26-1 EMS Protocol Practice Test

These questions are part of the practice quiz. Start practicing

• For a patient exhibiting mod/severe signs and symptoms of CHF/pulmonary edema with a systolic BP of 188/90, what is the correct nitroglycerin dose?
• What is the age range for BRUE?
• What is the adult dose for atropine for bradycardia?
• After hemorrhage control measures, what is the recommended reassessment focus?
• What is the D10 bolus volume for hypoglycemia in a pediatric patient?
• Warfarin, Eliquis, Pradaxa, Plavix, and Xarelto are all examples of what?
• Which method is used in the field to determine blood glucose when differentiating hypoglycemia from diabetic ketoacidosis?
• Which scale is used to assess mental status during the primary assessment?
• Regarding postpartum TXA usage, which statement is supported?
• After potential bloodborne pathogen exposure, which action should EMS perform first?
• If a conscious patient has a partial airway obstruction and cannot breathe or speak, what is the recommended initial action?
• Which option is NOT a listed SRMC specialty service?
• What is the intramuscular midazolam dose for adult seizures?
• If a pediatric patient in respiratory arrest shows HR <60 with signs of poor perfusion despite BVM ventilations, what should be done?
• In EMS documentation, which statement correctly distinguishes subjective and objective data?
• For suspected heat stroke in the field, what is the immediate priority?
• In the field, which action helps prevent hypothermia during initial neonatal care?
• What pediatric assessment tools are used during the pediatric primary assessment?
• Epi is likely beneficial in traumatic pulseless arrest?
• Activated charcoal is contraindicated in known caustic ingestion cases.
• In suspected poisoning with minimal symptoms, which action should be prioritized initially in the field?
• What energy is used to cardiovert Wide Regular rhythms (MVT)?
• What is the first dose for pediatric SVT?
• Which statement about activated charcoal administration is correct?
• Under what conditions should aspirin be given for suspected ACS in the field?
• Which of the following best describes the initial step in EMS primary assessment?
• What criteria define a suspected stroke requiring rapid transport and stroke activation?
• What is the concentration used for push-dose epinephrine in ROSC?
• Common nitroglycerin administration criteria in the field?
• During an imminent delivery, which action should be avoided?
• What does the FAST acronym stand for in stroke assessment?
• SRMC provides which specialty services?
• Which route is used for amiodarone dosing in pediatric cardiac arrest?
• What are essential steps in managing suspected hypothermia?
• What is the recommended fluid bolus for pediatric patients in respiratory arrest?
• What information is essential for a patient handoff to hospital staff?
• Ketorolac can be administered via which routes in pediatric dosing?
• What is the pediatric dose of Ketorolac for pain management?
• IV access must be established prior to nitroglycerin administration for inferior myocardial infarction. This statement is:
• Which statement best differentiates hypoglycemia from diabetic ketoacidosis in the field?
• When should a field advanced airway be considered?
• What is the maximum single dose of epinephrine (1:1000) for adult anaphylaxis?
• How many sepsis criteria indicate a high index of suspicion for sepsis?
• When should immobilization be reassessed or removed during transport?
• How should CPR be adjusted for a pregnant patient in cardiac arrest?
• Which set of findings best describes the Pediatric Assessment Triangle components used in the field?
• During external defibrillation for a patient with an implanted ICD, where should defibrillator pads be placed?
• Acetaminophen drip is administered over how many minutes?
• Which list contains only erectile dysfunction medications?
• CPAP is contraindicated for patients younger than what age?
• In suspected acetaminophen overdose, which step represents appropriate initial field management?
• Which statement best describes Sildenafil, Tadalafil, Vardenafil, and Alprostadil?
• When a patient refuses EMS care, which elements should the documentation include?
• Base contact must be made when attempting to pace, cardiovert or administer Adenosine in pts < 15 y/o?
• At what value do we treat hypoglycemia?
• Which medication is indicated if the patient with chest discomfort has persistent symptoms after one or more doses of NTG?
• Why is immobilization (c-spine) used in trauma patients?
• What is the maximum single dose of Ketorolac for pediatric patients?
• Which pair of drugs share the same IV/IO dosing range of 15-30 mg for adult pain management?
• Which amiodarone dosing option lists the correct protocol for adult cardiac arrest?
• When is oral glucose indicated in the field?
• Ketorolac shall NOT be administered for pain management to patients over what age?
