SNHD AEMT Protocol Test 2025/2026 |
Actual Exam with Complete Questions
and Answers | Southern Nevada Health
District | Advanced Emergency Medical
Technician
A patient is defined as -CORRECTANSWER A person who has a complaint or
mechanism suggestive of potential illness or injury; A person who has obvious evidence
of illness or injury; or A person identified by an informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
Pediatric patient considerations -CORRECTANSWER For patients < 18 yo, use the
Pediatric Patient Destination protocol; Pediatric treatment protocols are to be used on
children who have not yet experienced puberty.
Signs of puberty include -CORRECTANSWER chest or underarm hair on males, and
any breast development in females.
General Adult Assessment -CORRECTANSWER 1. Scene safety / scene size up;
NOI/MOI; PPE/BSI; Bring all equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
,Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to adequately ventilate)
Disposition for patients sustaining traumatic injuries -CORRECTANSWER transported
in accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries -CORRECTANSWER Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) -CORRECTANSWER Transported in
accordance with the Pediatric Destination protocol
,Disposition for patients with evidence of stroke -CORRECTANSWER Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o -CORRECTANSWER Transported to
Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o -CORRECTANSWER Transported to
Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older -CORRECTANSWER
transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
CORRECTANSWER Transported to the nearest appropriate facility
Disposition for stable patients -CORRECTANSWER Transported to the hospital of their
choice, if the patient has no preference the patient should be transported to the nearest
appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations -CORRECTANSWER The licensee providing emergency medical care
shall transport the patient to the nearest appropriate facility
, Waiting room criteria -CORRECTANSWER Upon arrival in the ED, if transfer of care
has not occurred in accordance with NRS 450B.790, any patient, excluding patients on
a legal psychiatric hold, meeting ALL criteria may be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single
dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Internal disaster -CORRECTANSWER If a hospital declares internal disaster, that
facility is to be bypassed for all patients except patients in cardiac arrest or in whom the
ability to adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
Actual Exam with Complete Questions
and Answers | Southern Nevada Health
District | Advanced Emergency Medical
Technician
A patient is defined as -CORRECTANSWER A person who has a complaint or
mechanism suggestive of potential illness or injury; A person who has obvious evidence
of illness or injury; or A person identified by an informed 2nd or 3rd party caller as
requiring evaluation for potential illness or injury
Pediatric patient considerations -CORRECTANSWER For patients < 18 yo, use the
Pediatric Patient Destination protocol; Pediatric treatment protocols are to be used on
children who have not yet experienced puberty.
Signs of puberty include -CORRECTANSWER chest or underarm hair on males, and
any breast development in females.
General Adult Assessment -CORRECTANSWER 1. Scene safety / scene size up;
NOI/MOI; PPE/BSI; Bring all equipment to patients side
2. Level of consciousness -> unresponsive -> check pulse-> none -> Cardiac arrest
Airway -> sigs of compromised or non protecting -> Ventilation management
Breathing -> inadequate or resp. distress -> Resp. Distress
,Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope
3. History - HPI & AMPLE
Vital signs and physical exam
blood glucose testing if indicated
Special treatment protocol as indicated
Cervical Stabilization as indicated
Comfort measures (splint, position of comfort)
Vascular access as indicated
Oxygen therapy to keep SPO2 > 94%
4. Radio contact for all trauma center patients, Code 3 returns, need for telemetry
physician & as per protocol
Transport per Disposition Criteria if applicable
*Transport to closest facility for Airway emergencies (inability to adequately ventilate)
Disposition for patients sustaining traumatic injuries -CORRECTANSWER transported
in accordance with the Trauma Field Triage Criteria Protocol
Disposition for patients sustaining burn injuries -CORRECTANSWER Transported in
accordance with the Burns Protocol
Disposition for pediatric patients (<18 y/o) -CORRECTANSWER Transported in
accordance with the Pediatric Destination protocol
,Disposition for patients with evidence of stroke -CORRECTANSWER Transported in
accordance with the Stroke (CVA) protocol
Disposition for sexual assault victims < 13 y/o -CORRECTANSWER Transported to
Sunrise Hospital
Disposition for sexual assault victims 13-18 y/o -CORRECTANSWER Transported to
Sunrise Hospital or UMC
Disposition for sexual assault victims 18 y/o and older -CORRECTANSWER
transported to UMC
Disposition for sexual assault victims outside a 50-mile radius from the above facilities -
CORRECTANSWER Transported to the nearest appropriate facility
Disposition for stable patients -CORRECTANSWER Transported to the hospital of their
choice, if the patient has no preference the patient should be transported to the nearest
appropriate facility
Disposition for patients outside a 50 mile radius from the protocol designated transport
destinations -CORRECTANSWER The licensee providing emergency medical care
shall transport the patient to the nearest appropriate facility
, Waiting room criteria -CORRECTANSWER Upon arrival in the ED, if transfer of care
has not occurred in accordance with NRS 450B.790, any patient, excluding patients on
a legal psychiatric hold, meeting ALL criteria may be placed in a waiting room
1. Normal vital signs
Heart rate 60-100
Respiratory rate 10-20
Systolic BP 100-180
Diastolic BP 60-110
Room air pulse ox > 94%
A&Ox4
2. Did not receive any parenteral medications during EMS transport except a single
dose of analgesia and/or an anti-emetic
3. In the judgment of the Paramedic, does not require continuous cardiac monitoring
4. Can maintain a sitting position without adverse impact on their medical condition
5. Is left with a verbal report to hospital personnel
Internal disaster -CORRECTANSWER If a hospital declares internal disaster, that
facility is to be bypassed for all patients except patients in cardiac arrest or in whom the
ability to adequately ventilate has not been established
Operational exceptions may be initiated in regard to transport to hospitals on internal
disaster.
