A patient is being transported via ground ambulance from a rural hospital to a tertiary care center. The vehicle is traveling at high speed on a winding road. Which physiologic effect is MOST likely to occur due to the transport environment?
Ctrn General Principles
Question · Medium
During interfacility transport, the nurse notices the patient's oxygen saturation has decreased from 98% to 91%. The patient is on 4L nasal cannula. What is the FIRST action the nurse should take?
Question · Easy
Which piece of equipment is ESSENTIAL for every ground transport regardless of patient condition?
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The transport team is preparing to move a patient with suspected cervical spine injury from the hospital bed to the ambulance stretcher. What is the MOST appropriate technique?
During transport, the ambulance experiences a sudden stop due to traffic. The patient, who was unsecured, slides partially off the stretcher. What does this incident BEST demonstrate?
A transport team is preparing for a 3-hour ground transport of a ventilated patient. Which consideration is MOST important for this extended transport?
Which communication method provides the MOST reliable direct communication between the transport team and the receiving hospital during ground transport?
During transport, the driver of the ambulance radios that they need to divert due to a road closure. What is the transport nurse's PRIMARY responsibility in this situation?
A patient being transported for a non-emergent procedure begins to experience severe chest pain. What is the FIRST action the transport nurse should take?
Which factor MOST increases the risk of motion sickness during ground transport?
A trauma patient in the ambulance develops hypotension with a blood pressure of 76/42 mmHg, heart rate 128 bpm, and cool, clammy skin. What class of hemorrhagic shock is this patient MOST likely experiencing?
Ctrn Resuscitation
During transport, a patient with multiple trauma requires endotracheal intubation. The FIRST priority after successful intubation is to:
A patient in cardiac arrest is receiving high-quality CPR. Which finding indicates effective chest compressions?
A patient with suspected difficult airway requires intubation during transport. Which technique is MOST appropriate for the first attempt?
A trauma patient has received 2 liters of crystalloid fluids but remains hypotensive. What is the NEXT most appropriate intervention?
During rapid sequence intubation (RSI), which medication is used to prevent the sympathetic response to laryngoscopy?
A patient post-cardiac arrest has a return of spontaneous circulation (ROSC) but remains comatose. What is the target temperature for therapeutic hypothermia?
A patient in septic shock has a blood pressure of 78/52 mmHg despite fluid resuscitation. Which vasopressor is the FIRST-LINE choice for this patient?
A patient with a severe traumatic brain injury (TBI) has a Glasgow Coma Scale (GCS) score of 7. What is the MOST appropriate airway management strategy during transport?
Ctrn Clinical Trauma
A trauma patient has a flail chest involving ribs 4-7 on the right side. What is the MOST immediate life-threatening concern?
A patient with a stab wound to the left chest develops hypotension, jugular venous distention, and muffled heart sounds during transport. What condition should be suspected?
A patient with a pelvic fracture develops sudden-onset dyspnea, hypoxemia, and petechial rash during transport. What is the MOST likely diagnosis?
Question · Hard
Which finding is MOST indicative of intra-abdominal bleeding in a trauma patient?
A patient with a lower extremity fracture has severe pain that is unrelieved by analgesics and pain with passive stretch of the muscle compartment. What is the MOST appropriate action?
A patient with a cervical spine injury at C6 level is being transported. Which respiratory parameter should be monitored MOST closely?
A burn patient has partial-thickness burns covering 40% of the total body surface area (TBSA). Using the Parkland formula, how much lactated Ringer's solution should be administered in the first 8 hours?
A trauma patient with a tension pneumothorax requires needle decompression. What is the CORRECT anatomical location for this procedure?
A pediatric trauma patient is being transported. Which finding is the MOST reliable early indicator of shock in children?
A patient with a traumatic amputation of the forearm is bleeding profusely. After applying direct pressure and a tourniquet, what is the NEXT priority?
A pregnant trauma patient at 32 weeks gestation develops hypotension when placed supine for spinal immobilization. What is the MOST appropriate intervention?
A patient being transported for an ST-elevation myocardial infarction (STEMI) develops ventricular fibrillation. What is the FIRST action?
Ctrn Clinical Medical
A patient with a known seizure disorder has been seizing continuously for 8 minutes. What is the NEXT priority medication to administer?
A patient with a history of COPD presents with acute respiratory distress. Which arterial blood gas finding is MOST consistent with acute-on-chronic respiratory failure?
A patient with diabetic ketoacidosis (DKA) has a blood glucose of 450 mg/dL, pH 7.25, and potassium of 3.2 mEq/L. What is the PRIORITY intervention before starting insulin therapy?
A patient presents with altered mental status and is found to have a core temperature of 90°F (32°C). What ECG finding is MOST commonly associated with this condition?
A patient with suspected opioid overdose has respiratory depression and pinpoint pupils. What is the CORRECT dose of naloxone to administer initially?
A patient with anaphylaxis has received intramuscular epinephrine but continues to have severe hypotension and respiratory distress. What is the NEXT appropriate intervention?
A pregnant patient at 38 weeks gestation complains of severe headache, visual changes, and epigastric pain. Her blood pressure is 170/110 mmHg. What is the MOST likely diagnosis?
A patient with acute stroke symptoms began experiencing symptoms 2 hours ago. During transport, the blood pressure is 190/110 mmHg. What is the appropriate blood pressure management?
A patient presents with severe agitation, tachycardia, hyperthermia, and muscle rigidity after taking an unknown substance. Which condition should be suspected?
A transport nurse receives a request to transport a patient against medical advice (AMA). What is the MOST appropriate action?
Ctrn Professional Issues
During transport, the family member of a critically ill patient demands to speak with the physician immediately. The transport team is 30 minutes from the receiving hospital. What is the BEST response?
A transport nurse realizes that the wrong patient was picked up for transport. What is the FIRST action the nurse should take?
Which documentation element is REQUIRED for every patient transport?
A transport nurse is offered a gift by a grateful patient's family. What is the MOST appropriate response?
After a critical incident during transport, a nurse is feeling anxious and having difficulty sleeping. What is the MOST appropriate action?
A transport team is caring for a patient from a culture that practices traditional healing methods. The patient's family wants to perform a ritual during transport. What is the BEST approach?
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