Critical Care Paramedic Exam 1 Test
Questions With Solutions
Which of the following is likely to increase the likelihood of a medication error?
A. Performance of dose calculations
B. Use of electronic patient charts
C. Accidental IV removal en route
D. Medication administration on scene - ANSWER -A. Performance of dose calculations
A nurse at a transferring facility was ordered to hang a gram of vancomycin. She initiated a
vecuronium infusion instead. What type of medication error is this?
A. LASA
B. Wrong-side procedure
C. Transition error
D. Sentinel event - ANSWER -A. LASA
Which of the following is a systemic approach to understanding the causes of serious adverse
events that helps identify system flaws that must be corrected in order to mitigate future
incidents?
A. Huddle
B. Debriefing
C. Root cause analysis
D. Six Sigma - ANSWER -C. Root cause analysis
________ is a data-driven approach and methodology for eliminating defects in any process.
A. A just culture
B. Six Sigma
C. Crew resource management
D. A sentinel event - ANSWER -B. Six Sigma
During a root cause analysis, testing to see if other individuals with the same qualifications,
skills and experience would perform the same actions in the same circumstances is known as
a(n):
,A. Deliberate harm test
B. Incapacity test
C. Foresight test
D. Substitution test - ANSWER -D. Substitution test
After drawing up 2 mL of fentanyl (50 mcg/mL) into a 3 mL syringe, you tell your partner you
will give 50 mcg but administer 2 mL. The patient was unharmed. What type of incident
occurred?
A. Near miss
B. Safety culture violation
C. Medical error
D. Adverse drug event - ANSWER -C. Medical error
__________ are mistakes that are likely to occur secondary to design failure.
A. Latent errors
B. Adverse events
C. Active errors
D. Never events - ANSWER -A. Latent errors
A(n) _______ is a patient safety event in which an error reaches a patient and results in death.
A. Latent error
B. Adverse event
C. Active error
D. Sentinel event - ANSWER -D. Sentinel event
During around transport of a critically injured patient a CCTP should be mindful to:
A. Ensure that the patient is securely fastened to the stretcher
B. Remain standing and holding on to a solid piece of equipment
C. Ensure equipment lockers are open for rapid access to tools
D. Maintain continual communication with the patient's family - ANSWER -A. Ensure that the
patient is securely fastened to the stretcher
A mistake in judgement regarding altitude, airspeed, or distance is:
A. A mechanical error
B. The third leading cause of air medical accidents
,C. Known as spatial disorientation
D. Considered a loss of control of the aircraft - ANSWER -C. Known as spatial disorientation
___________ is a communication technique during critical phases of flight that eliminates all
talking unless it is directly related to the mission.
A. Mission communication
B. A sterile cockpit
C. Closed-loop communication
D. A critical discussion - ANSWER -B. A sterile cockpit
Which of the following transport modes is the safest for the transport of a patient from the scene
of a motor vehicle crash when weather conditions are poor?
A. VFR rotor-wing aircraft
B. IFR rotor-wing aircraft
C. IFT fixed-wing aircraft
D. Ground CCT unit - ANSWER -D. Ground CCT unit
Which of the following would be contraindicated for rotor-wing air medical transport from a
scene?
A. Isolated femur fracture
B. Traumatic cardiac arrest
C. 40% BSA pediatric burn
D. Closed head injury - ANSWER -B. Traumatic cardiac arrest
Shortly after take-off, your patient complains to you that she has developed a sharp pain in the
left side of her face and a severe headache. This is most likely caused by:
A. Barosinusitis
B. Barodontalgia
C. Guillain-Barre syndrome
D. Hypoxia - ANSWER -A. Barosinusitis
After a rapid decompression in a fixed-wing aircraft, the flight crew becomes hypoxic. After
applying high-flow oxygen, they can rapidly regain clear cognition within as little as:
A. 5 seconds
B. 15 seconds
, C. 1 minute
D. 5 minutes - ANSWER -B. 15 seconds
The prolonged effects of ________ can cause an increase in core body temperature.
A. Decreased humidity
B. Vibration
C. Altitude
D. Noise - ANSWER -B. Vibration
Atmospheric humidity increases as altitude:
A. increases
B. Decreases
C. Is constant
D. Fluctuates - ANSWER -B. Decreases
Cumulative unprotected exposure to noise levels around ________ dB has been shown to lead to
irreversible hearing loss.
A. 50
B. 70
C. 90
D. 110 - ANSWER -B. 70
Exposure to stressors in aircraft, such as vibration, temperature, noise, and humidity, can cause:
A. Cerebrovascular vasodilation
B. Decreased oxygen demand
C. Increased oxygen demand
D. Autonomic nervous system deregulation - ANSWER -C. Increased oxygen demand
Most humans can survive forces between ________g and ________g.
A. -5, 8
B. -9, 9
C. -9, 3
D. -3, 9 - ANSWER -D. -3, 9
Hypoxia can occur when gravitational forces cause blood to ________ lower extremities.
