Answers Updated 2026
1)
TheAflightAteamAisAcalledAtoAtransportAaApatientAdiagnosedAwithApericarditis.AItAisAreported
AthatAtheApatientAhasAsharpAchestApainAandAaApleuralAfrictionArub.AUponAinitialAassessmen
t,AtheApulsesAareAdiminishedAperipherallyAduringAinspiration,AandAreturnAduringAexhalation.
ATheAmostAlikelyAcauseAofAthisAis:
AorticAdissection
PericardialAeffusion
PulmonaryAembolism
TensionApneumothoraxA-AAnswer✓APericardialAeffusion
Comments:AAAmainAcomplicationAofApericarditisAisApericardialAeffusion.ATypicallyApericarditis
AwillApresentAwithoutAparadoxicalApulsesA(decreasedApulsesAonAinspiration).AParadoxicalApul
ses,AinAconjunctionAwithAotherAsupportingAclinicalAsignsAlikeAdistendedAveins,AmuffledAheart
Asounds,AandAhypotensionAshouldAmakeAtheAflightAnurseAsuspectApericardialAeffusionAhasAd
eveloped.A_____Reference:AASTNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(2018
),Ap.A310
2)
SpecializedAtransportAmethodsAinAanAisoletteAareAespeciallyAimportantAforAneonatesAbecause
isolettesAprovideAspecializedAoxygenAconcentrationsAnotAavailableAthroughAtraditionalAstretch
erAtransport.
neurodevelopmentalAcomplicationsAcanAbeAcausedAbyAexcessiveAvibrationAandAnoise.
traditionalAflightAteamsAdoAnotAregularlyAinteractAwithAneonates.
specialtyAflightAteamsAareAcoveredAbyAseparateAtrainingAandAlicensureAthatAtraditionalAfligh
tAteamsAdoAnotAcarry.A-
AAnswer✓AneurodevelopmentalAcomplicationsAcanAbeAcausedAbyAexcessiveAvibrationAandA
noise.
,Comments:AInfantsAthatAareAexposedAtoAexcessiveAnoiseAandAvibrationAareAatAriskAforAnega
tiveAphysiologicalAresponses,AincreasedAstress,AandAneurologicalAdamage.AIsolettesAaloneAdo
AnotAprovideAspecializedAoxygenAconcentrationsAorApressurization.ALicensureAandAtrainingApl
ayAaAroleAinAtheAneedAforAaAspecialtyAteam,AbutAshouldAnotAbeAaAdecidingAfactorAforAusin
gAanAisolette.A_____Reference:AASTNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(
2018),Ap.A485
3)
TheAteamAhasAarrivedAtoAtransportAaA5-year-
oldAchildAwhoAfellAfromAaAtreeAandAhasAanAopenAfemurAfracture,AheadAtraumaAandAaAbro
kenAwrist.ATheAchildAalsoAhasAaAdecreasedAlevelAofAconsciousness.AIVAaccessAhasAbeenAesta
blishedAbyAEMSAandAwasAtoleratedAwithoutAincident.ACurrentAvitalAsignsAare:
BPA90/45AmmHgHRA165Abeats/minRRA45Abreaths/minO2Asat:A100%AonAroomAair
TheAflightAnurseAshouldAunderstandAthat:
femurAfracturesAareAcommonAinjuriesAinAtheApediatricApatientAbecauseAtheyAareAproneAtoAa
ccidents.
pediatricApatientsAareAlikelyAtoAcompensateAlongerAthanAadults,AandAhypotensionAisAaAlate
AindicatorAofAshock.
secondaryAIVAaccessAshouldAbeAobtainedAsinceAtheAchildAtoleratedAtheAfirstAattemptAwithout
Aincident.
pediatricApatientsAareAlessAlikelyAtoAremainAtachycardicAafterAadequateAresuscitation.A-
AAnswer✓ApediatricApatientsAareAlikelyAtoAcompensateAlongerAthanAadults,AandAhypotensi
onAisAaAlateAindicatorAofAshock.
Comments:APediatricApatientsAhaveAsustainedAcatecholamineAresponsesAandAareAlikelyAtoAco
mpensateAlongerAthanAtheAadultApopulation,Ahowever,AwhenAthisAresponseAisAdepleted,Athey
AwillArapidlyAdecompensate.AIVAaccessAshouldAbeAirritatingAtoAaA5-year-
oldApatient,AandAtheApatientAtoleratingAtheAprocedureAshouldAbeAconsideredAasAaAsignAofAs
hock.APediatricApatientsAareAmoreAtachycardicAatAbaselineAandAtachycardiaAisAnotAanAadequ
ateAindicatorAofAfluidAstatus.AFemurAfracturesAareArareAinjuriesAinAchildren.A_____Reference
:AASTNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(2018),Ap.A533
4)
,TheAflightAcrewArespondsAtoAtheAsceneAofAaAmotorAvehicleAcrashAinAwhichAanAunrestrainedA
driverAhasAbeenAextricatedAfromAtheAvehicle.ATheApatientAisAtachycardic,AhasAaAshortenedAa
ndAexternallyArotatedAleg,AandAisAbleedingAfromAtheAurethralAmeatus.ATheAnurseAsuspectsA
a
posteriorAhipAdislocation.
pelvicAfracture.
crushedAfemoralAhead.
kidneyAinjury.A-AAnswer✓ApelvicAfracture.
