Critical Care Transport 2025 Exam
Questions Correct Solutions New
Update (A Pass)
Which of the following changes most likely represents a serious neurological pathology
and should be reported immediately? - Answer- Unequal pupils
While calculating a GCS, you notice a motor response with hyperextension of the neck
and stiff, extended extremities. What would you rate it? - Answer- 2
What is an example of an adventitious breath sound? - Answer- Crackles
While transporting a 74-year-old male with a subdural hematoma, you find
demographics, transfer orders, PRN and standing orders, an H&P, physician notes,
nursing notes, medication administration record, lab values, physiologic scoring
methods, and advanced directives in the PCR. What else would you like to transport
with the PCR? - Answer- Imaging results and report
Your patient responds to verbal stimuli, speaks with nonsensical words, and withdraws
from pain. What is the patient's GCS? - Answer- 9
While managing a septic patient, what is the target value guiding fluid resuscitation and
vasopressor therapy? - Answer- Mean arterial pressure of 65 mmHg
Which of the following is the best indicator of renal function? - Answer- Serum creatinine
What symptom suggests that a patient may have an upper GI bleed? - Answer- Melena
You are caring for a 50-year-old male who has presented with an acute onset of chest
pain. After obtaining a 12-lead ECG you note elevation in leads v3 - v6. Your working
diagnosis is? - Answer- Anteriolateral MI
Where is a hemodialysis patient likely to have their AV shunt placed? - Answer-
Forearm or thigh
During the subjective assessment, the patient's general appearance is noted. Which of
the following is a component of the general appearance? - Answer- Level of
consciousness
One assessment tool that is available during interfacility transports that may not be
available during scene transports is a(n): - Answer- Bloodwork analysis
,While packaging the patient for transport, the CCTP should __________ before moving
the patient to their stretcher. - Answer- Consolidate as many infusion lines as possible
During laryngoscopy, you identified that a cartilages. What Cormack-Lehane grade do
you document for this intubation? - Answer- 2
What laryngoscope blade can be used to lift up the patient's epiglottis in order to view
the vocal cords? - Answer- Miller
You are transporting a 64-year-old female patient on a mechanical ventilator for CHF
exacerbation. She has an ETCO2 of 80 mmHg. How would you classify the inadequate
gas exchange? - Answer- Ventilation-perfusion mismatch
During spontaneous ventilations, the patient takes a breath that creates __________
intrathoracic pressure and causes air to rush into the cavity. - Answer- Negative
While in transport with your mechanically ventilated patient, one of the alarms begins to
signal. It resolves after suctioning the endotracheal tube. Which alarm was activated? -
Answer- High-pressure alarm
While transporting a 57-kg, mechanically ventilated patient, you notice that he begins to
become hypoxic (SPO2 86%). His current ventilator settings are Assist Control Mode,
Vt 400 mL, RR 14 per min., FIO2 1.0, PEEP 5 cm H2O, and I:E 1:2. What is the most
beneficial change you could make to improve the patient's hypoxia? - Answer- Increase
RR to 16
What airway intervention is contraindicated in patients with significant facial trauma? -
Answer- Placing a nasopharyngeal airway
What do you need to attach to the patient and monitor in order to obtain a
carboxyhemoglobin reading? - Answer- Finger probe
you are transporting a 70-kg, mechanically ventilated COPD patient. The ventilator
settings are assist-control mode, Vt 420 mL, RR 14, I:E 1:2, FIO2 0.6. What change
would the CCTP consider making due to the pathophysiology of the underlying
condition? - Answer- I:E 1:3
What medication is optimal for induction due to its onset of action? - Answer- Ketamine
While reviewing the ventilator parameters, you notice that the patient is being ventilated
with 440 mL for each breath. What parameter are you looking at? - Answer- Tidal
Volume
You are preparing to transport a critical patient who is being mechanically ventilated. As
part of your patient assessment, you note that the most recent arterial blood gas (ABG)