• Which of the following actions is part of standard post-exposure follow-up after a potential bloodborne pathogen exposure?
• What energy is used to cardiovert Narrow Regular rhythms (SVT/A flutter)?
• What is the D10 dose for pediatric hypoglycemia?
• What is the dose of D10 for treating hypoglycemia in altered mental status?
• How often can nitro be administered for a patient with CHF?
• Which therapy is commonly used for pediatric stridor according to these protocols?
• Narcan dose is specified for which patient population?
• In mass casualty incidents, what is a primary START triage criterion?
• Which sign indicates a compromised airway requiring immediate intervention?
• Sodium bicarbonate is indicated for a TCA overdose when which symptoms are present?
• True or False: CPAP is contraindicated for a patient with systolic blood pressure less than 90.
• In field management of congestive heart failure, what is typical?
• Fentanyl dosing should be adjusted for age, with a reduced dose for patients over 65 years.
• What is the maximum total fentanyl dose listed for severe pain management?
• Which signs suggest imminent childbirth in the field?
• For moderate to severe signs and symptoms of CHF/Pulmonary edema with a SBP greater than 200, what is the nitro dose?
• Which agent is given as a second treatment for pediatric hypoglycemia when D10 alone is insufficient?
• What is the amiodarone dose for pediatric cardiac arrest?
• What is the IM or IN dose of midazolam for pediatric seizure management?
• What is the acetaminophen dose for adult pain management?
• Which of the following is NOT a sign of severe respiratory distress?
• Direct oral anticoagulants (DOACs) include which medication?
• What is the Narcan dose for pediatric overdose?
• What is the initial dose of Epinephrine for pediatric pulseless arrest?
• Which statement about the AVPU scale is true?
• 12 lead EKG must be obtained prior to nitroglycerin administration. This statement is:
• Which of the following is NOT a DOAC?
• What are the initial steps in managing an imminent delivery in the field?
• For burns greater than 9% TBSA that are second or third degree, a fluid bolus is indicated.
• Why is the onset time of stroke symptoms critical in EMS?
• In protocol N3, new onset of altered level of consciousness (GCS <14) with unidentified etiology should raise suspicion for which condition?
• What is the purpose of a SOAP note in EMS documentation?
• What is the IM epinephrine dose for pediatric anaphylaxis (max per dose)?
• Activated charcoal should be used for known caustic ingestions.
• What signs in pregnancy require immediate consideration for preeclampsia/eclampsia?
• When is bag-valve-mask ventilation indicated in the field?
• Which SRMC facility is included in their specialty services?
• BRUE stands for Brief Resolved Unexplained Event and applies to which age group?
• What is the maximum IM dose of Epinephrine (1:1000) allowed for pediatric patients?
• What is the Benadryl dose for an adult with an allergic reaction?
• Which statement about activated charcoal administration is correct?
• What PPE considerations are central for potential infectious diseases in EMS?
• In trauma patients, fentanyl dosing is not adjusted for age.
• What is the initial amiodarone dose for adult cardiac arrest?
• What are hallmark signs of hypovolemic shock in the field?
• What are the two treatments we utilize for hypoglycemia?
• What is the maximum single dose of epinephrine (1:1000) for pediatric anaphylaxis per administration?
• Which medication is associated with a standard 50 mg intramuscular dose for allergic reactions?
• Which technique is core for de-escalating an agitated patient in the field?
• What is a common alternative route when IV access is not readily obtainable for medications?
• What is the purpose of the Broselow tape in pediatric EMS practice?
• Which of the following is NOT one of the four sepsis criteria?
• In pediatric pulseless arrest, the initial epinephrine dose is 0.01 mg/kg.
• Oropharyngeal airway is indicated for which scenario?
• What is the maximum total dose of atropine for adult bradycardia?
• What is the Benadryl dose for pediatric allergic reaction?
• Which medication-dose pairing is correctly matched for an adult patient?
• What SpO2 range should generally be targeted in adult respiratory distress per protocol?
• Which routes are used for midazolam dosing in pediatric seizure management?
• Pediatric patients in SSV are ages what maximum?
• Death may be terminated following penetrating trauma if the monitor shows asystole or PEA less than 40?
• Acetaminophen drip is administered over how many minutes?
• In penetrating trauma, terminating resuscitation when the monitor shows asystole or PEA below 40 is:
• In ROSC, how should push-dose epinephrine be prepared?
