SNHD EMT PARAMEDIC PROTOCOL 2025 EXAM LATEST
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
For a patient to be transported to an approved alcohol and drug abuse facility, the pulse
rate must be between what range? - answers-60-120
Which of the following should be performed for a patient with hyperthermia? - answers-
Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - answers-only those
whose therapy required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - answers-Involuntary muscle movements or spasms of the
face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
For a patient in shock, what should the oxygen saturation be kept above? - answers-
94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - answers-
False
What is the goal of the protocol manual? - answers-standardize prehospital care in
Clark County
Describe a partial thickness (2nd degree burn) - answers-blistering
Oxygen therapy should be established to keep SpO2 above what level? - answers-94%
When should defibrillation be attempted during a witnessed cardiac arrest? - answers-
Immediately
What must exist for an emergency care physician to direct a prehospital provider in
rendering care that is not explicitly listed within the protocols? - answers-The provider
must feel capable,based on the instructions given by the telemetry physician, of
correctly performing the directed care.
,Both the telemetry physician and the provider must acknowledge and agree that the
patient's condition and extraordinary care are not addressed elsewhere within these
medical protocols
The telemetry physician and the provider must immediately notify the Office of EMS &
Trauma System (OEMSTS) of the extraordinary care situation.
What is recommended if hypoxia is the cause of the cardiac arrest? - answers-Early
ventilation
When transporting a patient to a remote outpatient emergency department, telemetry
contact does not have to be made. - answers-False
What is the ideal scene time for a a patient having a stroke? - answers-Less than 10
minutes
Localized cold injuries should be rubbed to warm the skin - answers-False
Patients placed on backboard for extrication or movement should not be moved to a soft
matress - answers-False
If cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive
with no pulse, begin CPR at 30 compressions and two ventilations - answers-False
(need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - answers-False
For a patient to be transported to an approved alcohol and drug abuse facility, the GCS
score must be above what level? - answers-14
What level trauma center is UMC? - answers-1
What does optimal prehospital care result from? - answers-(1) Careful patient
assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - answers-General
assessment
What is the most common cause of bradycardia in a child? - answers-Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - answers-
oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - answers-14
,Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria Protocol
and occur within the St. Rose Dominican Hospital - Siena Campus Catchment Area,
City of Henderson, or the geographical area bordered by Paradise Road to the west
continuing along that portion where it becomes Maryland Parkway, Sunset Road to the
north, and the county line to the east, are to be transported to Sunrise Hospital &
Medical Center and the medical directions for the treatment of the patient must be
transported to Sunrise Trauma Center - answers-True
When are backboard indicated? - answers-extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - answers-False
The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and occur
within the City of Henderson or the geographical area bordered by Interstate 15 to the
west and Sunset road to the north, and the county line to the east, are to be transported
to St. Rose Dominican Hospital - Siena Campus and the medical directions for the
treatment of the patient must originate at that center - answers-True
How should oxygen be delivered to patients with smoke inhalation? - answers-100%
NRB
Patients with a possible spinal injury found in motor vehicles should not be asked if they
are able to exist the motor vehicle on their own - answers-False
In patients in which the ability to ventilate cannot be established, where shall the patient
be transported to? - answers-the nearest emergency department
Circumferential burns meets criteria to be transported to a burn center - answers-True
A patient with burns that involve the face, hands, feet, genitalia, perineum, or major
joints meets criteria to be transported to a burn center - answers-True
What are possible causes of Cardiogenic Shock? - answers-Myocardial contusion
Heart failure
MI
toxins
Cardiomyopathy
When is cervical stabilization not performed? - answers-Injuries where placement of the
collar might compromise patient assessment, airway management, ventilation, and/or
hemorrhage control
Patients in cardiac patient
Penetrating trauma to the head and/or neck with no evidence of spinal injury
, For cardiac arrest patients who are pregnant, manual CPR is recommended - answers-
True
How shall contact with medical control be established? - answers-by radio
When should patient care be rendered? - answers-en route to a definitive treatment
facility
Adult pads may be used on children weighing more than how much? - answers-15 kg
A patient who meets step 2 of the Trauma Triage Field Criteria, must be transported to
what level trauma center - answers-Level 1 or 2
What does the Parkland burn Formula define? - answers-how much fluid is given over
the 24 hours for a burned patient
What is a normal blood glucose reading in a newborn? - answers-40 mg/dL
If a drowning victim has foam in the airway, the foam should be suctioned out initially -
answers-False
Which of the following are approved pediatric centers? - answers-Summerlin Hospital
UMC
St. Rose Siena
Sunrise Hospital
Ice should be applied to burns - answers-false
How long can postpartum eclampsia/pre-eclampsia present after childbirth? - answers-
up to 6 weeks
What is the compression to ventilation ratio in neonatal resuscitation? - answers-3:1
Telemetry contact should be established by radio - answers-True
What medications can be administered or monitored during an inter facility transfer? -
answers-all medications listed on the official drug inventory as appropriate for level of
license and per protocol
Carefully monitor patients as you treat them; stable tachycardia may convert to unstable
rhythms/condition quickly - answers-True
All drowning patients should be transported for evaluation because of the potential for
worsening over the next several hours - answers-True
ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
For a patient to be transported to an approved alcohol and drug abuse facility, the pulse
rate must be between what range? - answers-60-120
Which of the following should be performed for a patient with hyperthermia? - answers-
Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - answers-only those
whose therapy required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - answers-Involuntary muscle movements or spasms of the
face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
For a patient in shock, what should the oxygen saturation be kept above? - answers-
94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - answers-
False
What is the goal of the protocol manual? - answers-standardize prehospital care in
Clark County
Describe a partial thickness (2nd degree burn) - answers-blistering
Oxygen therapy should be established to keep SpO2 above what level? - answers-94%
When should defibrillation be attempted during a witnessed cardiac arrest? - answers-
Immediately
What must exist for an emergency care physician to direct a prehospital provider in
rendering care that is not explicitly listed within the protocols? - answers-The provider
must feel capable,based on the instructions given by the telemetry physician, of
correctly performing the directed care.