,results were: pH 7.42; PaO2 88 mmHg; PaCO2 40 mmHg; and SaO2 98 mmHg. Which
of the following is an indicator of the effectiveness of ventilation? - Answer- PaCO2
You are caring for a critical patient following a closed head injury. The patient is
responsive to painful stimuli, pupils are R 8 mm L 3 mm, and vital signs are HR 52, BP
186/114, RR unable to assess due to irregularity. What respiratory pattern is the patient
presenting with? - Answer- Biot respirations
You've just transported a patient from an MVC with Gray Turner sign present. His pulse
oximetry is not able to get a signal. What type of hypoxia is he experiencing? - Answer-
Hypoxic hypoxia
Your physical assessment of the airway reveals that the base of the uvula is the only
structure identifiable. What classification Mallampati would you identify this patient as? -
Answer- III
Your patient is currently paralyzed, sedated, and being mechanically ventilated with the
ventilator set to control mode. What ventilator parameter is terminating the inspiratory
phase of the patient's ventilations? - Answer- Tidal volume as set on ventilator
Potential hazards of positive-pressure mechanical ventilation are pneumothorax,
subcutaneous emphysema, and which of the following? - Answer- Decreased cardiac
output
A CCTP is having problems ventilating a patient with a face mask, establishing an
endotracheal tube, and/or placing a supraglottic airway. How would the CCTP
document this? - Answer- Difficult airway
What cricothyroid method requires the CCTP to insert a catheter and guide-wire, this
allowing them to place a tracheostomy tube over the guidewire and into the airway? -
Answer- Seldinger technique
What cricothyroid method requires the CCTP to incise the patient's skin and cricothyroid
membrane, this allowing them to place a tracheostomy tube? - Answer- Open
cricothyrotomy
What sound would a CCTP likely auscultate in a patient with acute left-side CHF
exacerbation? - Answer- Crackles
You're transporting a semiresponsive hyperglycemic patient. You notice a fruity odor in
your unit as the patent rapidly breaths. What respiratory pattern is this patient in? -
Answer- Kussmaul respirations
The pressure above ambient pressure that is present in the airway at the end of the
respiratory cycle is known as: - Answer- PEEP
, If it were present, where would you find pitting edema of an 85-year-old male patient
who is bed confined? - Answer- Sacrum
An elevated __________ can cause a falsely evaluated pulse oximetry level. - Answer-
Carboxyhemoglobin
Organs of equilibrium in the ear provide __________ sensory information. - Answer-
Vestibular
A patient with a dental abscess is having difficulty opening her mouth. Her airway would
be considered a difficult airway because of __________ from the LEMON mnemonic. -
Answer- The 3-3-2 rule
What laryngoscope blade applies pressure on the hyoepiglottic ligament in order to view
the vocal cords? - Answer- Macintosh
When is a surgical cricothyrotomy contraindicated? - Answer- Inability to locate
landmarks
During an abdominal assessment, you palpate deeply into the right upper quadrant. The
patient immediately responds with severe pain during the palpation. This is a positive
__________ sign. - Answer- Murphy's
During transport of a mechanically ventilated patient, the high-pressure alarm has
continued to sound. You've ensured that there are no obstructions. What should you do
next? - Answer- Auscultate for bilateral breath sounds
While on a night flight, the CCTP sees another aircraft showing a red light on the left,
white light in the middle, and green light on the right. This aircraft is: - Answer- Moving
away from his aircraft
Who is responsible for the initial triage process of calls involving critical care transport
patients? - Answer- Dispatch center
The most abundant gas in the atmosphere is: - Answer- Nitrogent
Late findings consistent with increasing intracranial pressure (ICP) are hypertension,
irregular respirations, and: - Answer- Bradycardia
The physical finding of resonance is found during what physical assessment skill? -
Answer- Percussion
You were only able to view the epiglottis during laryngoscopy. What Comack-Lehane
grade do you document for this intubation? - Answer- 3
