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SNHD AEMT Protocols Exam | Advanced Emergency
Medical Technician | Prehospital Protocols, Emergency
Care, Southern Nevada Health District | Multiple Choice &
Open-Ended Q&A | Verified Answers
Exam Structure:
Subject: Advanced Emergency Medical Technician (AEMT) Protocols – SNHD
Source: SNHD AEMT Protocols Exam – Verified Answers
Format: Multiple Choice & Open-Ended Q&A
1. If the ability to adequately ventilate the patient cannot be
established, the patient must be:
Correct Answer: Transported to the nearest emergency department.
Rationale:
1. Inability to ventilate is a life-threatening emergency requiring immediate
hospital care.
2. Bypass closer hospitals only if they lack capability (rare).
3. Do not delay transport for on-scene interventions that are not working.
4. Notify receiving hospital en route.
2. Sexual assault victims under 13 years of age should be transported
to:
Correct Answer: Sunrise Hospital.
Rationale:
1. Sunrise has a designated pediatric sexual assault forensic program.
2. Pediatric victims require specialized pediatric forensic examiners.
3. UMC handles adult victims (≥18) and some adolescents (13-17).
4. Transport to the nearest appropriate facility if >50 miles from Sunrise.
3. Sexual assault victims age 13 to 18 should be transported to:
Correct Answer: Sunrise or UMC.
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Rationale:
1. Adolescents may be treated at either pediatric (Sunrise) or adult (UMC)
centers.
2. Choice depends on patient maturity, facility policy, and patient preference.
3. Both hospitals have forensic examiners trained in adolescent cases.
4. Follow protocol or consult telemetry if uncertain.
4. Sexual assault victims over 18 years of age should be transported to:
Correct Answer: UMC.
Rationale:
1. UMC has the adult sexual assault forensic exam program.
2. All adult victims should be transported to UMC unless otherwise directed.
3. Evidence collection requires trained Sexual Assault Nurse Examiners
(SANE).
4. Do not delay transport for law enforcement interview.
5. BVM is an acceptable method of ventilation and airway
management if pulse oximetry can be maintained at:
Correct Answer: Greater than or equal to 90%.
Rationale:
1. BVM (Bag-Valve-Mask) provides effective ventilation when properly
used.
2. Target SpO₂ ≥90% is acceptable for most patients (higher for certain
conditions).
3. If SpO₂ cannot be maintained ≥90%, advanced airway may be needed.
4. Monitor ETCO₂ if available to assess ventilation adequacy.
6. Neurological disorders or signs of hypoperfusion/shock in the
presence of abdominal pain may indicate:
Correct Answer: An aneurysm (abdominal aortic aneurysm – AAA).
Rationale:
1. Ruptured AAA presents with abdominal or flank pain, hypotension, and
possibly neurological symptoms (from hypoperfusion).
2. Classic triad: pain, hypotension, pulsatile mass (but mass may not be
palpable).
3. High mortality; rapid transport to surgical center is critical.
4. Do not delay transport for field interventions beyond hemorrhage control.
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7. After each fluid bolus:
Correct Answer: Repeat vital signs.
Rationale:
1. Reassessment after each fluid bolus prevents fluid overload.
2. Monitor for improvement in perfusion (BP, heart rate, mental status).
3. Also monitor for crackles (pulmonary edema) or worsening respiratory
status.
4. Titrate fluids to clinical response, not a preset volume.
8. In patients with abdominal/flank pain, nausea and vomiting, older
than 35 years:
Correct Answer: Consider cardiac origin and consider a 12-lead ECG.
Rationale:
1. Atypical MI presentation can include abdominal pain, nausea, and vomiting
(especially inferior wall MI).
2. Women, diabetics, and older adults are more likely to present atypically.
3. Do not rule out cardiac etiology based on abdominal symptoms alone.
4. 12-lead ECG can identify ST elevation or other ischemic changes.
9. Nitroglycerin is contraindicated in any patient with:
Correct Answer: Hypotension, bradycardia, tachycardia in the absence of
heart failure, and evidence of right ventricular infarction.
Rationale:
1. Nitroglycerin causes venodilation (reduces preload) and arterial dilation
(reduces afterload).
2. In RV infarction, preload is critical; nitroglycerin can cause severe
hypotension.
3. Hypotension (SBP <100) and bradycardia (<50) are contraindications.
4. Also contraindicated with phosphodiesterase inhibitors (erectile
dysfunction meds) within 24-48 hours.
10. Perform a 12-lead ECG on all patients 35 years or older
experiencing (suspected acute coronary syndrome):
Correct Answer: Vague jaw/chest/abdominal discomfort.
