) ReddiNet
B) VMED28
C) E-911
, 4|Page
D) TriageNet
Answer: A) ReddiNet
Explanation: ReddiNet is the county-wide radio and data
communication platform used for ambulance dispatch and ongoing
communication, including hospital diversion status and resource
availability.
6. What is the role of the Mobile Intensive Care Nurse (MICN) in the LA
County EMS system?
A) Provide on-scene advanced airway management only
B) Serve as a medical control liaison and assist with complex
medication orders
C) Operate the ambulance during transport
D) Perform all pediatric assessments in the field
Answer: B) Serve as a medical control liaison and assist with complex
medication orders
Explanation: MICNs act as on-scene medical control, offering
guidance on advanced interventions and medication administration per
county protocols. They serve as the direct link between field paramedics
and base hospital physicians, ensuring appropriate patient care.