Questions Correct Solutions New
Update (A Pass)
Which of the following changes most likely represents a serious neurological pathology
and should be reported immediately? - Answer- Unequal pupils
While calculating a GCS, you notice a motor response with hyperextension of the neck
and stiff, extended extremities. What would you rate it? - Answer- 2
What is an example of an adventitious breath sound? - Answer- Crackles
While transporting a 74-year-old male with a subdural hematoma, you find
demographics, transfer orders, PRN and standing orders, an H&P, physician notes,
nursing notes, medication administration record, lab values, physiologic scoring
methods, and advanced directives in the PCR. What else would you like to transport
with the PCR? - Answer- Imaging results and report
Your patient responds to verbal stimuli, speaks with nonsensical words, and withdraws
from pain. What is the patient's GCS? - Answer- 9
While managing a septic patient, what is the target value guiding fluid resuscitation and
vasopressor therapy? - Answer- Mean arterial pressure of 65 mmHg
Which of the following is the best indicator of renal function? - Answer- Serum creatinine
What symptom suggests that a patient may have an upper GI bleed? - Answer- Melena
You are caring for a 50-year-old male who has presented with an acute onset of chest
pain. After obtaining a 12-lead ECG you note elevation in leads v3 - v6. Your working
diagnosis is? - Answer- Anteriolateral MI
Where is a hemodialysis patient likely to have their AV shunt placed? - Answer-
Forearm or thigh
During the subjective assessment, the patient's general appearance is noted. Which of
the following is a component of the general appearance? - Answer- Level of
consciousness
One assessment tool that is available during interfacility transports that may not be
available during scene transports is a(n): - Answer- Bloodwork analysis
,While packaging the patient for transport, the CCTP should __________ before moving
the patient to their stretcher. - Answer- Consolidate as many infusion lines as possible
During laryngoscopy, you identified that a cartilages. What Cormack-Lehane grade do
you document for this intubation? - Answer- 2
What laryngoscope blade can be used to lift up the patient's epiglottis in order to view
the vocal cords? - Answer- Miller
You are transporting a 64-year-old female patient on a mechanical ventilator for CHF
exacerbation. She has an ETCO2 of 80 mmHg. How would you classify the inadequate
gas exchange? - Answer- Ventilation-perfusion mismatch
During spontaneous ventilations, the patient takes a breath that creates __________
intrathoracic pressure and causes air to rush into the cavity. - Answer- Negative
While in transport with your mechanically ventilated patient, one of the alarms begins to
signal. It resolves after suctioning the endotracheal tube. Which alarm was activated? -
Answer- High-pressure alarm
While transporting a 57-kg, mechanically ventilated patient, you notice that he begins to
become hypoxic (SPO2 86%). His current ventilator settings are Assist Control Mode,
Vt 400 mL, RR 14 per min., FIO2 1.0, PEEP 5 cm H2O, and I:E 1:2. What is the most
beneficial change you could make to improve the patient's hypoxia? - Answer- Increase
RR to 16
What airway intervention is contraindicated in patients with significant facial trauma? -
Answer- Placing a nasopharyngeal airway
What do you need to attach to the patient and monitor in order to obtain a
carboxyhemoglobin reading? - Answer- Finger probe
you are transporting a 70-kg, mechanically ventilated COPD patient. The ventilator
settings are assist-control mode, Vt 420 mL, RR 14, I:E 1:2, FIO2 0.6. What change
would the CCTP consider making due to the pathophysiology of the underlying
condition? - Answer- I:E 1:3
What medication is optimal for induction due to its onset of action? - Answer- Ketamine
While reviewing the ventilator parameters, you notice that the patient is being ventilated
with 440 mL for each breath. What parameter are you looking at? - Answer- Tidal
Volume
You are preparing to transport a critical patient who is being mechanically ventilated. As
part of your patient assessment, you note that the most recent arterial blood gas (ABG)
