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SNHD Protocols Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TE, Exams of Nursing

Chapman UniversityNursing

SNHD Protocols Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS|ALREADY A GRADED|GUARANTEED PASS|LATEST UPDATE 2025

Typology: Exams

2024/2025

Available from 07/10/2025

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SNHD Protocols Exam QUESTIONS AND CORRECT
ANSWERS| ACCURATE REAL EXAM WITH
FREQUENTLY TESTED QUESTIONS|ALREADY A
GRADED|GUARANTEED PASS|LATEST UPDATE 2025
what is the proper procedure for performing chest compressions on a pregnant woman?
answers manual compression with manual displacement of the uterus to the left is
recommended
what is the dose of nitroglycerin to be administered for chest pain? answers 0.4 mg
SL (EMT may assist with pt's own) , may repeat q5 min, x2 (can only be given 3 doses)
what time frame must be considered when administering nitroglycerine in a patient who has
taken erectile dysfunction medications? answers 48 hrs
what steps are to be taken to perform a normal delivery? answers - puncture
amniotic sac if not already
- deliver and support the head, check for nuchal cord
- suction mouth then nose, multiple times if meconium is present
- deliver upper then lower shoulder
- deliver the remainder of the baby
- clam and cut the umbilical cord
-deliver the placenta
- repeat all steps if there are multiple births
what is the treatment of a delivery with a limb presentation? answers place parent
in left lateral recumbent position
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Download SNHD Protocols Exam QUESTIONS AND CORRECT ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TE and more Exams Nursing in PDF only on Docsity!

SNHD Protocols Exam QUESTIONS AND CORRECT

ANSWERS| ACCURATE REAL EXAM WITH

FREQUENTLY TESTED QUESTIONS|ALREADY A

GRADED|GUARANTEED PASS|LATEST UPDATE 2025

what is the proper procedure for performing chest compressions on a pregnant woman? answers manual compression with manual displacement of the uterus to the left is recommended what is the dose of nitroglycerin to be administered for chest pain? answers 0.4 mg SL (EMT may assist with pt's own) , may repeat q5 min, x2 (can only be given 3 doses) what time frame must be considered when administering nitroglycerine in a patient who has taken erectile dysfunction medications? answers 48 hrs what steps are to be taken to perform a normal delivery? answers - puncture amniotic sac if not already

  • deliver and support the head, check for nuchal cord
  • suction mouth then nose, multiple times if meconium is present
  • deliver upper then lower shoulder
  • deliver the remainder of the baby
  • clam and cut the umbilical cord
  • deliver the placenta
  • repeat all steps if there are multiple births what is the treatment of a delivery with a limb presentation? answers place parent in left lateral recumbent position

what is the treatment of a delivery with a breech presentation? answers supporting the body of the baby while supporting the head what is the treatment of a delivery with a cord presentation? answers - position patient in trendelenburg and slightly on left side

  • obtain and document cord pulse
  • wrap cord and keep it moist
  • insert gloved hand to lift baby off cord what patient demographic is the most susceptible to cold related illnesses? answers very young and old where are hot packs to be applied on the patient? answers armpit and groin, but not directly on the skin what is the general wound care for a cold related illness? answers - do not rub the skin to warm
  • do not allow refreezing list the temperatures ranges for hypothermia answers - mild 90-95 degrees F
  • moderate 82-90 degrees F
  • severe < 82 a drowning victim was pulled from a body of water and the patient has copious amounts of foamy sputum coming from the mouth. What is the next best course of action? answers initiate bag through foam, do not suction immediately

what is the fluid regimen for a patient with heat cramps? answers PO fluids as tolerated what rule should be followed when applying cold packs to a patient experiencing a heat related illness? answers do not place the cold pack directly onto the skin who is the most susceptible to heat related illnesses answers the very young and very old what are the signs of heat cramps answers - muscle cramping caused by dehydration

  • not associated with an elevated body temperature what are the signs of heat exhaustion? answers - cramping, dehydration, headache, dizziness, AMS, N/V
  • tachycardia, hypotension, elevated body temperature what are the signs of heat stroke? answers tachycardia, hypotension, hot and dry skin, body temperature >104 degrees F, AMS/ coma list some other signs and symptoms patients may experience with hyperkalemia answers - cardiac conduction disturbances
  • irritability
  • abdominal distension
  • nausea
  • diarrhea
  • oliguria
  • weakness

list the differential diagnoses for a patient with hyperkalemia answers - cardiac disease

  • renal failure
  • dialysis
  • trauma list the signs and symptoms of a patient with eclampsia or pre-eclampsia answers - vaginal bleeding
  • abdominal pain
  • seizures
  • hypertension
  • severe headache
  • vision changes
  • edema of the hands or face
  • oliguria hypertension in pregnancy is defined as: answers - SBP >140 mmHg or DBP

90mmHg OR

  • SBP increase of 30 mmHg and DBP increase of 20 mmHg from her normal pre pregnancy blood pressure what is the best position to transport a pregnant female? answers left lateral position which pregnant patients should be seen by a physician? answers All pregnant females should be transported to be evaluated by a physician

what signs and symptoms should you be aware of with a smoke inhalation patient? answers - grunting expirations

