SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Nothing contained in these protocols shall be construed to expand the
scope of practice of any licensed Attendant beyond that which is
identified in the Clark County EMS Regulations and the protocols. -
ANSWER--true
How far away should defibrillation pads be placed from a pacemaker or
pulse generator? - ANSWER--1 inch
A body can be moved without the coroners permission - ANSWER-false
Resuscitation that is started in the field by licensed EMS personnel can
be discontinued without a physician order. - ANSWER--false
Patients must have suspected hyperkalemia OR electrocardiographic
findings consistent with hyperkalemia (bradycardia with widening QRS
complexes) BEFORE initiating treatment. - ANSWER--true
Heparin locks cannot be left in place during transfer - ANSWER--false
When should defibrillation be attempted during an unwitnessed cardiac
arrest? - ANSWER--after 2 minutes of CPR
,SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
In the patient with Pulmonary Edema/CHF, what is the target SpO2
reading? - ANSWER--> 94%
A fall greater than how many feet places the pediatric patient into Step 3
of the Trauma Field Triage Criteria? - ANSWER--10
How much does one leg represent in an adult patient in the Rule of 9s? -
ANSWER--18
Radio contact should be established for what patients? - ANSWER--all
trauma center patients
Code 3 returns
Need for telemetry physician
As indicated per protocol
Radio contact is not needed for all pediatric patients - ANSWER--false
Orthopedic devices cannot be left in place during interfacility transfer -
ANSWER--false
Define pregnancy hypertension - ANSWER--> 140 systolic
> 90 diastolic
,SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Relative increase of 30 systolic from patient's normal pre-pregnancy BP
Relative increase of 20 diastolic from patient's normal pre-pregnancy BP
Pediatric patients should be evaluated with a high index of suspicion;
occult injuries may be present and pediatric patients can decompensate
quickly - ANSWER--true
What are symptoms of pre-eclampsia? - ANSWER--headache vision
changes
RUQ pain
Resuscitation of a traumatic cardiac arrest may be terminated when
which of the following conditions have been met? - ANSWER-Physician
approves termination of resuscitation
Airway opened with basic lift support measures
Provide effective ventilation with 100% oxygen for 2 minutes
Perform bilateral needle throacentesis if tension pneumothroax is
suspected
Step 3 of the Trauma Field Triage Criteria assess or measures what? -
ANSWER--Mechanism of Injury
, SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
STEMIs, strokes, or a patient with acute coronary syndrome may be
transported to a remote outpatient emergency department. - ANSWER-
false
All trauma calls that meet the Trauma Field Triage Criteria and occur
within any other area of Clark County are to be transported to University
Medical Center/Trauma - ANSWER--true
A fall greater than how many feet places an adult patient in Step 3 of the
Trauma Field Triage Criteria? - ANSWER--20
For a patient to be transported to an approved alcohol and drug abuse
facility, the systolic blood pressure must be between what range? -
ANSWER--90-180
Cervical stabilization is the placement of an approved, properly-sized
cervical collar and securing the patient to a long spinal board -
ANSWER--false
What level trauma center is Sunrise? - ANSWER--2
How much does the posterior torso represent in an adult patient in the
Rule of 9s? - ANSWER--18
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Nothing contained in these protocols shall be construed to expand the
scope of practice of any licensed Attendant beyond that which is
identified in the Clark County EMS Regulations and the protocols. -
ANSWER--true
How far away should defibrillation pads be placed from a pacemaker or
pulse generator? - ANSWER--1 inch
A body can be moved without the coroners permission - ANSWER-false
Resuscitation that is started in the field by licensed EMS personnel can
be discontinued without a physician order. - ANSWER--false
Patients must have suspected hyperkalemia OR electrocardiographic
findings consistent with hyperkalemia (bradycardia with widening QRS
complexes) BEFORE initiating treatment. - ANSWER--true
Heparin locks cannot be left in place during transfer - ANSWER--false
When should defibrillation be attempted during an unwitnessed cardiac
arrest? - ANSWER--after 2 minutes of CPR
,SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
In the patient with Pulmonary Edema/CHF, what is the target SpO2
reading? - ANSWER--> 94%
A fall greater than how many feet places the pediatric patient into Step 3
of the Trauma Field Triage Criteria? - ANSWER--10
How much does one leg represent in an adult patient in the Rule of 9s? -
ANSWER--18
Radio contact should be established for what patients? - ANSWER--all
trauma center patients
Code 3 returns
Need for telemetry physician
As indicated per protocol
Radio contact is not needed for all pediatric patients - ANSWER--false
Orthopedic devices cannot be left in place during interfacility transfer -
ANSWER--false
Define pregnancy hypertension - ANSWER--> 140 systolic
> 90 diastolic
,SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
Relative increase of 30 systolic from patient's normal pre-pregnancy BP
Relative increase of 20 diastolic from patient's normal pre-pregnancy BP
Pediatric patients should be evaluated with a high index of suspicion;
occult injuries may be present and pediatric patients can decompensate
quickly - ANSWER--true
What are symptoms of pre-eclampsia? - ANSWER--headache vision
changes
RUQ pain
Resuscitation of a traumatic cardiac arrest may be terminated when
which of the following conditions have been met? - ANSWER-Physician
approves termination of resuscitation
Airway opened with basic lift support measures
Provide effective ventilation with 100% oxygen for 2 minutes
Perform bilateral needle throacentesis if tension pneumothroax is
suspected
Step 3 of the Trauma Field Triage Criteria assess or measures what? -
ANSWER--Mechanism of Injury
, SNHD PARAMEDIC PROTOCOL EXAM LATEST 2026-2027
ACTUAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS
STEMIs, strokes, or a patient with acute coronary syndrome may be
transported to a remote outpatient emergency department. - ANSWER-
false
All trauma calls that meet the Trauma Field Triage Criteria and occur
within any other area of Clark County are to be transported to University
Medical Center/Trauma - ANSWER--true
A fall greater than how many feet places an adult patient in Step 3 of the
Trauma Field Triage Criteria? - ANSWER--20
For a patient to be transported to an approved alcohol and drug abuse
facility, the systolic blood pressure must be between what range? -
ANSWER--90-180
Cervical stabilization is the placement of an approved, properly-sized
cervical collar and securing the patient to a long spinal board -
ANSWER--false
What level trauma center is Sunrise? - ANSWER--2
How much does the posterior torso represent in an adult patient in the
Rule of 9s? - ANSWER--18