,results were: pH 7.42; PaO2 88 mmHg; PaCO2 40 mmHg; and SaO2 98 mmHg. Which
of the following is an indicator of the effectiveness of ventilation? - Answer- PaCO2
You are caring for a critical patient following a closed head injury. The patient is
responsive to painful stimuli, pupils are R 8 mm L 3 mm, and vital signs are HR 52, BP
186/114, RR unable to assess due to irregularity. What respiratory pattern is the patient
presenting with? - Answer- Biot respirations
You've just transported a patient from an MVC with Gray Turner sign present. His pulse
oximetry is not able to get a signal. What type of hypoxia is he experiencing? - Answer-
Hypoxic hypoxia
Your physical assessment of the airway reveals that the base of the uvula is the only
structure identifiable. What classification Mallampati would you identify this patient as? -
Answer- III
Your patient is currently paralyzed, sedated, and being mechanically ventilated with the
ventilator set to control mode. What ventilator parameter is terminating the inspiratory
phase of the patient's ventilations? - Answer- Tidal volume as set on ventilator
Potential hazards of positive-pressure mechanical ventilation are pneumothorax,
subcutaneous emphysema, and which of the following? - Answer- Decreased cardiac
output
A CCTP is having problems ventilating a patient with a face mask, establishing an
endotracheal tube, and/or placing a supraglottic airway. How would the CCTP
document this? - Answer- Difficult airway
What cricothyroid method requires the CCTP to insert a catheter and guide-wire, this
allowing them to place a tracheostomy tube over the guidewire and into the airway? -
Answer- Seldinger technique
What cricothyroid method requires the CCTP to incise the patient's skin and cricothyroid
membrane, this allowing them to place a tracheostomy tube? - Answer- Open
cricothyrotomy
What sound would a CCTP likely auscultate in a patient with acute left-side CHF
exacerbation? - Answer- Crackles
You're transporting a semiresponsive hyperglycemic patient. You notice a fruity odor in
your unit as the patent rapidly breaths. What respiratory pattern is this patient in? -
Answer- Kussmaul respirations
The pressure above ambient pressure that is present in the airway at the end of the
respiratory cycle is known as: - Answer- PEEP
, If it were present, where would you find pitting edema of an 85-year-old male patient
who is bed confined? - Answer- Sacrum
An elevated __________ can cause a falsely evaluated pulse oximetry level. - Answer-
Carboxyhemoglobin
Organs of equilibrium in the ear provide __________ sensory information. - Answer-
Vestibular
A patient with a dental abscess is having difficulty opening her mouth. Her airway would
be considered a difficult airway because of __________ from the LEMON mnemonic. -
Answer- The 3-3-2 rule
What laryngoscope blade applies pressure on the hyoepiglottic ligament in order to view
the vocal cords? - Answer- Macintosh
When is a surgical cricothyrotomy contraindicated? - Answer- Inability to locate
landmarks
During an abdominal assessment, you palpate deeply into the right upper quadrant. The
patient immediately responds with severe pain during the palpation. This is a positive
__________ sign. - Answer- Murphy's
During transport of a mechanically ventilated patient, the high-pressure alarm has
continued to sound. You've ensured that there are no obstructions. What should you do
next? - Answer- Auscultate for bilateral breath sounds
While on a night flight, the CCTP sees another aircraft showing a red light on the left,
white light in the middle, and green light on the right. This aircraft is: - Answer- Moving
away from his aircraft
Who is responsible for the initial triage process of calls involving critical care transport
patients? - Answer- Dispatch center
The most abundant gas in the atmosphere is: - Answer- Nitrogent
Late findings consistent with increasing intracranial pressure (ICP) are hypertension,
irregular respirations, and: - Answer- Bradycardia
The physical finding of resonance is found during what physical assessment skill? -
Answer- Percussion
You were only able to view the epiglottis during laryngoscopy. What Comack-Lehane
grade do you document for this intubation? - Answer- 3
