SNHD PARAMEDIC PROTOCOL EXAM
STUDY GUIDE 2025/2026 QUESTIONS
AND ANSWERS 100% PASS
Identify the Parkland Burn Formula for Fluid Replacement. - ANS 4ml x (body weight in kg) x
(% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder over
next 16 hours
Pg. 28
For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center. -
ANS 10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ANS 2.0 mg
IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to considering
terminating resuscitation efforts? - ANS Provide effective ventilation with 100% oxygenation
for two (2) minutes
1 @COPYRIGHT 2025/2026
,Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure
greater than 100 mmHg, what is the dose of Nitroglycerin? - ANS 1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
ANS A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma
center only. - ANS False (Level 1, 2 or 3)
Pg. 127
When should radio contact be established to a receiving facility? - ANS All trauma patients
Emergency (code 3) returns
Need for telemetry physician
2 @COPYRIGHT 2025/2026
, Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant patient who
is refractory to Magnesium Sulfate? - ANS Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ANS Attendant/vehicle identification, Nature of call: INFORMATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition
(i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival
including any special circumstances that may cause a delay in transport
Pg. 115
A patient is defined as any individual that meets which of the following? - ANS All of the
above (A person who has obvious evidence of illness or injury, A person who has a complaint or
mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or
3rd party caller as requiring evaluation for potential illness or injury)
Pg. 6
Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - ANS True.
Pg. 47
What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
ANS 1.0 mg/kg
3 @COPYRIGHT 2025/2026
STUDY GUIDE 2025/2026 QUESTIONS
AND ANSWERS 100% PASS
Identify the Parkland Burn Formula for Fluid Replacement. - ANS 4ml x (body weight in kg) x
(% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder over
next 16 hours
Pg. 28
For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center. -
ANS 10 feet or two times the height of the child
Pg. 127
What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ANS 2.0 mg
IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
For a traumatic cardiac arrest, what interventions must be performed prior to considering
terminating resuscitation efforts? - ANS Provide effective ventilation with 100% oxygenation
for two (2) minutes
1 @COPYRIGHT 2025/2026
,Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure
greater than 100 mmHg, what is the dose of Nitroglycerin? - ANS 1.6 mg SL
Pg. 49
Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
ANS A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma
center only. - ANS False (Level 1, 2 or 3)
Pg. 127
When should radio contact be established to a receiving facility? - ANS All trauma patients
Emergency (code 3) returns
Need for telemetry physician
2 @COPYRIGHT 2025/2026
, Per protocol
Pg. 11
How often can additional Diazepam (Valium) doses be administered to a pregnant patient who
is refractory to Magnesium Sulfate? - ANS Every 5 minutes
Pg. 43
For non-trauma patients, telemetry reports should include at a minimum which of the
following? - ANS Attendant/vehicle identification, Nature of call: INFORMATION ONLY or
REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition
(i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival
including any special circumstances that may cause a delay in transport
Pg. 115
A patient is defined as any individual that meets which of the following? - ANS All of the
above (A person who has obvious evidence of illness or injury, A person who has a complaint or
mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or
3rd party caller as requiring evaluation for potential illness or injury)
Pg. 6
Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - ANS True.
Pg. 47
What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
ANS 1.0 mg/kg
3 @COPYRIGHT 2025/2026