  • singed nasal/facial hair
  • stridor what treatments do you provide for smoke inhalation? answers - oxygen at 15 LPM via NRB, ventilate via BVM if needed
  • NS bolus what hospitals have a burn center? answers - sunrise and UMC how much aspirin should be administered for a suspected STEMI answers 324mg PO how much nitroglycerin should be administered? answers 0.4 mg SL, which can be repeated 2x
  • may assist with patients own total of 3x which patients should we have a high index of suspicion for a STEMI? answers females, diabetics, and geriatric patients with atypical pain what is a vital sign you must obtain to rule out a stroke? answers BGL (60-400) what on scene information is important to obtain? answers - last known normal (onset)
  • witness with phone number

what should the limitation be for your on scene time? answers 10 min why is a RACE score important? answers a RACE score > 5 indicated the patient may be having an ischemic stroke with LVO (large vessel occlusion) which facilities are stroke centers? answers all except North Vista which hospitals have NIR (near infrared radiation) capabilities? answers centennial hills, henderson, spring valley, st rose sienna, sunrise, UMC, valley what makes a tachycardic patient stable? answers normal mental status, palpable radial pulse what makes a tachycardic patient unstable? answers mental status changes, no palpable radial pulse what oxygen saturation percentage is to be maintained? answers > 94% or >90% for patients on home oxygen what basic maneuvers should be utilized in order to ensure proper ventilation? answers - chin lift/jaw thrust, NPA or OPS and suctioning as needed what is a secure airway? answers when the patient is receiving proper oxygenation and ventilation

what is your drug regimen for this patient? answers - epinephrine 1:1000 0. mg/kg IM

  • diphenhydramine 1 mg/kg IM/IV
  • albuterol 2.5 mg SVN at what blood glucose level should EMS administer glucose? answers - < 60 mg/dl
  • < 40 mg/dl what forms of glucose are available and what are their doses? answers - oral glucose 15 g (if patent airway)
  • D10 5 ml/kg, max single does 25 g
  • glucagon 0.5 mg (<20 kg) or 1 mg (>20kg) what age group is this protocol specified for? ( pediatric behavioral emergency) answers pediatric patients <12 yo what medical emergency could be the catalyst for a behavioral emergency? answers - hypoxia
  • intoxication /overdose
  • hypoglycemia/ electrolytes
  • head injury
  • postictal state what is the most common cause of bradycardia in pediatric patients? answers hypoxia

what is the most important treatment for a child who is bradycardic? answers oxygenation and ventilation at what age range should CPR be performed on a pediatric patient whose HR is <60? answers less than 8 years old what patients are to be transported to a burn center? answers - second degree burns >10% BSA

  • ANY third degree burns
  • burns involving the face, head, feet, genitalia, perineum or joints
  • electrical, chemical, inhalation, and circumferential burns what kind of dressing is to be utilized on a burn? answers dry sterile dressing what is crucial in patients who had electrical exposures? answers identifying an entrance and exit wound what are the rule of 9s for a pediatric patient? answers head: 18 chest: 18 back: 18 legs: 14 (each) arms: 9 (each) what percentage of oxygen should a patient receive? answers greater than 94% when do you provide telemetry? answers for all trauma and code 3 returns; the need for a physician orders; per protocol

what is the first line medication with a patient who is experiencing airway and breathing difficulties in the presence of anaphylaxis? answers epinephrine 1:1,000 0.5 mg via IM (max 1.5 mg)

  • you may also administer the patients own auto injector what other assessment should be performed on a patient who is experiencing an altered mental status/syncope? answers neurologic exam paying attention to the head for signs of injury when is it appropriate to administer oral glucose? answers if the patient can maintain their airway an adult who is experiencing a behavioral emergency without excited delirium and is not a threat to him/herself or others requires what type of restraints? answers this person does not require restraints what patient demographic is the most likely to experience an excited delirium? answers male subjects with a history of serious mental illness and/or acute or chronic drug abuse, particularly stimulants what can cause excited delirium to be life threatening? answers if there is prolonged physical restraining or TASERs are utilized describe each component of the S A F E R model answers - S stabilize the situation by containing and lowering the stimuli
  • A assess and acknowledge the crisis
  • F facilitate the identification and activation of resources (chaplain, family, friends, or police)
  • E encourage patient to use resources and take actions in his/her best interest
  • R recovery or referral: leave patient in care of responsible person or professional, or transport to appropriate facility what is a dystonic reaction, and how is it treated? answers - involuntary muscle spasms of the face, neck, and upper extremities
  • benadryl 50 mg IM/IV/IO what is the most common cause of bradycardia? answers hypoxemia (low oxygen levels in your blood) ; be sure to oxygenate the patient and provide ventilatory support as needed when is bradycardia to be treated? answers when the patient is symptomatic what are the steps in the treatment of a thermal exposure? answers stop the burning process with water or saline, remove smoldering clothing and jewelry, do not remove STUCK clothing how is a potential CO exposure treated? answers with 100% oxygen and preferably to a facility with a hyperbaric chamber which patients are to be transported to the burn center with second degree burns? answers patients with >10%BSA which patients are to be transported to the burn center with third degree burn? answers all patients with third degree burns regardless of BSA involvement what is the treatment for a patient when EMS witnessed the cardiac arrest? answers immediately begin chest compressions, place patient on AED and analyze the heart rhythm to determine the need for defibrillation as soon as possible