Critical Care Transport Exam Practice Questions and Answers

Critical Care Transport Exam Practice Questions and Answers Your physical assessment reveals that the posterior pharynx is partially exposed. What classification Mallampati would you identify this patient as? - ANSWER-II Which of the following patient populations would likely require high inspiratory pressures to adequately achieve gas exchange? - ANSWER-Asthma patietns What additional healthcare provider may become part of the transport team during the transport of a patient receiving extracorporeal membrane oxygenation (ECMO)? - ANSWER-Perfusionist A person's ability to withstand negative pressure or "bounce back" from difficulties is known as: - ANSWER-Resilience CMS defines __________ as the use of specialized equipment and specialized training beyond the paramedic scope of practice to manage critically ill patients from facility to facility. - ANSWER- Specialty Care Transport What agency dictates CCTPs' scope of practice? - ANSWER-The state agency responsible for licensure When was the United States' first city ambulance service established? - ANSWER-1869 ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/64 Which of the following will indicate to dispatch that the interfacility transport requires critical care transport? - ANSWER-Intra-aoritic balloon pump (IABP) A STEMI patient with three vasoactive medications infusing in a community hospital that is 10 miles away, 45 minutes with current traffic, would be a candidate for which mode of transportation? - ANSWER-Rotor-wing transport __________ is the reaction of the mind and body to demand for change. - ANSWER-Stress How do critical care transport services ensure that their providers maintain proficiency? - ANSWER- Mandatory competency training A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires an intervention that is currently only performed at the Children's Hospital of Philadelphia. What is the best mode of transportation for this patient? - ANSWER-Fixed-wing transport Which type of transport is the most expensive to operate? - ANSWER-Specialty Care Transport Interfacility transport is the transport of a patient between: - ANSWER-Two healthcare facilities Critical care is the management of patients with life-threatening conditions that requires: - ANSWER- Continuous monitoring and drugs of equipment required to sustain life What is the first point of contact for the rotor-wing critical care team? - ANSWER-The dispatcher ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/64 How do you manage a patient when a sending physician refuses to allow you to treat a patient appropriately according to your protocols? - ANSWER-Contact the receiving facilities physician What is necessary for a CCTP to act outside of his or her protocols? - ANSWER-Medical command physician orders During the hand-off report from the transferring nurse, he tells you that the patient has a DNR and only wants comfort measures performed. En-route, the patient codes but you are unable to find the patient's DNR in the chart. How do you manage the cardiac arrest? - ANSWER-Perform basic resuscitation, then seek clarification In preparation for transport, the sending facility physician must have identified and communicated with a __________ in order to initiate the patient transfer. - ANSWER-Receiving facility physician The transferring neonatal orders a neonatal physician assistant to your transport team for the transfer of an 1,800-g neonate with an intraventricular hemorrhage and hydrocephalus. What dictates the management of the patient's care during this transport? - ANSWER-The physician assistant When is it acceptable to transfer an unstable patient from a facility? - ANSWER-The sending facility cannot perform the needed interventions What allows individuals to accepts or refuse treatment, to receive appropriate care, and to receive care without interruption? - ANSWER-Patient rights ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/64 What type of consent is obtained after you discuss the treatment and transport plan with the patient and patient's family? - ANSWER-Informed consent What information must be sent with a patient during all interfacility patient transfers? - ANSWER- Current diagnosis and interventions While a CCTP contacts their medical director for additional medication doses, he or she is operating under: - ANSWER-Online medical control When does an adult patient of sound mind have the right to refuse treatment by a CCTP? - ANSWER- At any point the CCTP is present __________ is the intentional and unjustifiable detention of a person without his or her consent or other legal authority. - ANSWER-False imprisonment The CCTP has an obligation to obtain __________ consent for air medical transport, including a written statement that the patient understands the risks and benefits of transport. - ANSWER-Informed Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with atrioventricular septal defect that is extremely unstable. As you enter the room of the level I NICU, the parents are alarmed and agitated. Uninformed and confused about the transport, the father says, "This hospital is the best in the state," and declines the transport. How do you manage this patient? - ANSWER- Discuss the concerns with the family and sending physician ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/64 What type of consent is granted for a patient found unresponsive and seizures? - ANSWER-Implied You've administered vecoronium and realized you forgot to administer midazolam. Your partner pushes the midazolam but the patient's heart rate continues to rise. You notice the line was clamped and the bolus went into the bag. What type of incident occurred? - ANSWER-Adverse drug event During ground transport of a critically injured patient, a CCTP should be mindful to: - ANSWER-All of these are correct (ensure that the patient is securely fastened to the stretcher; remain seated and secured with seatbelt applied as much as possible; and, ensure all loose equipment is secured and equipment lockers are closed) Once everything is in place for an RSI, what can be done to improve team communication prior to performing the RSI? - ANSWER-A universal time-out The use of __________ allows health care providers to hone their skills in a safe environment without risk of patient harm. - ANSWER-Simulation Issues with communication with __________ have resulted in loss of key patient information. - ANSWER-Handoff reports Medical errors during critical care transport regularly result in harm or potential harm to patients. Viewing these errors as the outcomes of human-error, at-risk behavior, or reckless behavior is a concept designed to differentiate the different types of error, and is also known as: - ANSWER-Just culture ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 6/64 What type of organization focuses on managing its inevitable failures, helping to reduce their effects on patient care? - ANSWER-A highly reliable organization What occurs when a planned action fails to be completed as intended? - ANSWER-A medical error When a clinician utilizes premixed infusions instead of mixing their own infusion, they are meeting the Institution of Medicine's __________ Quality Aim. - ANSWER-Efficiency What system requires someone to develop a risk matrix for each potential failure that incorporates the likelihood of that failure, the ability to detect failure, and the potential harm in order to assign a risk score to the environment? - ANSWER-Failure mode and effect anal