SNHD Protocol Test Review Exams 2024- 2025 Emergency Medicine, Exams of Nursing

Download SNHD Protocol Test Review Exams 2024- 2025 Emergency Medicine and more Exams Nursing in PDF only on Docsity!

SNHD Protocol Test Review Exams 2024- 2025 Emergency Medicine

SNHD Protocol Test Review Exams 2024- 2025 Emergency Medicine Sexual assault victims less than 13 years of age shall be transported to what hospital? - CORRECT ANSWER Sunrise Hospital eR-Elovaled Body Temperature Cool, moist skin Weakness Anxious tachypnea 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 s.- CORRECT ANSWER -Truc the protoc When is cervical stabilization not performed? - € CT ANSWER-* Pencirating lrauma 10 the head and/or neck with no evidence of spinal injury * Injuries where placement of the collar might compromise patien| assessment, airway management, ventilation and/or hemorrhage control *Pationis in cardiac arrest What protocols must be followed in the specific scquence nocd? - CORRECT | General assessment How much does the head represent in a child patient in the rule of 9s - CORRECT. ANSWER - 18% During childbirth, ifa limb presents, how should the mother be placed? - Left lateral recumbent position How deep are compressions in the infant victim? - Sexual assaults victims between the ages of 13 and 18 can be transported to what hospital? - CORRECT ANSWER Sunrise Hospital UMC Hospital Patients with a possible spinal injury found in motor vchiclos should not be asked if they are able to exit the motor vehicle on their own - C ANSWER -Palse Which of the following are contraindications for a traction splint? - CORRECT ANSWER- *Pelvic fracture or instability *Kneo, lower leg, or ankle instability Which of the following are considered obvious signs of death? - ¢ decomposition *Decapitation *TIncineration *Transaction of thorax Which of the following constitute an approved SNHD DNR? - CORRECT ANSWER -*Form For a suspected narcotic overdose, how much Naloxone can be administered intranasally? - CORRECT ANSWER -2-4mg Orthopedic devices cannot be left in place during interfacility transfer. - False What level trauma center is UMC? - Tf cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive with no pulse, begin Continuous Cardiac Compressions (CCC). - CORRECT ANSWER -True Sexual assault victims that are more than a 50 mile radius from UMC or Sunrise hospital must be transported to UMC or Sunrise Hospital- CORRECT ANSWER -False Transport the patient to the nearest appropriate facility How many proximal long bone fractures places a patient in Step 2 of the Trauma Field Triage Criteria? - 2 How much does one arm represent in an adult patient in the Rule of $s?- CORRECT ANSWER- 9% A patient with burns that involve the face, hands, feet, genitalia, perineum, or major joints meets criteria to be transported to a burn center. At what temperature does sweating generally disappear? - CORRECT. ANSWER -104 F When notifying the staff of an approved alcohol or drug abuse facility, contact should be made via a recorded phone patch through the FAO at 702-382-9007 - CORRECT. ANSWER -True How far away should defibrillation pads be placed from a pacemaker or pulse generator? - ANSWER -1 inch What is the purpose of the protocol manual? - -Provide guidance to all prehospital care providers and emergency department physicians within the Clark County EMS System. How long can Postpartum Eclampsia/Pre-Eclampsia present after childbirth? - CORRECT What level trauma center is UMC? - Ci xual assaults viclims belween the ages of 13 and 18 can be transported to whal hospilal? - 2g unrise UMC When transporting a paticnt lo a rcmotr outpatient emergency department, tclometry contact does not have to be made - CORRECT ANSWER -False How much does a leg represent in a pediatric patient in the rule of 9s?- CORRECT ANSWER- 14 What are appropriate triage methodologies that can be used when patients exceed available resources? - CORR. tR-START *Anxious tachypnea A patient may be placed in an Emergency Room waiting if which of the following criteria are met? - CORRECT ANSWER -*Did not r ive any parenteral medications during EMS transport except a single dose of a narcotic and/or an anti-emetic. *In the judgment of the Paramedic/EMT-P, does not require continuous cardiac monitoring. *Is left with a verbal report to hospital personnel. *Can maintain a sitting position without adverse impact on their medical condition. *Normal vital signs. How muuch intrusion needs to be present on any other site of the vehicle to be considered for the ria? - CORRECT