SNHD Paramedic Protocols 2026 Exam Questions & Answers
| Latest Already Graded A+ |Questions with Correct Answers
2026-2027 latest update!!
What are the medications to be given in for nausea and vomiting for an
adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
- ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
How much fluids should be given for a patient with signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
500 mL of NS bolus IV/IO; may repeat up to 2000 mL
What should you repeat after each fluid bolus?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15,
16)
You should repeat vital signs after each fluid bolus
,What is the definition of an ALLERGIC
REACTION? (Allergic Reaction Protocol 17, 18)
mild immune response to an allergen with symptoms such as hives or local
swelling/itching
What is the definition of
ANAPHYLAXIS? (Allergic Reaction
Protocol 17, 18)
moderate/severe reaction meeting either of these criteria:
- exposure to known or likely allergen with hypotension OR respiratory
compromise
- two or more of the following after exposure to likely allergen:
skin/mucosal changes (hives, flushing, edema); respiratory compromise
(SOB, wheezing, stridor, hypoxia); hypotension or signs of shock;
persistent GI symptoms (abdominal pain, vomiting)
What is the protocol for no (mild) evidence of
anaphylaxis? (Allergic Reaction Protocol 17, 18)
- Vascular access
- DIPHENHYDRAMINE 50 mg IM/IV/IO/PO
- Reassess patient q5 min
,What is the protocol for moderate/severe anaphylaxis?
(Allergic Reaction Protocol 17, 18)
- EPINEPHRINE 1:1000 0.5 mg IM; may repeat q15 mins up to max 1.5 mg
- ALBUTEROL 2.5 mg in 3 mL
- Vascular access 500 mL; may repeat up to 2000 mL
- DIPHENHYDRAMINE 50 mg IM/IV/IO/PO
** if the patient is in shock
→ PUSH DOSE EPINEPHRINE 1:100,000 10 mcg IV/IO, may repeat q2-5 to
maintain SBP>90 (1 mL of 100,000 of solution)
What are some things to consider with altered mental
status/syncope? (Altered Mental Status/Syncope Protocol
19, 20)
- Hypoglycemia
- Stroke
- Shock
- Seizure
- General Trauma
- Cardiac causes
- Poisoning/Overdose
, What should medical causes should you consider for the patient's behavior?
(Behavioral Emergency Protocol 21, 22)
- Hypoxia
- Intoxication/ Overdose
- Hypoglycemia/ Electrolytes
- Head Injury
- Postictal State
What is the IMC-RASS scale?
(Behavioral Emergency Protocol
21, 22)
The IMC-RASS scale is used to determine the level of agitation of person
and risk for violence. The number determined on the scale will determine
the treatment and whether a medication is should be administered, what
type of medication and the dose.
| Latest Already Graded A+ |Questions with Correct Answers
2026-2027 latest update!!
What are the medications to be given in for nausea and vomiting for an
adult patient?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
- ONDANSETRON (Zofran) 4mg ODT/IM/IV/IO
- DROPERIDOL 1.25mg IM/IV/IO
- METOCLOPRAMIDE 10mg slow IVP over 1-2 mins or IM
- PROCHLORPERAZINE up to 10mg IV/IM/IO
How much fluids should be given for a patient with signs of hypovolemia?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15, 16)
500 mL of NS bolus IV/IO; may repeat up to 2000 mL
What should you repeat after each fluid bolus?
(Abdominal/Flank Pain, Nausea & Vomiting Protocol 15,
16)
You should repeat vital signs after each fluid bolus
,What is the definition of an ALLERGIC
REACTION? (Allergic Reaction Protocol 17, 18)
mild immune response to an allergen with symptoms such as hives or local
swelling/itching
What is the definition of
ANAPHYLAXIS? (Allergic Reaction
Protocol 17, 18)
moderate/severe reaction meeting either of these criteria:
- exposure to known or likely allergen with hypotension OR respiratory
compromise
- two or more of the following after exposure to likely allergen:
skin/mucosal changes (hives, flushing, edema); respiratory compromise
(SOB, wheezing, stridor, hypoxia); hypotension or signs of shock;
persistent GI symptoms (abdominal pain, vomiting)
What is the protocol for no (mild) evidence of
anaphylaxis? (Allergic Reaction Protocol 17, 18)
- Vascular access
- DIPHENHYDRAMINE 50 mg IM/IV/IO/PO
- Reassess patient q5 min
,What is the protocol for moderate/severe anaphylaxis?
(Allergic Reaction Protocol 17, 18)
- EPINEPHRINE 1:1000 0.5 mg IM; may repeat q15 mins up to max 1.5 mg
- ALBUTEROL 2.5 mg in 3 mL
- Vascular access 500 mL; may repeat up to 2000 mL
- DIPHENHYDRAMINE 50 mg IM/IV/IO/PO
** if the patient is in shock
→ PUSH DOSE EPINEPHRINE 1:100,000 10 mcg IV/IO, may repeat q2-5 to
maintain SBP>90 (1 mL of 100,000 of solution)
What are some things to consider with altered mental
status/syncope? (Altered Mental Status/Syncope Protocol
19, 20)
- Hypoglycemia
- Stroke
- Shock
- Seizure
- General Trauma
- Cardiac causes
- Poisoning/Overdose
, What should medical causes should you consider for the patient's behavior?
(Behavioral Emergency Protocol 21, 22)
- Hypoxia
- Intoxication/ Overdose
- Hypoglycemia/ Electrolytes
- Head Injury
- Postictal State
What is the IMC-RASS scale?
(Behavioral Emergency Protocol
21, 22)
The IMC-RASS scale is used to determine the level of agitation of person
and risk for violence. The number determined on the scale will determine
the treatment and whether a medication is should be administered, what
type of medication and the dose.