,Both the telemetry physician and the provider must acknowledge and agree that the
patient's condition and extraordinary care are not addressed elsewhere within these
medical protocols
The telemetry physician and the provider must immediately notify the Office of EMS &
Trauma System (OEMSTS) of the extraordinary care situation.
What is recommended if hypoxia is the cause of the cardiac arrest? - answers-Early
ventilation
When transporting a patient to a remote outpatient emergency department, telemetry
contact does not have to be made. - answers-False
What is the ideal scene time for a a patient having a stroke? - answers-Less than 10
minutes
Localized cold injuries should be rubbed to warm the skin - answers-False
Patients placed on backboard for extrication or movement should not be moved to a soft
matress - answers-False
If cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive
with no pulse, begin CPR at 30 compressions and two ventilations - answers-False
(need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - answers-False
For a patient to be transported to an approved alcohol and drug abuse facility, the GCS
score must be above what level? - answers-14
What level trauma center is UMC? - answers-1
What does optimal prehospital care result from? - answers-(1) Careful patient
assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - answers-General
assessment
What is the most common cause of bradycardia in a child? - answers-Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - answers-
oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - answers-14
,Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria Protocol
and occur within the St. Rose Dominican Hospital - Siena Campus Catchment Area,
City of Henderson, or the geographical area bordered by Paradise Road to the west
continuing along that portion where it becomes Maryland Parkway, Sunset Road to the
north, and the county line to the east, are to be transported to Sunrise Hospital &
Medical Center and the medical directions for the treatment of the patient must be
transported to Sunrise Trauma Center - answers-True
When are backboard indicated? - answers-extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - answers-False
The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and occur
within the City of Henderson or the geographical area bordered by Interstate 15 to the
west and Sunset road to the north, and the county line to the east, are to be transported
to St. Rose Dominican Hospital - Siena Campus and the medical directions for the
treatment of the patient must originate at that center - answers-True
How should oxygen be delivered to patients with smoke inhalation? - answers-100%
NRB
Patients with a possible spinal injury found in motor vehicles should not be asked if they
are able to exist the motor vehicle on their own - answers-False
In patients in which the ability to ventilate cannot be established, where shall the patient
be transported to? - answers-the nearest emergency department
Circumferential burns meets criteria to be transported to a burn center - answers-True
A patient with burns that involve the face, hands, feet, genitalia, perineum, or major
joints meets criteria to be transported to a burn center - answers-True
What are possible causes of Cardiogenic Shock? - answers-Myocardial contusion
Heart failure
MI
toxins
Cardiomyopathy
When is cervical stabilization not performed? - answers-Injuries where placement of the
collar might compromise patient assessment, airway management, ventilation, and/or
hemorrhage control
Patients in cardiac patient
Penetrating trauma to the head and/or neck with no evidence of spinal injury
, For cardiac arrest patients who are pregnant, manual CPR is recommended - answers-
True
How shall contact with medical control be established? - answers-by radio
When should patient care be rendered? - answers-en route to a definitive treatment
facility
Adult pads may be used on children weighing more than how much? - answers-15 kg
A patient who meets step 2 of the Trauma Triage Field Criteria, must be transported to
what level trauma center - answers-Level 1 or 2
What does the Parkland burn Formula define? - answers-how much fluid is given over
the 24 hours for a burned patient
What is a normal blood glucose reading in a newborn? - answers-40 mg/dL
If a drowning victim has foam in the airway, the foam should be suctioned out initially -
answers-False
Which of the following are approved pediatric centers? - answers-Summerlin Hospital
UMC
St. Rose Siena
Sunrise Hospital
Ice should be applied to burns - answers-false
How long can postpartum eclampsia/pre-eclampsia present after childbirth? - answers-
up to 6 weeks
What is the compression to ventilation ratio in neonatal resuscitation? - answers-3:1
Telemetry contact should be established by radio - answers-True
What medications can be administered or monitored during an inter facility transfer? -
answers-all medications listed on the official drug inventory as appropriate for level of
license and per protocol
Carefully monitor patients as you treat them; stable tachycardia may convert to unstable
rhythms/condition quickly - answers-True
All drowning patients should be transported for evaluation because of the potential for
worsening over the next several hours - answers-True
