FLIGHT PARAMEDIC EXAM | NEWEST 2026/2027 ACTUAL EXAM |
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ ||BRAND NEW
VERSION!!
1)
The flight team is called to transport a patient diagnosed with pericarditis. It is reported that the
patient has sharp chest pain and a pleural friction rub. Upon initial assessment, the pulses are
diminished peripherally during inspiration, and return during exhalation. The most likely cause of this
is:
Aortic dissection
Pericardial effusion
Pulmonary embolism
Tension pneumothorax -
CORRECT|ANSWER
Pericardial effusion
Comments: A main complication of pericarditis is pericardial effusion. Typically pericarditis will
present without paradoxical pulses (decreased pulses on inspiration). Paradoxical pulses, in
conjunction with other supporting clinical signs like distended veins, muffled heart sounds, and
hypotension should make the flight nurse suspect pericardial effusion has developed.
_____Reference: ASTNA Patient Transport: Principles and Practice, 5th Ed. (2018), p. 310
2)
Specialized transport methods in an isolette are especially important for neonates because
isolettes provide specialized oxygen concentrations not available through traditional stretcher
transport.
neurodevelopmental complications can be caused by excessive vibration and noise.
traditional flight teams do not regularly interact with neonates.
specialty flight teams are covered by separate training and licensure that traditional flight teams do
not carry. -
,CORRECT|ANSWER
neurodevelopmental complications can be caused by excessive vibration and noise.
Comments: Infants that are exposed to excessive noise and vibration are at risk for negative
physiological responses, increased stress, and neurological damage. Isolettes alone do not provide
specialized oxygen concentrations or pressurization. Licensure and training play a role in the need for
a specialty team, but should not be a deciding factor for using an isolette. _____Reference: ASTNA
Patient Transport: Principles and Practice, 5th Ed. (2018), p. 485
3)
The team has arrived to transport a 5-year-old child who fell from a tree and has an open femur
fracture, head trauma and a broken wrist. The child also has a decreased level of consciousness. IV
access has been established by EMS and was tolerated without incident. Current vital signs are:
BP 90/45 mmHgHR 165 beats/minRR 45 breaths/minO2 sat: 100% on room air
The flight nurse should understand that:
femur fractures are common injuries in the pediatric patient because they are prone to accidents.
pediatric patients are likely to compensate longer than adults, and hypotension is a late indicator of
shock.
secondary IV access should be obtained since the child tolerated the first attempt without incident.
pediatric patients are less likely to remain tachycardic after adequate resuscitation. -
CORRECT|ANSWER
pediatric patients are likely to compensate longer than adults, and hypotension is a late indicator of
shock.
Comments: Pediatric patients have sustained catecholamine responses and are likely to compensate
longer than the adult population, however, when this response is depleted, they will rapidly
decompensate. IV access should be irritating to a 5-year-old patient, and the patient tolerating the
procedure should be considered as a sign of shock. Pediatric patients are more tachycardic at
baseline and tachycardia is not an adequate indicator of fluid status. Femur fractures are rare injuries
in children. _____Reference: ASTNA Patient Transport: Principles and Practice, 5th Ed. (2018), p. 533
,4)
The flight crew responds to the scene of a motor vehicle crash in which an unrestrained driver has
been extricated from the vehicle. The patient is tachycardic, has a shortened and externally rotated
leg, and is bleeding from the urethral meatus. The nurse suspects a
posterior hip dislocation.
pelvic fracture.
crushed femoral head.
kidney injury. -
CORRECT|ANSWER
pelvic fracture.
Comments: A pelvic fracture can cause severe blood loss, resulting in hypotension and tachycardia.
Assessment findings may include shortening of the affected leg, external rotation of the affected leg,
and bleeding from the urethral meatus. A crushed femoral head may include shortening and external
rotation of the affected leg; however, it is not likely to cause bleeding from the meatus. A posterior
hip dislocation will not cause bleeding at the urethral meatus. A kidney injury may cause hematuria,
but will not cause a shortened and externally rotated leg. _____Reference: Trauma Nursing Core
Course, 8th ed., p. 148-149
5)
The flight crew has arrived on scene to a mass shooting. Police on scene state that the shooter is not
yet in custody. The PRIORITY assessment the team should make before rendering aid to victims is
number of victims.
police availability and presence.
safety of the flight team.
additional needed supplies. -
CORRECT|ANSWER
safety of the flight team.
