TN Critical Care Paramedic Exam Questions Fully Solved 2026/27

Abandonment Scenario: Moving a patient over to ICU bed and receives another emergency call, nurse is unable to take report so CCP gives report to nurses aide. Who could be held liable and for what if the patient falls out of the bed and breaks a hip? - CORRECT ANSWER When a provider ceases care or hands care over to a less qualified or competent provider. Living Will Question asked which choice best explained a living will. - CORRECT ANSWER Instructions given by competent individuals specifying what actions should be taken for their health in the event that they are no longer able to make decisions due to illness or incapacity. EMTALA Question asked which choice best explained EMTALA. - CORRECT ANSWER The Emergency Medical Treatment and Active Labor Act. Requires doctor to doctor contact and is considered the "Anti-Dumping Act." Hospitals are responsible for 250 yards. COBRA Question asked which choice best explained COBRA - CORRECT ANSWER The Consolidated Omnibus Budget Reconciliation Act. Passed in 1986, EMTALA was part of this Act. Designed to prevent financially motivated transfers of patients in unstable condition. HIPPA Scenario: CCP worked a call with multiple DOA's and informed the media of the patient's name and details of the call. - CORRECT ANSWER The Health Information Portability and Accountability Act. Kepps patient's health information private. Online Medical Direction Scenario: Transferring a cardiac patient from an outlying facility back to your facility for possible PTCA. Patient needs a medication and who do you need to contact. Choices consisted of the sending facility, the receiving facility ER charge nurse, the receiving facility medical director and another choice - CORRECT ANSWER Medical direction for a transport should be decided by both the receiving and sending physicians. They may be dictated by communication availability. If the sending physician is requesting treatment that is outside the standing protocols for the transferring unit, written documentation and orders should accompany the transfer team. The ultimate responsibility for the action or inaction of a CCP rests with the medical director. 7 P's of Intubation - CORRECT ANSWER 1. Preparation 2. Pre-oxygenate 3. Pre-treatment 4. Paralysis with induction 5. Positioning 6. Proof of placement 7. Post intubation management Succinylcholine (Anectine) - CORRECT ANSWER - Causes fasiculations - Only depolarizing neuromuscular blocking agent - Watch for malignant hyperthermia (rapid increase in temperature) Causes for High Pressure Alarm on Ventilator One question just asked a reason for a high pressure alarm and decreased lung compliance was a choice. Unsure about the second question. - CORRECT ANSWER 1. Decreased Lung Compliance 2. Kinks in tube 3. Coughing/Gagging/Secretions blockage 4. Improper flow rates and/or I:E ratio 5. Bronchospasms 6. Breathing "asynchronously" 7. Alveolar over distention 8. Sensitivity too high 9. Vibrations *Increase sedation on patient Cormack-Lehane Grading Systme The question asked which choice was a grade 2. - CORRECT ANSWER Grade 1 - The entire glottis opening is visible Grade 2 - The arytenoid cartilages or the posterior portion of the glottis opening is visible Grad 3 - Epiglottis only is visible Grade 4 - Tongue and/or soft palate only is visible ET Tube Depth The question asked which choice was the correct location for ET tube placement - CORRECT ANSWER 3-7cm above the carina ET Tube Placement The question asked which choice was the best way to confirm ET tube placement - CORRECT ANSWER Best way to confirm ET placement is capnography. Pediatric Airways The question asked which choice was TRUE about pediatric airways and the epiglottis (epiglottis is larger) was the only correct choice. The others stated pediatrics have a smaller tongue, or the glottis opening is less cephalad or posterior. - CORRECT ANSWER Epiglottis is proportionally larger, floppier and omega-shaped. ARDS Question was a scenario with a description of a white out x-ray. It asked what would you suspect this patient to have. - CORRECT ANSWER Acute Respiratory Distress Syndrome. X-ray will be a total white out Oxyhemoglobin Dissociation Curve The question asked what you would expect with LEFTWARD shift. The choices were Hypothermia, Fever, Acidosis, or Increased CO2. - CORRECT ANSWER RIGHTWARD shift - Decreased affinity for oxygen. Causes: Increased CO2, Increased BPG level, Increased Temperature and Decreased pH. LEFTWARD shift - Increased affinity for oxygen. Causes - Decreased CO2, Decreased BPG level, Decreased Temperature and Increased pH.