Questions With Solutions
Which of the following is likely to increase the likelihood of a medication error?
A. Performance of dose calculations
B. Use of electronic patient charts
C. Accidental IV removal en route
D. Medication administration on scene - ANSWER -A. Performance of dose calculations
A nurse at a transferring facility was ordered to hang a gram of vancomycin. She initiated a
vecuronium infusion instead. What type of medication error is this?
A. LASA
B. Wrong-side procedure
C. Transition error
D. Sentinel event - ANSWER -A. LASA
Which of the following is a systemic approach to understanding the causes of serious adverse
events that helps identify system flaws that must be corrected in order to mitigate future
incidents?
A. Huddle
B. Debriefing
C. Root cause analysis
D. Six Sigma - ANSWER -C. Root cause analysis
________ is a data-driven approach and methodology for eliminating defects in any process.
A. A just culture
B. Six Sigma
C. Crew resource management
D. A sentinel event - ANSWER -B. Six Sigma
During a root cause analysis, testing to see if other individuals with the same qualifications,
skills and experience would perform the same actions in the same circumstances is known as
a(n):
,A. Deliberate harm test
B. Incapacity test
C. Foresight test
D. Substitution test - ANSWER -D. Substitution test
After drawing up 2 mL of fentanyl (50 mcg/mL) into a 3 mL syringe, you tell your partner you
will give 50 mcg but administer 2 mL. The patient was unharmed. What type of incident
occurred?
A. Near miss
B. Safety culture violation
C. Medical error
D. Adverse drug event - ANSWER -C. Medical error
__________ are mistakes that are likely to occur secondary to design failure.
A. Latent errors
B. Adverse events
C. Active errors
D. Never events - ANSWER -A. Latent errors
A(n) _______ is a patient safety event in which an error reaches a patient and results in death.
A. Latent error
B. Adverse event
C. Active error
D. Sentinel event - ANSWER -D. Sentinel event
During around transport of a critically injured patient a CCTP should be mindful to:
A. Ensure that the patient is securely fastened to the stretcher
B. Remain standing and holding on to a solid piece of equipment
C. Ensure equipment lockers are open for rapid access to tools
D. Maintain continual communication with the patient's family - ANSWER -A. Ensure that the
patient is securely fastened to the stretcher
A mistake in judgement regarding altitude, airspeed, or distance is:
A. A mechanical error
B. The third leading cause of air medical accidents
,C. Known as spatial disorientation
D. Considered a loss of control of the aircraft - ANSWER -C. Known as spatial disorientation
___________ is a communication technique during critical phases of flight that eliminates all
talking unless it is directly related to the mission.
A. Mission communication
B. A sterile cockpit
C. Closed-loop communication
D. A critical discussion - ANSWER -B. A sterile cockpit
Which of the following transport modes is the safest for the transport of a patient from the scene
of a motor vehicle crash when weather conditions are poor?
A. VFR rotor-wing aircraft
B. IFR rotor-wing aircraft
C. IFT fixed-wing aircraft
D. Ground CCT unit - ANSWER -D. Ground CCT unit
Which of the following would be contraindicated for rotor-wing air medical transport from a
scene?
A. Isolated femur fracture
B. Traumatic cardiac arrest
C. 40% BSA pediatric burn
D. Closed head injury - ANSWER -B. Traumatic cardiac arrest
Shortly after take-off, your patient complains to you that she has developed a sharp pain in the
left side of her face and a severe headache. This is most likely caused by:
A. Barosinusitis
B. Barodontalgia
C. Guillain-Barre syndrome
D. Hypoxia - ANSWER -A. Barosinusitis
After a rapid decompression in a fixed-wing aircraft, the flight crew becomes hypoxic. After
applying high-flow oxygen, they can rapidly regain clear cognition within as little as:
A. 5 seconds
B. 15 seconds
, C. 1 minute
D. 5 minutes - ANSWER -B. 15 seconds
The prolonged effects of ________ can cause an increase in core body temperature.
A. Decreased humidity
B. Vibration
C. Altitude
D. Noise - ANSWER -B. Vibration
Atmospheric humidity increases as altitude:
A. increases
B. Decreases
C. Is constant
D. Fluctuates - ANSWER -B. Decreases
Cumulative unprotected exposure to noise levels around ________ dB has been shown to lead to
irreversible hearing loss.
A. 50
B. 70
C. 90
D. 110 - ANSWER -B. 70
Exposure to stressors in aircraft, such as vibration, temperature, noise, and humidity, can cause:
A. Cerebrovascular vasodilation
B. Decreased oxygen demand
C. Increased oxygen demand
D. Autonomic nervous system deregulation - ANSWER -C. Increased oxygen demand
Most humans can survive forces between ________g and ________g.
A. -5, 8
B. -9, 9
C. -9, 3
D. -3, 9 - ANSWER -D. -3, 9
Hypoxia can occur when gravitational forces cause blood to ________ lower extremities.