Comments: The safety of the flight team is the top priority for any disaster. The flight team cannot
render aid if they are not safe. The other items are important, but not the most important. Rescuers
should never be compromised in order to render aid. _____Reference: ASTNA Patient Transport:
Principles and Practice, 5th Ed. (2018), p. 45
, 6)
The nurse is called to transport a pediatric patient with seizures who is currently post-ictal. During
transport, the nurse observes him becoming confused, diaphoretic, and jittery. The nurse should
FIRST consider
applying soft restraints.
preparing to intubate.
administering lorazepam (Ativan) IV push.
checking the patient's blood glucose level. -
CORRECT|ANSWER
checking the patient's blood glucose level.
Comments: Checking the patient's blood glucose level is what the nurse should consider first.
Seizures can cause an increase in energy and burn glucose. Hypoglycemia can produce seizures in
pediatric patients. Preparing to intubate is too much for the symptoms as they are presented. Soft
restraints do not correct the issue of hypoglycemia. Administering lorazepam is not the first
consideration because the symptoms indicate hypoglycemia. _____Reference: ASTNA Patient
Transport: Principles and Practice, 5th Ed. (2018), p. 553
7)
The flight crew is called to transport a patient who fell from approximately 20 feet. The patient was
diagnosed with a subdural hematoma with a 5 mm shift. The patient is intubated and has the
following ventilator settings and vital signs:
Mode: SIMVFiO2 50%TV 350 mLRR 14 breaths/minPEEP 7
BP 195/90 mmHgHR 43 beats/minO2 sat 95%ETCO2: 40 mm Hg
The flight nurse's IMMEDIATE intervention should be to change the:
PEEP to 10 cm.
FiO2 to 100%.
tidal volume to 300 mL.
respiratory rate to 20 breaths/min. -
CORRECT|ANSWER
respiratory rate to 20 breaths/min.
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+ ||BRAND NEW
VERSION!!
1)
The flight team is called to transport a patient diagnosed with pericarditis. It is reported that the
patient has sharp chest pain and a pleural friction rub. Upon initial assessment, the pulses are
diminished peripherally during inspiration, and return during exhalation. The most likely cause of this
is:
Aortic dissection
Pericardial effusion
Pulmonary embolism
Tension pneumothorax -
CORRECT|ANSWER
Pericardial effusion
Comments: A main complication of pericarditis is pericardial effusion. Typically pericarditis will
present without paradoxical pulses (decreased pulses on inspiration). Paradoxical pulses, in
conjunction with other supporting clinical signs like distended veins, muffled heart sounds, and
hypotension should make the flight nurse suspect pericardial effusion has developed.
_____Reference: ASTNA Patient Transport: Principles and Practice, 5th Ed. (2018), p. 310
2)
Specialized transport methods in an isolette are especially important for neonates because
isolettes provide specialized oxygen concentrations not available through traditional stretcher
transport.
neurodevelopmental complications can be caused by excessive vibration and noise.
traditional flight teams do not regularly interact with neonates.
specialty flight teams are covered by separate training and licensure that traditional flight teams do
not carry. -
,CORRECT|ANSWER
neurodevelopmental complications can be caused by excessive vibration and noise.
Comments: Infants that are exposed to excessive noise and vibration are at risk for negative
physiological responses, increased stress, and neurological damage. Isolettes alone do not provide
specialized oxygen concentrations or pressurization. Licensure and training play a role in the need for
a specialty team, but should not be a deciding factor for using an isolette. _____Reference: ASTNA
Patient Transport: Principles and Practice, 5th Ed. (2018), p. 485
3)
The team has arrived to transport a 5-year-old child who fell from a tree and has an open femur
fracture, head trauma and a broken wrist. The child also has a decreased level of consciousness. IV
access has been established by EMS and was tolerated without incident. Current vital signs are:
BP 90/45 mmHgHR 165 beats/minRR 45 breaths/minO2 sat: 100% on room air
The flight nurse should understand that:
femur fractures are common injuries in the pediatric patient because they are prone to accidents.
pediatric patients are likely to compensate longer than adults, and hypotension is a late indicator of
shock.
secondary IV access should be obtained since the child tolerated the first attempt without incident.
pediatric patients are less likely to remain tachycardic after adequate resuscitation. -
CORRECT|ANSWER
pediatric patients are likely to compensate longer than adults, and hypotension is a late indicator of
shock.
