TPATC COMPREHENSIVE STUDY
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ A trauma patient who is 36 weeks pregnant (pre-pregnancy weight: 60kg)
undergoes RSI for airway protection after sustaining traumatic injuries in a
pedestrian vs motor car collision. Initial settings are: Mode - AC, F - 16, VT
- 420, FiO2 - 1, PEEP - 5. Current vital signs are: BP 120/70, HR 90, RR 16,
SpO2 98%, ETCO2 46. Which of the following changes is most
appropriate?.
Answer: Increase rate to 20 breaths per minute
◍ 1. Preparation and Triage2. Primary Survery (ABCDE) with resuscitation
adjuncts (F,G)3. Reevaluation (consideration of transfer)4. Secondary
Survey (HI) with reevaluation adjuncts5. Reevaluation and post
resuscitation care6. Definitive care of transfer to an appropriate trauma
nurse.
Answer: Initial Assessment
◍ a patient with multiple traumatic injuries is being transported from a facility
at an altitude of 4000 feet to a facility near sea level and is showing signs of
hypoxia. The transport provider records the following patient data: BP
100/65, HR 110, RR 22, SpO2 97% with NR
B. Lab values indicate Hgb 7, HCT 21. Which form of hypoxia is most
likely?.
Answer: hypemic hypoxia
◍ when performing intubation in a pediatric patient, it is beneficial to:.
Answer: preoxygenate for 2 to 4 minutes prior to the attempt
◍ 1. A- airway and Alertness with simultaneous cervical spinal stabilization2.
, B- breathing and Ventilation 3. circulation and control of hemorrhage4. D -
disability (neurologic status)5. F - full set of vitals and Family presence6. G
- Get resuscitation adjuncts L- Lab results (arterial gases, blood type and
crossmatch) M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration O- oxygenation and ventilation
analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02) monitoring
and capnopgraphy H- History and head to toe assessment I- Inspect
posterior surfaces.
Answer: ABCDEFGHI
◍ Before the arrival of the pt.
Answer: When should PPE be placed:
◍ Pt is at hospital in the right amount of time, right care, right trauma facility,
right resources.
Answer: Safe Care:
◍ Uncontrolled Hemorrhage.
Answer: Major cause of preventable death:
◍ reorganize care to C-ABC.
Answer: If uncontrolled hemorrhage ..
◍ Used at the beginning of the initial assessment1. A Alert. If the pt is alert he
or she will be able to maintain his or her airway once it is clear.2. V
responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the tongue
from obstructing the airway. 3. P responds to pain. If the pt. responds only
to pain, he or she may not be able to maintain his or her airway adjunct may
need to be placed while further assessment is made to determine the need for
intubation. 4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless while assessing
if the cause of the problem is the airway..
Answer: Airway and AVPU:
◍ ask pt to pen his or her mouth.
, Answer: While assessing airway the patient is alert and responds to verbal
stimuli you should..
◍ jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers.
One provider can maintain c-spine and the other can perform the jaw thrust
maneuver..
Answer: While assessing airway pt is unable to open mouth, responds only
to pain, or is unresponsive you should..
◍ 1. The tongue obstructing the airway2. loose or missing teeth3. foreign
objects4. blood, vomit, or secretions'5. edema6. burns or evidence of
inhalation injuryAuscultiate or listen for:1. Obstructive airway sounds such
as snoring or gurgling2. Possible occlusive maxillofacial bony deformity3.
Subcutaneous emphysema.
Answer: Inspect the mouth for:
◍ 1. Check the presence of adequate rise and fall of the chest with assisted
ventilation2. Absence of gurgling on auscultation over the epigastrium 3.
Bilateral breath sounds present on auscultation 4. Presence of carbon
dioxide (CO2) verified by a CO2 device or monitor.
Answer: If the pt has a definitive airway in what should you do?
◍ During reassessment of a severely burned patient at maximum altitude, the
transport team should be most concerned about which of the following
findings.
Answer: increased abdominal distension
◍ 1. Suction the airway2, Use care to avoid stimulating the gag reflex3. If the
airway is obstructed by blood or vomitus secretions, use a rigid suction
deviceIf foreign body is noted, remove it carefully with forceps or another
appropriate method.
Answer: If Airway is not patent
◍ 1. Apnea2. GCS 8 or less3. Maxillary fractures4. Evidence of inhalation
injury (facial burns)5. Laryngeal or tracheal injury or neck hematoma6.
GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ A trauma patient who is 36 weeks pregnant (pre-pregnancy weight: 60kg)
undergoes RSI for airway protection after sustaining traumatic injuries in a
pedestrian vs motor car collision. Initial settings are: Mode - AC, F - 16, VT
- 420, FiO2 - 1, PEEP - 5. Current vital signs are: BP 120/70, HR 90, RR 16,
SpO2 98%, ETCO2 46. Which of the following changes is most
appropriate?.
Answer: Increase rate to 20 breaths per minute
◍ 1. Preparation and Triage2. Primary Survery (ABCDE) with resuscitation
adjuncts (F,G)3. Reevaluation (consideration of transfer)4. Secondary
Survey (HI) with reevaluation adjuncts5. Reevaluation and post
resuscitation care6. Definitive care of transfer to an appropriate trauma
nurse.
Answer: Initial Assessment
◍ a patient with multiple traumatic injuries is being transported from a facility
at an altitude of 4000 feet to a facility near sea level and is showing signs of
hypoxia. The transport provider records the following patient data: BP
100/65, HR 110, RR 22, SpO2 97% with NR
B. Lab values indicate Hgb 7, HCT 21. Which form of hypoxia is most
likely?.
Answer: hypemic hypoxia
◍ when performing intubation in a pediatric patient, it is beneficial to:.
Answer: preoxygenate for 2 to 4 minutes prior to the attempt
◍ 1. A- airway and Alertness with simultaneous cervical spinal stabilization2.
, B- breathing and Ventilation 3. circulation and control of hemorrhage4. D -
disability (neurologic status)5. F - full set of vitals and Family presence6. G
- Get resuscitation adjuncts L- Lab results (arterial gases, blood type and
crossmatch) M- monitor for continuous cardiac rhythm and rate assessment
N- naso or orogastric tube consideration O- oxygenation and ventilation
analysis: Pulse oxygemetry and end-tidal caron dioxide (ETC02) monitoring
and capnopgraphy H- History and head to toe assessment I- Inspect
posterior surfaces.
Answer: ABCDEFGHI
◍ Before the arrival of the pt.
Answer: When should PPE be placed:
◍ Pt is at hospital in the right amount of time, right care, right trauma facility,
right resources.
Answer: Safe Care:
◍ Uncontrolled Hemorrhage.
Answer: Major cause of preventable death:
◍ reorganize care to C-ABC.
Answer: If uncontrolled hemorrhage ..
◍ Used at the beginning of the initial assessment1. A Alert. If the pt is alert he
or she will be able to maintain his or her airway once it is clear.2. V
responds to verbal stimuli responds to pain. If the patient needs verbal
stimulation to respond, an airway adjunct may be needed to keep the tongue
from obstructing the airway. 3. P responds to pain. If the pt. responds only
to pain, he or she may not be able to maintain his or her airway adjunct may
need to be placed while further assessment is made to determine the need for
intubation. 4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless while assessing
if the cause of the problem is the airway..
Answer: Airway and AVPU:
◍ ask pt to pen his or her mouth.
, Answer: While assessing airway the patient is alert and responds to verbal
stimuli you should..
◍ jaw thrust maneuver to open airway and assess for obstruction. If pt has a
suspected csi, the jaw thrust procedure should be done by two providers.
One provider can maintain c-spine and the other can perform the jaw thrust
maneuver..
Answer: While assessing airway pt is unable to open mouth, responds only
to pain, or is unresponsive you should..
◍ 1. The tongue obstructing the airway2. loose or missing teeth3. foreign
objects4. blood, vomit, or secretions'5. edema6. burns or evidence of
inhalation injuryAuscultiate or listen for:1. Obstructive airway sounds such
as snoring or gurgling2. Possible occlusive maxillofacial bony deformity3.
Subcutaneous emphysema.
Answer: Inspect the mouth for:
◍ 1. Check the presence of adequate rise and fall of the chest with assisted
ventilation2. Absence of gurgling on auscultation over the epigastrium 3.
Bilateral breath sounds present on auscultation 4. Presence of carbon
dioxide (CO2) verified by a CO2 device or monitor.
Answer: If the pt has a definitive airway in what should you do?
◍ During reassessment of a severely burned patient at maximum altitude, the
transport team should be most concerned about which of the following
findings.
Answer: increased abdominal distension
◍ 1. Suction the airway2, Use care to avoid stimulating the gag reflex3. If the
airway is obstructed by blood or vomitus secretions, use a rigid suction
deviceIf foreign body is noted, remove it carefully with forceps or another
appropriate method.
Answer: If Airway is not patent
◍ 1. Apnea2. GCS 8 or less3. Maxillary fractures4. Evidence of inhalation
injury (facial burns)5. Laryngeal or tracheal injury or neck hematoma6.