ANSWER-18 Trauma Triage Field Crit: If there is any question regarding patient viability, to include potential hypothermia, True resculialion will be initiated Ifa telemetry physician’s order cannot be carried out, what must occur? - CORRECT ANSWER -*Indicate on the prehospital care record the reason why the order could not be carried oul. * The provider must immediately notify the OEMSTS. *Indicate on the prehospital care record the time of the order *Tho provider mnsl immediately notify the Lelemetry physician as Lo the reason Lhe order cannot be carried out. *Indicate on the prehospital care record what was ordered. For a palicnt to be transported to an approved alcohol and drug abuse facility, lhe respiratory AN: R-12-20 rate must be between what range? What is the definition of a patient? - CORRECT ANSWER -*An individual that has contact with the EMS system *A complaint or mechanism suggestive of potential illness or injury *Obvious evidence of illness or iniury *An individual or informed 2nd/3rd party caller requests evaluation for potential illness or injury Which of the following are associated with a grand mal seizure? - of consciousness *TIncontinence *Oral trauma What is status epilepticus? - CORRECT ANSWER -*T wo or more seizures successively without an intervening lucid period *Soizure lasing over 5 mimules How much docs the groin represent in an adult patient in the Rule of 9s? -1% 2 During cardiac arrest, how often are pulse checks performed? - CORRECT ANSWER -Eve minules Ifa pationt requires manual ventilatory assistance, Lhcn how many altondants should attend Lo the patient? - CORRECT ANSWER -2 Ifa drowning victim has foam in the airway, the foam should be suctioned out initially. - CORRECT ANSWER False REC. ISWER -Hypoxemia How fast does a vehicle need to be traveling immediately before a collision ta be considered for NSWER 40MPH The Systolic BP Calculation of (Age In Years x 2)/70 can be used in patients up to what age? - ANSWER-10 Adul. pads may be used on children weighing more than how much? - CORRECT ANSWER - like Who should be present for patients requiring mechanical ventilation? - CORRECT ANSWER - Trained personnel authorized to operate the equipment Patients sustaining burn injuries shall be transported in accordance with what protocol - -Burn protocol How much does the posterior torso represent in an adult patient in the Rule of Ss?- CORRECT. ANSWER -18% At what intervals is an APGAR score recorded? - CORRECT ANSWER -*1 minute after birth *5 minutes after birth All patients with absent vital signs who do not have conclusive signs of death shall be treated with liferesuscitating measures unless EMS personnel are presented with a valid Do-Not- Resuscitate (DNR)/Physician Order for Life-Sustaining Treatment (POLST) Identification/Order. - CORRECT ANSWER -True Aremote outpatient emergency department can treat obstetric patients under how many weeks gestation? - CORRECT ANSWER-20 wecks How much does an arm represent in a pediatric patient in the rule of $s? - CORRECT ANSWER 4 A patient may be placed in the ER waiting room if their heart rate is between what range? - CORRECT ANSWER -60 - 100 Hospilals thal. have declared inicmal disaster should be bypassed, execpt Lor palionts presenting with what condition(s)? - CORRECT ANSWER -* Inability to ventilate °: * Cardiac arrest How should an EMT initiate Target Temperature Management after ROSC? - CORRECT Faxed, copied, or electronic versions of the DNR identification/POLST are not legal and valid - CORRECT ANSWER False *As indicated per protocol Which of the following describes heat cramps? - { *Normal to elevated body temperature *Weakness *Muscle cramping A patient who meets step 2 of the Trauma Triage Field Criteria, must be transported to what level trauma center - COR! *Level 2 A patient with a diastolic blood pressure between what range may be placed in an ER waiting room - CORRECT ANSWER -60-100 The administration of nitroglycerin is contraindicated for any palicnl who has used ercetile dysfunction medications within the last 24 hours - CORRECT ANSWER -false How much does the front represent in a pediatric patient in the rule of 9s- CORRECT A 8 A psychiatric patient withoul. a potentially life threatcning illness may be transported Lo a Remote Outpatient Emergency Department. - CORRECT ANSWER false When are pediatric protocols to be used? - ¢ On children who have not yet experienced puberty A DNR or POLST order shall be validated by confirming the patient's - CORR! *Age *Condition of identification form *Name How much does an arm represent in a pediatric patient in the rule of $s?