Comments:AAApelvicAfractureAcanAcauseAsevereAbloodAloss,AresultingAinAhypotensionAandAtac
hycardia.AAssessmentAfindingsAmayAincludeAshorteningAofAtheAaffectedAleg,AexternalArotatio
nAofAtheAaffectedAleg,AandAbleedingAfromAtheAurethralAmeatus.AAAcrushedAfemoralAheadAm
ayAincludeAshorteningAandAexternalArotationAofAtheAaffectedAleg;Ahowever,AitAisAnotAlikelyA
toAcauseAbleedingAfromAtheAmeatus.AAAposteriorAhipAdislocationAwillAnotAcauseAbleedingAat
AtheAurethralAmeatus.AAAkidneyAinjuryAmayAcauseAhematuria,AbutAwillAnotAcauseAaAshorten
edAandAexternallyArotatedAleg.A_____Reference:ATraumaANursingACoreACourse,A8thAed.,Ap.A
148-149
5)
TheAflightAcrewAhasAarrivedAonAsceneAtoAaAmassAshooting.APoliceAonAsceneAstateAthatAtheA
shooterAisAnotAyetAinAcustody.ATheAPRIORITYAassessmentAtheAteamAshouldAmakeAbeforeAren
deringAaidAtoAvictimsAis
numberAofAvictims.
policeAavailabilityAandApresence.
safetyAofAtheAflightAteam.
additionalAneededAsupplies.A-AAnswer✓AsafetyAofAtheAflightAteam.
Comments:ATheAsafetyAofAtheAflightAteamAisAtheAtopApriorityAforAanyAdisaster.ATheAflightAt
eamAcannotArenderAaidAifAtheyAareAnotAsafe.ATheAotherAitemsAareAimportant,AbutAnotAtheA
mostAimportant.ARescuersAshouldAneverAbeAcompromisedAinAorderAtoArenderAaid.A_____Refe
rence:AASTNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(2018),Ap.A45
6)
TheAnurseAisAcalledAtoAtransportAaApediatricApatientAwithAseizuresAwhoAisAcurrentlyApost-
ictal.ADuringAtransport,AtheAnurseAobservesAhimAbecomingAconfused,Adiaphoretic,AandAjittery
.ATheAnurseAshouldAFIRSTAconsider
, applyingAsoftArestraints.
preparingAtoAintubate.
administeringAlorazepamA(Ativan)AIVApush.
checkingAtheApatient'sAbloodAglucoseAlevel.A-
AAnswer✓AcheckingAtheApatient'sAbloodAglucoseAlevel.
Comments:ACheckingAtheApatient'sAbloodAglucoseAlevelAisAwhatAtheAnurseAshouldAconsiderAfi
rst.ASeizuresAcanAcauseAanAincreaseAinAenergyAandAburnAglucose.AHypoglycemiaAcanAproduc
eAseizuresAinApediatricApatients.APreparingAtoAintubateAisAtooAmuchAforAtheAsymptomsAasAt
heyAareApresented.ASoftArestraintsAdoAnotAcorrectAtheAissueAofAhypoglycemia.AAdministering
AlorazepamAisAnotAtheAfirstAconsiderationAbecauseAtheAsymptomsAindicateAhypoglycemia.A__
___Reference:AASTNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(2018),Ap.A553
7)
TheAflightAcrewAisAcalledAtoAtransportAaApatientAwhoAfellAfromAapproximatelyA20Afeet.AThe
ApatientAwasAdiagnosedAwithAaAsubduralAhematomaAwithAaA5AmmAshift.ATheApatientAisAint
ubatedAandAhasAtheAfollowingAventilatorAsettingsAandAvitalAsigns:
Mode:ASIMVFiO2A50%TVA350AmLRRA14Abreaths/minPEEPA7
BPA195/90AmmHgHRA43Abeats/minO2AsatA95%ETCO2:A40AmmAHg
TheAflightAnurse'sAIMMEDIATEAinterventionAshouldAbeAtoAchangeAthe:
PEEPAtoA10Acm.
FiO2AtoA100%.
tidalAvolumeAtoA300AmL.
respiratoryArateAtoA20Abreaths/min.A-AAnswer✓ArespiratoryArateAtoA20Abreaths/min.
Comments:ACushing'sAtriadAisAindicativeAofAincreasedAintracranialApressure.AIncreasingAtheAr
espiratoryArateAwillAdecreaseAETCO2,AwhichAcanAhelpAdecreasedAintracranialApressureAuntilA
definitiveAtreatmentAcanAbeAachieved.AChangingAtheAPEEPAtoA10Acm,AtidalAvolumeAtoA300A
mLAorAtheAFiO2AtoA100%AwillAnotAhelpAdecreaseAintracranialApressure.A_____Reference:AAS
TNAAPatientATransport:APrinciplesAandAPractice,A5thAEd.A(2018),Ap.A194
8)