Rationale:
1. Atypical symptoms should still prompt ECG evaluation.
SNHD AEMT Protocols Exam | Advanced Emergency
Medical Technician | Prehospital Protocols, Emergency
Care, Southern Nevada Health District | Multiple Choice &
Open-Ended Q&A | Verified Answers
Exam Structure:
Subject: Advanced Emergency Medical Technician (AEMT) Protocols – SNHD
Source: SNHD AEMT Protocols Exam – Verified Answers
Format: Multiple Choice & Open-Ended Q&A
1. If the ability to adequately ventilate the patient cannot be
established, the patient must be:
Correct Answer: Transported to the nearest emergency department.
Rationale:
1. Inability to ventilate is a life-threatening emergency requiring immediate
hospital care.
2. Bypass closer hospitals only if they lack capability (rare).
3. Do not delay transport for on-scene interventions that are not working.
4. Notify receiving hospital en route.
2. Sexual assault victims under 13 years of age should be transported
to:
Correct Answer: Sunrise Hospital.
Rationale:
1. Sunrise has a designated pediatric sexual assault forensic program.
2. Pediatric victims require specialized pediatric forensic examiners.
3. UMC handles adult victims (≥18) and some adolescents (13-17).
4. Transport to the nearest appropriate facility if >50 miles from Sunrise.
3. Sexual assault victims age 13 to 18 should be transported to:
Correct Answer: Sunrise or UMC.
, 2|Page
Rationale:
1. Adolescents may be treated at either pediatric (Sunrise) or adult (UMC)
centers.
2. Choice depends on patient maturity, facility policy, and patient preference.
3. Both hospitals have forensic examiners trained in adolescent cases.
4. Follow protocol or consult telemetry if uncertain.
4. Sexual assault victims over 18 years of age should be transported to:
Correct Answer: UMC.
Rationale:
1. UMC has the adult sexual assault forensic exam program.
2. All adult victims should be transported to UMC unless otherwise directed.
3. Evidence collection requires trained Sexual Assault Nurse Examiners
(SANE).
4. Do not delay transport for law enforcement interview.
5. BVM is an acceptable method of ventilation and airway
management if pulse oximetry can be maintained at:
Correct Answer: Greater than or equal to 90%.
Rationale:
1. BVM (Bag-Valve-Mask) provides effective ventilation when properly
used.
2. Target SpO₂ ≥90% is acceptable for most patients (higher for certain
conditions).
3. If SpO₂ cannot be maintained ≥90%, advanced airway may be needed.
4. Monitor ETCO₂ if available to assess ventilation adequacy.
6. Neurological disorders or signs of hypoperfusion/shock in the
presence of abdominal pain may indicate:
Correct Answer: An aneurysm (abdominal aortic aneurysm – AAA).
Rationale:
1. Ruptured AAA presents with abdominal or flank pain, hypotension, and
possibly neurological symptoms (from hypoperfusion).
2. Classic triad: pain, hypotension, pulsatile mass (but mass may not be
palpable).
3. High mortality; rapid transport to surgical center is critical.
4. Do not delay transport for field interventions beyond hemorrhage control.
, 3|Page
7. After each fluid bolus:
Correct Answer: Repeat vital signs.
Rationale:
1. Reassessment after each fluid bolus prevents fluid overload.
2. Monitor for improvement in perfusion (BP, heart rate, mental status).
3. Also monitor for crackles (pulmonary edema) or worsening respiratory
status.
4. Titrate fluids to clinical response, not a preset volume.
8. In patients with abdominal/flank pain, nausea and vomiting, older
than 35 years:
Correct Answer: Consider cardiac origin and consider a 12-lead ECG.
Rationale:
1. Atypical MI presentation can include abdominal pain, nausea, and vomiting
(especially inferior wall MI).
2. Women, diabetics, and older adults are more likely to present atypically.
3. Do not rule out cardiac etiology based on abdominal symptoms alone.
4. 12-lead ECG can identify ST elevation or other ischemic changes.
9. Nitroglycerin is contraindicated in any patient with:
Correct Answer: Hypotension, bradycardia, tachycardia in the absence of
heart failure, and evidence of right ventricular infarction.
Rationale:
1. Nitroglycerin causes venodilation (reduces preload) and arterial dilation
(reduces afterload).
2. In RV infarction, preload is critical; nitroglycerin can cause severe
hypotension.
3. Hypotension (SBP <100) and bradycardia (<50) are contraindications.
4. Also contraindicated with phosphodiesterase inhibitors (erectile
dysfunction meds) within 24-48 hours.
10. Perform a 12-lead ECG on all patients 35 years or older
experiencing (suspected acute coronary syndrome):
Correct Answer: Vague jaw/chest/abdominal discomfort.
Rationale:
1. Atypical symptoms should still prompt ECG evaluation.