- CORRECT ANSWER § For a suspected traumatic brain injury, how far should the head be elevated? - CORREC Which of the following should be performed for a patient with hyperthermia? - CORRECT *Passive cooling measures *remove from environment *romove light clothing *temperature measurement Chemical bums meets criteria to be transported to a burn center. - CORRECT ANSWER-True A fall greater than how many feet places the pediatric patient into Step 3 of the Trauma Field Triage Criteria - CORRE: When rescucilation has been terminated in the field, what should happen to all medical devices? - CORRECT ANSWER -left in place Define severe hypothermia. - CORRECT ANSWER-< 82F A body can be moved without the coroners permission - CORRECT , VER -False What is often associated with submersion incidents? - CORRECT ANSWER -Hypothermia Electrical burns, incliding lightning injuries mocls criteria Lo be transported to a burn center - ANSWER -True Telephone contact may only be used if the call is recorded via a phone patch through the FAO at 702-382-8000 - C ISWER-False What is the goal of the protocol manual? - CORRECT ANSWER -Standardize prehospital care in Clark County. What should SPO2 be maintained at for patients on home oxygen or with chronic conditions? - 90% Palicnts must have suspected OR clectrocardiographic findings consislont with hyperkalemia (bradycardia with widening QRS complexes) BEFORE initiating treatment. - ANSWER-True Patients who have been exposed to carbon monoxide should be transported to what type of ANSWER -Hyperbaric Chamber Deep suctioning is recommended during neonatal rescuitation. - CORRECT ANSWER False A body can be moved without the coroners permission - CORRECT ANSWER -False STEMIs, strokes, or a patient with acute coronary syndrome may be transported to a remote outpatient emergency department. - CORRECT ANSWER -False What are possible causes of Obstructive Shock - ¢1 *Pericardial Tamponade *Pulmonary Embolus *Tension Pneumothorax Which of the following hospitals are approved pediatric centers - CORRECT. ANSWER. Rose St. ona, Summerlin Hospital *Sunrise Hospital *Universily Medical Center Carefully monitor palicnts as you treat them; slable tachycardia may convert to unslable rhythms/conditions quickly True Telemetry contact shall be established in which of the following situations - CORRECT. ANSWER -* All Code 3 (cmcrgeney) Wansporis *For all trauma patients going to a trauma center *When telemetry is required per protocol Which of the following is considered supportive care? - CORRECT ANSWER-*Suction the airway *Administer oxygen *Position of comfort *Splint *Control bleeding, *Pain medication (ALS only} *Emotional support *Contact hospice, home health, attending physician, or hospital as appropriate *Be attentive of any actions the patient may take to revoke his authorization to withhold life- resuscitating treatment Licensed EMS personnel are not obligated to continue rescucitation efforts that have been started by other persons at the scene if the patient meets the criteria in the Prehospital Death Delermination protocol - When can lelephone contact Lo a receiving facility be used - rouled via a recorded phone patch through the Fire Alarm Office How many sides should be secured on an occlusive dressing? - If cardiac arrest is witnessed by EMS or CPR in progress and patient is unresponsive with no ons and two ventilations - CORRECT ANSWER-False pulse, begin CPR at 30 compress What type of palicnts should ambulance alucndants wranslor? - CORRECT ANSWER -Only those whose therapy required during transfer lies within the ambulance attendant’s capabilities A patient may be placed in the ER waiting room if their respiratory rate is between what range? - CORRECT ANSWER -10-20 A patient with a diastolic blood pressure between what range may be placed in an ER waiting room? - CORRECT ANSWER -60-100 What is considered a hypertensive patient in the setting of Pulmonary Edema/CHF? - CORRECT ANSWER Diastolic BP > 100 mmHg A patient may be placed in the ER waiting room if their diastolic blood pressure is between what range? - CORRECT. ANSWER -60-100 A patient care report will be completed for each incident/patient encounter. - C ANSWER-True he amniotic sac is not already broken - Whal should happen to orogastric or nasogastric tubes during transfer? *Left in place *Closed off *Set to suction Choose all that apply to describe the S.AF.E.R. model. - CORRECT ANSWER -*Stabilize the situation by containing and lowering the stimuli.