• Viagra, Cialis, Levitra and alprostadil are examples of which category?
• Which condition should NOT be treated with Zofran without base/ modified base consultation?
• In adult CPR, what is the recommended compression-to-ventilation ratio for a single rescuer?
• In protocol N3, new onset ALOC is defined as GCS less than what value?
• What is the fentanyl dose for pediatric pain management?
• In suspected poisoning, which step helps guide treatment by providing contextual information?
• Which route is commonly used as an alternative when IV access is difficult to obtain?
• BRUE events are a concern in which age group?
• Which drug is dosed as 2 g IV/IO in 10 mL NS over 2 minutes in torsades de pointes?
• Which statement defines status epilepticus?
• What concentration is used for Epinephrine IM dosing in these pediatric guidelines?
• Which on-scene time is recommended for suspected stroke patients?
• What is the first step in the EMS Primary Assessment?
• What is the dose and route for magnesium sulfate when treating torsades de pointes in cardiac arrest?
• Which scenario would indicate aspirin administration is contraindicated for suspected ACS?
• Which technique can help de-escalate a behavioral emergency?
• Which airway technique is preferred when cervical spine injury is suspected?
• Discontinue acetaminophen infusion for pain management if systolic blood pressure drops below which value?
• What observation guides naloxone administration in suspected opioid overdose?
• Which of the following is one of the three criteria used to identify a stroke?
• What glucose value commonly defines hypoglycemia needing treatment in the field?
• What is a critical step in hypothermia management to prevent arrhythmias?
• In stroke, what action should EMS take regarding transport and protocol activation?
• In a suspected narcotic overdose, naloxone is indicated if the respiratory rate falls below how many breaths per minute?
• What skill is performed as a last resort for full upper airway occlusion?
• For needle thoracostomy in suspected pneumothorax with absent or diminished lung sounds, the statement that both SBP < 90 mmHg and SpO2 < 94% must be present is true or false?
• What is the ketamine dose for adult pain management?
• What is the recommended sequence for hemorrhage control in a bleeding patient?
• How should ventilation be managed in a patient with known COPD?
• In EMS analgesia, what is the typical protocol for moderate to severe pain?
• Which of the following is a sepsis criterion in the M-6 protocol?
• In field management of congestive heart failure, which actions are recommended?
• What is the pediatric dose for Epinephrine in severe respiratory distress with wheezing?
• Which of the following is a basic element of initial neonatal resuscitation in the field?
• What energy is used to cardiovert Narrow Irregular rhythms (AFIB, MAT)?
• True or False: Nebulized Epinephrine is a base/modified base hospital contact for pediatric stridor?
• Adenosine dosing for SVT is which sequence?
• Fentanyl dosing should be adjusted for age, with reduced doses for patients over 65.
• What is the Narcan dose for adult narcotic overdose?
• What is the fentanyl dose range for mild to moderate pain management?
• What is the epinephrine dose for adult anaphylaxis?
• What dosing method is recommended for pediatric medications when needed?
• Which treatment is indicated for a TCA overdose with SBP <90, QRS >0.12 seconds, and seizures?
• How is pediatric medication dosing determined in EMS practice?
• What is the dose and route of Epinephrine for a 4 year-old (20 kg) patient with anaphylaxis?
• What is the acetaminophen dose for pediatric pain management?
• Which burns require a fluid bolus of 1000 mL NS for adults or 20 mL/kg for pediatrics?
• What is the recommended approach regarding restraints for agitated patients in EMS?
• Diphenhydramine may be administered for anaphylaxis in all routes except:
• In obstetric emergencies, when should you call for help?
• What is the ketorolac dose for adult pain management?
• Which route is used for Epinephrine dosing in pediatric anaphylaxis in these guidelines?
• If exposure to hazardous chemicals occurs during a call, which sequence of actions is appropriate?
• In START triage, which combination indicates an Immediate (red) category?
• In suspected poisoning with minimal symptoms, what is the guidance regarding inducing vomiting?
• Nitroglycerin should be withheld if SBP is below which threshold?
• In this protocol, what age defines pediatric when using SSV?
• When is a defibrillator indicated in cardiac arrest?
• Which medication should NOT be administered to a patient with active liver disease?
• What must be documented when a patient refuses treatment or transport?
• What is the maximum acetaminophen dose for a febrile pediatric patient?
• What is our dose and route for TXA?
• Is base contact required when giving TXA in severe post-partum hemorrhage?