in the event a patient is injured while in the AE system, who can document the injury and care rendered on the patient's medical record and complete a DD Form 2852, AE Event/Near Miss Report?
1)FN
2)AET
3)CCATT
4)All of the above
D
to reduce the multiple stresses of flight and the effects of fatigue on litter patients,_____.
D)
if using palpation for determining the BP, the reading may vary_____ when compared to an auscultation reading
A)
Anytime a patient is removed from a flight for clinical evaluation or there is a significant change in status, notify:
D)
some steps to minimize the problem caused by decreased humidity include:
D)
_____ is a general term describing an oxygen deficiency in the tissues sufficient enough to cause impairment of function
A)
altitude is the most important cause of in-flight hypoxia
a)True
b)False
A
In the AE environment the primary assessment skills are inspection and palpitation
a)True
b)False
A
Hyperventilate the patient for approximately 30 seconds with 100% oxygen before and after suctioning
a)True
b)False
B
Advanced Airway Treatment/Management procedures may be performed by any AECM
a)True
b)False
B
When administering oxygen to correct hypoxia, allow approximately__ minutes to elapse; this will provide a more accurate pulse oximeter reader
C)
General guidelines for all respiratory patients if breathing is present includes maintaining pulse oximetry greater than 91% by titrating oxygen
a)True
b)False
A
Spontaneous pneumothorax in a trauma patient with significant respiratory compromise can be caused by____.
C)
Oropharyngeal Airway indications:
A)
Administer oxygen for:
D)
CCATT is responsible for ensuring the ventilator interfaces with aircraft systems and a dedicated regulator/oxygen line is available to operate ventilators
a)True
b)False
B
In all cases, burn patients should be moved within____ hours from time of injury
B)
patients with 20% total body surface or more, excluding first-degree burns, should have an IV, NG, and Foley catheter during all phases of AE.
A)True
B)False
A
D10W may be substituted for TPN if TPN is not available enroute
a)True
b)False
A
AECM first action following a rapid decompression for patients receiving IV therapy include?
A)
Document all medication administration times in local time.
a)True
b)False
B
a controlled drug accepted by the healthcare provider becomes his/her responsibility for __.
A)
Upon termination of the mission, all unaccompanied/unserviceable controlled drugs are documented on the
B)
When administering medication/treatment protocols IAW established AF instructions, the following statement will be documented on AF Form 3899/DD Form 602/DD Form 1380:
C)
Infusion Pumps will be used for:
D)
excessive heat may cause patients on cardiac medication to become hypertensive
a)True
b)False
B
Enroute adult transvenous pacing requiring direct CCATT or physician supervision IAW the PMRC VFS and tasked unit Chief Nurse Executive for appropriate medical crew complement
a)True
b)False
A
Patients with chronic low hemoglobin (7.0-8.5) require___ oxygen for flight
D)
An altitude restriction minimizes the stresses of barometric pressure changes and decreased partial pressure of oxygen for patients with
D)
Signs of increasing intracranial pressure include____.
C)
The politzer bag is appropriate for patients with skull fracture
a)True
b)False
B
For a patient with signs of increasing ICP treatment/management include: maintaining an open airway, ensuring adequate breathing and circulation, and maintaining a pulse oximeter reading greater than?
D)
seizure precautions include____.
B)
if a seizure continues for more than three minutes or restarts without regaining consciousness
D)
Sitting on a cramped aircraft for a long period of time may lead to___.
B)
Signs and symptoms of deep vein thrombosis include____.
D)
Compartment Syndrome is_____.
a)experienced by patients who become uncomfortable in enclosed spaces
b)caused by bleeding into or swelling of tissues within the facial sheath of the extremity
c)caused by open /closed fractures and external fixation/skeletal devices
d)B+C
D
Air splints expand at altitude and should not be used in-flight if alternate splinting devices are available.
a)True
b)False
A
Any patient with a constrictive bandage/cast, external fixation or skeletal device is at risk for compartment syndrome
a)True
b)False
A
Wound management includes:
A)
Positioning and alignment considerations for patients with orthopedic injuries include___.
D)
all penetrating eye injury patients will be:
A)
techniques to prevent or lessen the effects of ear block on descent include___.
D)
An inubator will be carried and ready to use on board the aircraft for patients who are beyond the 34th week of pregnancy
a)True
b)False
A
Pre-flight assessment and documentation of fetal heart tones at 20 weeks or more gestation will be done
D)
Pediatric/Neonatal rapid cardiopulmonary assessment includes
D)
Hyperextension of flexion of the neck, while opening the airway on an infant or child will cause_____.
d)
C)
in a pediatric/neonatal patient,____ is a late sign of hypoxia
B)
The risk of acquiring an infection depends upon
C)
If a patient with ischemic chest pain is already on high flow O2, what medication should the AECM anticipate will be used for treatment?
a)motrin
b)dopamine
c)epinephrine
d Nitroglycerin
D
signs and symptoms of anaphylactic shock include___.
B)
in-flight nursing considerations for the care of a patient with anaphylactic shock are___.
D)
All blood products will be administered through a dedicated line of_____.
A)
Higher acuity psychiatric patients judged a high risk by the originating physician and PMRC/VFS___ be pre-medicated for flight and have PRN drug orders from the originating physician
D)
All severe psychiatric patients requiring ongoing supervision will have a medical attendant_____.
D)
a category 1A patient _____ travel with a medical attendant
B)
level of observation required for patients in restraints include every___ minute circulation and neurological assessments of all extremities with devices, and safety check
D)
A physician will renew restraint orders___ if required, while a patient is in the AE system
B)
a trained and competent___, in coordination with the_____, may apply restraints to control behavior of a who is immediate danger to self and others in the AE environment
A)
Restraints straps should be secured to or around the litter.
a)True
b)False
B
patients in soft restraints require circulation and neurological assessments every___minutes of all extremities with devices, and safety check
B)
a TB patient requiring O2 may wear the N95 Mask over a nasal cannula
A)True
B)False
A
The following personal protective attire items are worn anytime splashing of blood and body fluids is anticipated
D)
Known or suspected infectious patients should be placed
D)
HIV infected patients going for evaluation of a new undiagnosed pulmonary process will be transported as possible active TB
A)True
b)False
A
When assessing a patient with new onset or increasin level of pain, it is important to rule out the following:
D)
obtain vital signs, including pulse oximetry and assess pain level at least every 4 hours for patients who require en route pain medication administration
a)true
b)false
A
A pain score of 3 or more usually indicated the need for pain medication
a)true
b)false
A
Assess adequacy of pain medication at all patient care handoffs, en route staging locations and in-flight.
a)True
b)False
A
If a physician is not present and pain medication is not available or is insufficient, request and establish radio communication with
D)
Prescribed controlled drugs entrusted to a patient/attendant are considered the property of____.
A)
Treatment/management of a patient with signs/symptoms of acute pulmonary or fat embolism includes:
D)
Which of the following signs and symptoms is NOT common to both pulmonary and fat embolism?