SNHD Paramedic Protocols Exam 2025
Questions and Answers
The GOAL of the manual is to _________ prehospital patient care in clark county. -
....ANSWER ...-Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - ....ANSWER ...-b. En route
The General assessment protocols must be followed how? - ....ANSWER ...-In
specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders
have been given? - ....ANSWER ...-Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: -
....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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,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? - ....ANSWER ...-puberty
For what age do you use the Pediatric Patient Destination protocol? -
....ANSWER ...-<18 years old
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
,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
Waiting room criteria - ....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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
, Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - ....ANSWER ...-if pulse oximetry
can be maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - ....ANSWER ...-≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - ....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? - ....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? - ....ANSWER ...-
Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - ....ANSWER ...-Diphenhydramine
50mg IM/IV/IO/PO
Allergic Reaction
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 4
Questions and Answers
The GOAL of the manual is to _________ prehospital patient care in clark county. -
....ANSWER ...-Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - ....ANSWER ...-b. En route
The General assessment protocols must be followed how? - ....ANSWER ...-In
specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders
have been given? - ....ANSWER ...-Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: -
....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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 1
,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? - ....ANSWER ...-puberty
For what age do you use the Pediatric Patient Destination protocol? -
....ANSWER ...-<18 years old
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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 2
,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
Waiting room criteria - ....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
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 3
, Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - ....ANSWER ...-if pulse oximetry
can be maintained at or above 90%
Abdominal/ Flank pain
When is 12-Lead required? - ....ANSWER ...-≥35 years old
Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - ....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? - ....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? - ....ANSWER ...-
Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - ....ANSWER ...-Diphenhydramine
50mg IM/IV/IO/PO
Allergic Reaction
…FOR STUDENTS ONLY…©️2025 ALL RIGHTS RESERVED… 4
