TPATC ALL TEST PAPER ANSWERS AND QUESTIONS
SURE A+
✔✔The transport team is caring for a pediatric patient with suspected abdominal trauma
sustained in an accident involving 4 wheel, all terrain vehicles. Which is the most
appropriate next step for the provider to take while noting hemodynamic instability in the
patient following volume replacement? - ✔✔initiate a FAST assessment
✔✔A patient who sustained GSWs to the abdomen is intubated and connected to
continuous waveform capnography. Following departure from the scene, the patient's
vital signs are as follows:
BP 86/42
HR 40
The transport provider notes a 12-mmHg decrease in ETCO2, confirmed on waveform.
Which step will the transport provider take next? - ✔✔Assess for a carotid pulse
✔✔Which assessment finding reflects effective management of severe traumatic brain
injury? - ✔✔SBP >90 mmHg, with a CPP target >60-70 mmHg
✔✔In a prehospital setting, evidence indicates that when transport times are short, bag
mask ventilation in the pediatric population is associated with the following findings? -
✔✔Outcomes equivalent to those with endotracheal intubation
✔✔What signs and symptoms are most indicative of hypoperfusion in the septic
patient? - ✔✔Lactic acidosis, decreased urine output, altered mental status
✔✔Which type of burn injury has signs, symptoms, and classification similar to those of
frostbite injuries? - ✔✔Thermal
✔✔ Which of the following typically is a result of sleep debt? (Transport Physiology) -
✔✔Observable decrease in cognitive performance
, ✔✔Acute fatigue is commonly manifested by which of the following characteristics?
(Transport Physiology) - ✔✔Loss of accuracy and control
✔✔Which of the following gas laws explains why and ET cuff increases tracheal wall
pressure and ischemia during ascent to 8,000 feet mean sea level? (Transport
Physiology) - ✔✔Boyle's law
✔✔Which of the following sensory inputs is most reliable during flight? (Transport
Physiology) - ✔✔Visual perception of speed and direction
✔✔Which of the following features is most important in a successful safety program?
(Safety Policies) - ✔✔Attitude
✔✔Alcohol or dugs must not be consumed for at least how many hours before a shift
(Safety Policies) - ✔✔12
✔✔In the early afternoon or before bedtime, typical sleep latency, the time it takes to fall
asleep, usually ranges from? (Safety Policies) - ✔✔7-8 mins
✔✔Which of the following is addressed in the 2018 ASTNA position paper Transport
Nurse Safety in the Transport Environment? (Safety Policies) - ✔✔Creating healthy
work environements
✔✔Which of the following is considered the most common side effects of sleep inertia?
(Safety Policies) - ✔✔Slows speed of cognitive task performance
✔✔Which of the following is one of the four key elements of an appropriate transfer as
required by EMTALA? (Legal aspects of critical care) - ✔✔The sending facility provides
treatment within capacity to minimizer patient risk
✔✔Breach of confidentiality is an example of: (legal aspects of critical care) - ✔✔A
quasi-intentional tort
✔✔Delegated medical practice, interventions, and procedures administered by the
transport team are dictated by which of the following? (Legal aspects of critical care) -
✔✔off-line and on-line medical direction
✔✔In the pretrial phase of a lawsuit, information from which of the following patient care
discussions is most likely to be protected from discovery by the patient's attorney? (legal
aspects of critical care) - ✔✔Continuous quality improvement records
✔✔Tympanic membrane rupture can occur as a result of which of the following types of
blast injury? (disaster and mass-casualty incidents) - ✔✔Primary
SURE A+
✔✔The transport team is caring for a pediatric patient with suspected abdominal trauma
sustained in an accident involving 4 wheel, all terrain vehicles. Which is the most
appropriate next step for the provider to take while noting hemodynamic instability in the
patient following volume replacement? - ✔✔initiate a FAST assessment
✔✔A patient who sustained GSWs to the abdomen is intubated and connected to
continuous waveform capnography. Following departure from the scene, the patient's
vital signs are as follows:
BP 86/42
HR 40
The transport provider notes a 12-mmHg decrease in ETCO2, confirmed on waveform.
Which step will the transport provider take next? - ✔✔Assess for a carotid pulse
✔✔Which assessment finding reflects effective management of severe traumatic brain
injury? - ✔✔SBP >90 mmHg, with a CPP target >60-70 mmHg
✔✔In a prehospital setting, evidence indicates that when transport times are short, bag
mask ventilation in the pediatric population is associated with the following findings? -
✔✔Outcomes equivalent to those with endotracheal intubation
✔✔What signs and symptoms are most indicative of hypoperfusion in the septic
patient? - ✔✔Lactic acidosis, decreased urine output, altered mental status
✔✔Which type of burn injury has signs, symptoms, and classification similar to those of
frostbite injuries? - ✔✔Thermal
✔✔ Which of the following typically is a result of sleep debt? (Transport Physiology) -
✔✔Observable decrease in cognitive performance
, ✔✔Acute fatigue is commonly manifested by which of the following characteristics?
(Transport Physiology) - ✔✔Loss of accuracy and control
✔✔Which of the following gas laws explains why and ET cuff increases tracheal wall
pressure and ischemia during ascent to 8,000 feet mean sea level? (Transport
Physiology) - ✔✔Boyle's law
✔✔Which of the following sensory inputs is most reliable during flight? (Transport
Physiology) - ✔✔Visual perception of speed and direction
✔✔Which of the following features is most important in a successful safety program?
(Safety Policies) - ✔✔Attitude
✔✔Alcohol or dugs must not be consumed for at least how many hours before a shift
(Safety Policies) - ✔✔12
✔✔In the early afternoon or before bedtime, typical sleep latency, the time it takes to fall
asleep, usually ranges from? (Safety Policies) - ✔✔7-8 mins
✔✔Which of the following is addressed in the 2018 ASTNA position paper Transport
Nurse Safety in the Transport Environment? (Safety Policies) - ✔✔Creating healthy
work environements
✔✔Which of the following is considered the most common side effects of sleep inertia?
(Safety Policies) - ✔✔Slows speed of cognitive task performance
✔✔Which of the following is one of the four key elements of an appropriate transfer as
required by EMTALA? (Legal aspects of critical care) - ✔✔The sending facility provides
treatment within capacity to minimizer patient risk
✔✔Breach of confidentiality is an example of: (legal aspects of critical care) - ✔✔A
quasi-intentional tort
✔✔Delegated medical practice, interventions, and procedures administered by the
transport team are dictated by which of the following? (Legal aspects of critical care) -
✔✔off-line and on-line medical direction
✔✔In the pretrial phase of a lawsuit, information from which of the following patient care
discussions is most likely to be protected from discovery by the patient's attorney? (legal
aspects of critical care) - ✔✔Continuous quality improvement records
✔✔Tympanic membrane rupture can occur as a result of which of the following types of
blast injury? (disaster and mass-casualty incidents) - ✔✔Primary
