SNHD PARAMEDIC PROTOCOL 2025 EXAM LATEST
ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
For a patient in shock, what should the oxygen saturation be kept above? - ans -
94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - ans -
False
What is the goal of the protocol manual? - ans -standardize prehospital care in
Clark County
Describe a partial thickness (2nd degree burn) - ans -blistering
Oxygen therapy should be established to keep SpO2 above what level? - ans -94%
When should defibrillation be attempted during a witnessed cardiac arrest? - ans
-Immediately
What must exist for an emergency care physician to direct a prehospital provider
in rendering care that is not explicitly listed within the protocols? - ans -The
provider must feel capable,based on the instructions given by the telemetry
physician, of correctly performing the directed care.
Both the telemetry physician and the provider must acknowledge and agree that
the patient's condition and extraordinary care are not addressed elsewhere
within these medical protocols
The telemetry physician and the provider must immediately notify the Office of
EMS & Trauma System (OEMSTS) of the extraordinary care situation.
What is recommended if hypoxia is the cause of the cardiac arrest? - ans -Early
ventilation
When transporting a patient to a remote outpatient emergency department,
telemetry contact does not have to be made. - ans -False
,What is the ideal scene time for a a patient having a stroke? - ans -Less than 10
minutes
Localized cold injuries should be rubbed to warm the skin - ans -False
For a patient to be transported to an approved alcohol and drug abuse facility, the
pulse rate must be between what range? - ans -60-120
Which of the following should be performed for a patient with hyperthermia? -
ans -Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - ans -only those
whose therapy required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - ans -Involuntary muscle movements or spasms of
the face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
Patients placed on backboard for extrication or movement should not be moved
to a soft matress - ans -False
If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin CPR at 30 compressions and two ventilations -
ans -False (need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - ans -False
For a patient to be transported to an approved alcohol and drug abuse facility, the
GCS score must be above what level? - ans -14
What level trauma center is UMC? - ans -1
, What does optimal prehospital care result from? - ans -(1) Careful patient
assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - ans -General
assessment
What is the most common cause of bradycardia in a child? - ans -Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - ans
-oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - ans -14
Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria
Protocol and occur within the St. Rose Dominican Hospital - Siena Campus
Catchment Area, City of Henderson, or the geographical area bordered by
Paradise Road to the west continuing along that portion where it becomes
Maryland Parkway, Sunset Road to the north, and the county line to the east, are
to be transported to Sunrise Hospital & Medical Center and the medical directions
for the treatment of the patient must be transported to Sunrise Trauma Center -
ans -True
When are backboard indicated? - ans -extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - ans -False
The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and
occur within the City of Henderson or the geographical area bordered by
Interstate 15 to the west and Sunset road to the north, and the county line to the
east, are to be transported to St. Rose Dominican Hospital - Siena Campus and the
medical directions for the treatment of the patient must originate at that center -
ans -True
ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
For a patient in shock, what should the oxygen saturation be kept above? - ans -
94%
A patient on a legal psychiatric hold may be placed in the ER waiting room - ans -
False
What is the goal of the protocol manual? - ans -standardize prehospital care in
Clark County
Describe a partial thickness (2nd degree burn) - ans -blistering
Oxygen therapy should be established to keep SpO2 above what level? - ans -94%
When should defibrillation be attempted during a witnessed cardiac arrest? - ans
-Immediately
What must exist for an emergency care physician to direct a prehospital provider
in rendering care that is not explicitly listed within the protocols? - ans -The
provider must feel capable,based on the instructions given by the telemetry
physician, of correctly performing the directed care.
Both the telemetry physician and the provider must acknowledge and agree that
the patient's condition and extraordinary care are not addressed elsewhere
within these medical protocols
The telemetry physician and the provider must immediately notify the Office of
EMS & Trauma System (OEMSTS) of the extraordinary care situation.
What is recommended if hypoxia is the cause of the cardiac arrest? - ans -Early
ventilation
When transporting a patient to a remote outpatient emergency department,
telemetry contact does not have to be made. - ans -False
,What is the ideal scene time for a a patient having a stroke? - ans -Less than 10
minutes
Localized cold injuries should be rubbed to warm the skin - ans -False
For a patient to be transported to an approved alcohol and drug abuse facility, the
pulse rate must be between what range? - ans -60-120
Which of the following should be performed for a patient with hyperthermia? -
ans -Remove from environment
Temperature measurement
Remove tight clothing
Passive cooling measures
What type of patients should ambulance attendants transfer? - ans -only those
whose therapy required during transfer lies within the attendant's capabilities
Describe a dystonic reaction - ans -Involuntary muscle movements or spasms of
the face, neck, and upper extremities
Typically an adverse reaction to drugs such as Haloperidol
Patients placed on backboard for extrication or movement should not be moved
to a soft matress - ans -False
If cardiac arrest is witnessed by EMS or CPR in progress and patient is
unresponsive with no pulse, begin CPR at 30 compressions and two ventilations -
ans -False (need to do CCC)
Deep suctioning is recommended during neonatal resuscitation - ans -False
For a patient to be transported to an approved alcohol and drug abuse facility, the
GCS score must be above what level? - ans -14
What level trauma center is UMC? - ans -1
, What does optimal prehospital care result from? - ans -(1) Careful patient
assessment
(2) Appropriate medical consultation
(3) essential prehospital emergency medical services
What protocols must be followed in the specific sequence noted? - ans -General
assessment
What is the most common cause of bradycardia in a child? - ans -Hypoxemia
For a drowning victim in cardiac arrest, what should emphasis be placed on? - ans
-oxygenation/ventilation
How much does a leg represent in a pediatric patient in the rule of 9's? - ans -14
Adult trauma calls that meet Step 1 or 2 of the Trauma Field Triage Criteria
Protocol and occur within the St. Rose Dominican Hospital - Siena Campus
Catchment Area, City of Henderson, or the geographical area bordered by
Paradise Road to the west continuing along that portion where it becomes
Maryland Parkway, Sunset Road to the north, and the county line to the east, are
to be transported to Sunrise Hospital & Medical Center and the medical directions
for the treatment of the patient must be transported to Sunrise Trauma Center -
ans -True
When are backboard indicated? - ans -extrication/patient movement
Even if a patient indicates they wish to receive life-rescusitating treatment, the
DNR/POLST Order or Identification shall be honored - ans -False
The St. Rose Siena catchment area is for all trauma calls that meet Step 3 or in the
provider's judgment meet Step 4 of the Trauma Field Triage Criteria Protocol and
occur within the City of Henderson or the geographical area bordered by
Interstate 15 to the west and Sunset road to the north, and the county line to the
east, are to be transported to St. Rose Dominican Hospital - Siena Campus and the
medical directions for the treatment of the patient must originate at that center -
ans -True
