SNHD EMT PARAMEDIC PROTOCOL EXAM LATEST 2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
For a patient in shock, what should the oxygen saturation be kept above? - (answer) 94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - (answer) False
What is the goal of the protocol manual? - (answer) standardize prehospital care in Clark County
Describe a partial thickness (2nd degree burn) - (answer) blistering
Oxygen therapy should be established to keep SpO2 above what level? - (answer) 94%
When should defibrillation be attempted during a witnessed cardiac arrest? - (answer) 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? - (answer) 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? - (answer) Early ventilation
When transporting a patient to a remote outpatient emergency department, telemetry contact does not
have to be made. - (answer) False
What is the ideal scene time for a a patient having a stroke? - (answer) Less than 10 minutes
Localized cold injuries should be rubbed to warm the skin - (answer) False
,SNHD EMT PARAMEDIC PROTOCOL EXAM LATEST 2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
For a patient to be transported to an approved alcohol and drug abuse facility, the pulse rate must be
between what range? - (answer) 60-120
Which of the following should be performed for a patient with hyperthermia? - (answer) Remove from
environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - (answer) only those whose therapy
required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - (answer) Involuntary muscle movements or spasms of the face, neck,
and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
Patients placed on backboard for extrication or movement should not be moved to a soft matress -
(answer) 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 - (answer) False (need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - (answer) False
For a patient to be transported to an approved alcohol and drug abuse facility, the GCS score must be
above what level? - (answer) 14
What level trauma center is UMC? - (answer) 1
What does optimal prehospital care result from? - (answer) (1) Careful patient assessment
, SNHD EMT PARAMEDIC PROTOCOL EXAM LATEST 2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - (answer) General assessment
What is the most common cause of bradycardia in a child? - (answer) Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - (answer)
oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - (answer) 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 - (answer) True
When are backboard indicated? - (answer) extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the DNR/POLST Order or
Identification shall be honored - (answer) 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 - (answer) True
How should oxygen be delivered to patients with smoke inhalation? - (answer) 100% NRB
CORRECT DETAILED ANSWERS
For a patient in shock, what should the oxygen saturation be kept above? - (answer) 94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - (answer) False
What is the goal of the protocol manual? - (answer) standardize prehospital care in Clark County
Describe a partial thickness (2nd degree burn) - (answer) blistering
Oxygen therapy should be established to keep SpO2 above what level? - (answer) 94%
When should defibrillation be attempted during a witnessed cardiac arrest? - (answer) 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? - (answer) 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? - (answer) Early ventilation
When transporting a patient to a remote outpatient emergency department, telemetry contact does not
have to be made. - (answer) False
What is the ideal scene time for a a patient having a stroke? - (answer) Less than 10 minutes
Localized cold injuries should be rubbed to warm the skin - (answer) False
,SNHD EMT PARAMEDIC PROTOCOL EXAM LATEST 2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
For a patient to be transported to an approved alcohol and drug abuse facility, the pulse rate must be
between what range? - (answer) 60-120
Which of the following should be performed for a patient with hyperthermia? - (answer) Remove from
environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - (answer) only those whose therapy
required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - (answer) Involuntary muscle movements or spasms of the face, neck,
and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
Patients placed on backboard for extrication or movement should not be moved to a soft matress -
(answer) 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 - (answer) False (need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - (answer) False
For a patient to be transported to an approved alcohol and drug abuse facility, the GCS score must be
above what level? - (answer) 14
What level trauma center is UMC? - (answer) 1
What does optimal prehospital care result from? - (answer) (1) Careful patient assessment
, SNHD EMT PARAMEDIC PROTOCOL EXAM LATEST 2023-2024 ACTUAL EXAM 250 QUESTIONS AND
CORRECT DETAILED ANSWERS
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - (answer) General assessment
What is the most common cause of bradycardia in a child? - (answer) Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - (answer)
oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - (answer) 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 - (answer) True
When are backboard indicated? - (answer) extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the DNR/POLST Order or
Identification shall be honored - (answer) 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 - (answer) True
How should oxygen be delivered to patients with smoke inhalation? - (answer) 100% NRB
