SNHD Paramedic Protocols Exam Questions and Answers Latest Update 2025 Rated 100%
The GOAL of the manual is to _________ prehospital patient care in clark county. - Answers Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - Answers b. En route
The General assessment protocols must be followed how? - Answers In specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders have been
given? - Answers Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: - Answers 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
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? - Answers
puberty
For what age do you use the Pediatric Patient Destination protocol? - Answers <18 years old
When is radio contact needed during adult general assessment ? - Answers All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - Answers Only if routed via a recorded
phone patch through FAO at 702-382-9007
Sexual assault victims <13 years old shall be transported to? - Answers Sunrise hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - Answers Sunrise Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - Answers UMC
,Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be transported where? -
Answers nearest appropriate facility
Where shall stable patients be transported? - Answers hospital of choice, if no preference then closest
facility
When are patients allowed to be placed in the waiting room? - Answers 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 - Answers Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - Answers 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
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - Answers if pulse oximetry can be maintained at or
above 90%
Abdominal/ Flank pain
When is 12-Lead required? - Answers ≥35 years old
, Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - Answers 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? - Answers 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? - Answers Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - Answers Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - Answers Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - Answers Albuterol 2.5mg SVN, repeat as needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - Answers Albuterol 2.5mg in 3ml SVN, repeat as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - Answers Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or IO
The GOAL of the manual is to _________ prehospital patient care in clark county. - Answers Standardize
Patient care should be rendered while _______ to a definitive treatment facility.
a. on scene
b. enroute
c. at arrival
d. driving - Answers b. En route
The General assessment protocols must be followed how? - Answers In specific sequence noted
Who must notify the office of EMS & Trauma System immediately after telemetry orders have been
given? - Answers Telemetry physician and provider
Definition of a patient is any individual that meets at least one of the following criteria: - Answers 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
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? - Answers
puberty
For what age do you use the Pediatric Patient Destination protocol? - Answers <18 years old
When is radio contact needed during adult general assessment ? - Answers All trauma patients
Code 3 Returns
Need for telemetry physician
As per protocol
When is telephone contact allowed for online medical control? - Answers Only if routed via a recorded
phone patch through FAO at 702-382-9007
Sexual assault victims <13 years old shall be transported to? - Answers Sunrise hospital
Sexual assault victimes 13 y/o to 18 y/o shall be transported to? - Answers Sunrise Hospital or UMC
Sexual assault victims 18 y/o and older shall be transported to? - Answers UMC
,Sexual assault victims outside a 50-mile radius from UMC or Sunrise shall be transported where? -
Answers nearest appropriate facility
Where shall stable patients be transported? - Answers hospital of choice, if no preference then closest
facility
When are patients allowed to be placed in the waiting room? - Answers 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 - Answers Heart Rate 60-100
RR 10-20
SBP 100-180
DBP 60-110
Room Air pulse Ox >94
A&Ox4
Waiting room criteria - Answers 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
Left with verbal report to hospital personnel
General Trauma Assessment -
When is BVM acceptable method of ventilating? - Answers if pulse oximetry can be maintained at or
above 90%
Abdominal/ Flank pain
When is 12-Lead required? - Answers ≥35 years old
, Abdominal/Flank pain
how much fluid to give with signs of hypovolemia - Answers 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? - Answers 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? - Answers Pregnancy until proven otherwise
Allergic Reaction
Meds for NO evidence of airway involvement? - Answers Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - Answers Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - Answers Albuterol 2.5mg SVN, repeat as needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - Answers Albuterol 2.5mg in 3ml SVN, repeat as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - Answers Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or IO
