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TPATC & CFRN Review 2026–2027 – Practice Questions, Answers & Complete Exam Prep Study Guide

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Prepare for the TPATC and CFRN exams with a comprehensive 2026–2027 review resource featuring practice questions, answers, explanations, and focused exam preparation. Topics can cover advanced trauma care, transport medicine, flight nursing, critical care, patient assessment, transport physiology, airway management, shock, burns, and other high-acuity transport concepts. TPATC is specifically designed for air and ground critical care transport clinicians, while CFRN is a BCEN specialty certification for flight nursing.

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TPATC & CFRN Review 2026–2027 – Practice
Questions, Answers & Complete Exam Prep
1. A team is called to transport a man who was found unconscious in a shed
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onhisfarm.Hishandsshowburnscharacteristic offrostbite,hisclothing
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is saturated with an acrid-smelling liquid, and there is evidence of redness and
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blistering where his clothes are wet. The nurse should suspect exposure to:
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AnhydrousAmmonia
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2. Slow Decompression: Slow decompression, also known as gradual or subtle decompression, is a gradual
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decrease in cabin pressure that can occur over a long period of time. It can be diflcult to notice before warning devices
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activate or oxygen masks fall. Slow decompression can be caused by:
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Afaultydoorseal
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A malfunctioning pressurization system A
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cracked window
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A leak in the aircraft pressure vessel A
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malfunctioning outflow valve
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A reduction in cabin air inflow due to a malfunctioning compressor A
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failure to cabin pressurization as an aircraft climbs to altitude
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3. Which of the following should be done during slow decompression?: Thebiggest h h h h h h h h h h h




concern with a slowdecompressionisinsidious onsetofhypoxia. Usingsupplemental oxygenis the mostimportant action
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totake.
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4. Epidural hematomas: classicallypresentwithbriefperiodsoflucidnesswithsuddenchangesinrespon-
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siveness.
5. In the setting of septic shock, if the lactate level does not decrease by at least 10%
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despite fluid resuscitation and vasopressor administration,: thenapositive inotropic
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agentshouldbeadded.
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6. Positive inotropes: canhelpwhenyourheartcan'tgetenoughbloodtoyourbodybecauseitistooweak to pump the
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amount of blood your body needs.
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7. How do positive inotropes work?: Positive inotropes make your heart musclecontractions stronger, raising
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your cardiac output to a normal level and increasing the amount of blood your heart can pump out.
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8. Dopamine: During resuscitation, treatment with dopamine is usually reserved for hypotension that occurs withh h h h h h h h h h h h h




symptomatic bradycardia or after ROSC. Dopamine in combination with other agents, including dobutamine, remains an
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option in the management of postresuscitation shock.
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9. Dobutamine (Dobutrex): *class*:beta-adrenergicagonist,inotropic h h h h h




1/ 4
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