Comments: Pediatric patients have sustained catecholamine responses and are likely to compensate
longer than the adult population, however, when this response is depleted, they will rapidly
decompensate. IV access should be irritating to a 5-year-old patient, and the patient tolerating the
procedure should be considered as a sign of shock. Pediatric patients are more tachycardic at
baseline and tachycardia is not an adequate indicator of fluid status. Femur fractures are rare injuries
in children. _____Reference: ASTNA Patient Transport: Principles and Practice, 5th Ed. (2018), p. 533
,4)
The flight crew responds to the scene of a motor vehicle crash in which an unrestrained driver has
been extricated from the vehicle. The patient is tachycardic, has a shortened and externally rotated
leg, and is bleeding from the urethral meatus. The nurse suspects a
posterior hip dislocation.
pelvic fracture.
crushed femoral head.
kidney injury. -
CORRECT|ANSWER
pelvic fracture.
Comments: A pelvic fracture can cause severe blood loss, resulting in hypotension and tachycardia.
Assessment findings may include shortening of the affected leg, external rotation of the affected leg,
and bleeding from the urethral meatus. A crushed femoral head may include shortening and external
rotation of the affected leg; however, it is not likely to cause bleeding from the meatus. A posterior
hip dislocation will not cause bleeding at the urethral meatus. A kidney injury may cause hematuria,
but will not cause a shortened and externally rotated leg. _____Reference: Trauma Nursing Core
Course, 8th ed., p. 148-149
5)
The flight crew has arrived on scene to a mass shooting. Police on scene state that the shooter is not
yet in custody. The PRIORITY assessment the team should make before rendering aid to victims is
number of victims.
police availability and presence.
safety of the flight team.
additional needed supplies. -
CORRECT|ANSWER
safety of the flight team.
Comments: The safety of the flight team is the top priority for any disaster. The flight team cannot
render aid if they are not safe. The other items are important, but not the most important. Rescuers
should never be compromised in order to render aid. _____Reference: ASTNA Patient Transport:
Principles and Practice, 5th Ed. (2018), p. 45
, 6)
The nurse is called to transport a pediatric patient with seizures who is currently post-ictal. During
transport, the nurse observes him becoming confused, diaphoretic, and jittery. The nurse should
FIRST consider
applying soft restraints.
preparing to intubate.
administering lorazepam (Ativan) IV push.
checking the patient's blood glucose level. -
CORRECT|ANSWER
checking the patient's blood glucose level.
Comments: Checking the patient's blood glucose level is what the nurse should consider first.
Seizures can cause an increase in energy and burn glucose. Hypoglycemia can produce seizures in
pediatric patients. Preparing to intubate is too much for the symptoms as they are presented. Soft
restraints do not correct the issue of hypoglycemia. Administering lorazepam is not the first
consideration because the symptoms indicate hypoglycemia. _____Reference: ASTNA Patient
Transport: Principles and Practice, 5th Ed. (2018), p. 553
7)
The flight crew is called to transport a patient who fell from approximately 20 feet. The patient was
diagnosed with a subdural hematoma with a 5 mm shift. The patient is intubated and has the
following ventilator settings and vital signs:
Mode: SIMVFiO2 50%TV 350 mLRR 14 breaths/minPEEP 7
BP 195/90 mmHgHR 43 beats/minO2 sat 95%ETCO2: 40 mm Hg
The flight nurse's IMMEDIATE intervention should be to change the:
PEEP to 10 cm.
FiO2 to 100%.
tidal volume to 300 mL.
respiratory rate to 20 breaths/min. -
CORRECT|ANSWER
respiratory rate to 20 breaths/min.
