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ASTNA Exam Questions and Answers: Military Healthcare System, Exams of Nursing

A comprehensive set of questions and answers for the astna exam, focusing on the structure and function of the military healthcare system. it details the levels of care, from point of injury to definitive care, including the roles of different military branches and medical personnel. The questions cover key aspects of military medical transport, triage procedures, and the capabilities of various medical facilities in combat and non-combat zones. This resource is valuable for students studying military medicine or related fields.

Typology: Exams

2024/2025

Available from 04/23/2025

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ASTNA Exam Question Answers 2025
Unlike the United States medical system; What is an
integrated system that accomplishes triage and emergency
treatment and then transports the patient to the appropriate
level of care or returns the member to duty? - correct
answers✅The deployed military health care system.
p.696
Where is first aid initiated, the patient is then rapidly
transported through multiple medical support levels to
include emergency medical response, advanced trauma
surgery, and patient transport towards hospital admission? -
correct answers✅At the point of injury, POI. p.696
Within the Department of Defense, Which three military
branches have their own independent service surgeons
general and doctrines. In the past by design, the different
medical services generally "took care of their own," with each
service caring for its members, Army soldiers seeing Army
providers and the Marines being cared for by the Navy? -
correct answers✅1. The Air Force.
2. The Army.
3. The Navy. p.697
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Unlike the United States medical system; What is an integrated system that accomplishes triage and emergency treatment and then transports the patient to the appropriate level of care or returns the member to duty? - correct answers ✅The deployed military health care system. p. Where is first aid initiated, the patient is then rapidly transported through multiple medical support levels to include emergency medical response, advanced trauma surgery, and patient transport towards hospital admission? - correct answers ✅At the point of injury, POI. p. Within the Department of Defense, Which three military branches have their own independent service surgeons general and doctrines. In the past by design, the different medical services generally "took care of their own," with each service caring for its members, Army soldiers seeing Army providers and the Marines being cared for by the Navy? - correct answers ✅1. The Air Force.

  1. The Army.
  2. The Navy. p.

Which military branches are primary tasked with the oceans and coastal areas? - correct answers ✅The Navy and Marines. p. Which military branches are primarily tasked with land security and aerospace? - correct answers ✅Army- Land Security. Air Force- Aerospace. p. What must the interdependent Air Force, Army, and Navy medical transport capabilities be? - correct answers ✅Interoperable and interchangeable. p. Levels of Care: What is a term used to describe the capability of care in sequential order of the patient's movement through the military medical system? - correct answers ✅The military levels. p. Level of Care:

Levels of Care: In the military system, the lower the level, the less capability to provide the patient with a full complement of medical and surgical services. What is the purpose of creating graduating levels? - correct answers ✅For the service members to be evaluated, treated, and released to duty at the lowest level possible. p. Levels of Care: If medical care needed by the service member cannot be administered at a certain level of care, where is the service member then transported to? - correct answers ✅A higher level. p. Levels of Care: Which type of care begins with patient assessment and triage, conducted immediately to identify whether lifesaving measures must be taken. These measures encompass actions such as maintenance of airway, hemorrhage control, and prevention of shock? - correct answers ✅Point of injury care. p.

Levels of Care: Point of injury care is accomplished by the first individual on scene, which can be a non-medical provider. What is the non- medical provider, (combat soldier or marine) trained to perform? - correct answers ✅First aid procedures to begin early life-saving treatment. p. Levels of Care: The primary focus is stabilization of the patients condition and transport to a higher level of care. This is not the only care available to the warrior. Which individual is a trained emergency medical technician with the combat team that is on scene to provide trauma care? - correct answers ✅The corpsman or medic. p. Levels of Care: For support of the many medical needs of the security forces, small medical teams are placed far forward near combat operations, (level 1). The team includes a physician, physician assistant, and medics. What are level I commonly referred to as? - correct answers ✅Battalion Aid Stations, BASs. p.

condition. At times, patients can be treated and returned to duty. Usually, this decision is made immediately or within how many hours? - correct answers ✅Before 72 hours. p. Levels of Care: In a level II care, If needed, emergent care, including resuscitation is provided and more complete medical and surgical measures are taken. Because the level II facility is close to combat operations, What does the relative safety of the tactical situation at times dictate? - correct answers ✅The extent of medical care administered. p. Levels of Care: What can the Navy place offshore during a humanitarian crisis or war; this includes up to six ships with assault helicopters on their decks. These helicopters are used for assaults but can double as both amphibious assault and patient transport platforms? - correct answers ✅Amphibious Ready Group, ARG. p. Levels of Care:

What is a ship in the Amphibious Ready Group, ARG called, It has up to 48 beds, six operating rooms, ORs and 17 intensive care beds? - correct answers ✅A Casualty Receiving and Treatment Ship. p. Level of Care: Which military branches' level II capabilities consists of a Treatment platoon and the Forward Surgical Team, (FST)? - correct answers ✅The US Army. Box 34-1, p. Level of Care: Which military branches' level II capabilities consists of the Mobile Field Surgical Team, (MFST), the Small Portable Expeditionary Air Medical Rapid Response Team, (SPEARR), and the Expeditionary Medical Support Basic, (EMEDS)? - correct answers ✅The US Air Force. Box 34-1, p. Level of Care: Which military branches' level II capabilities consists of the Forward Resuscitative Surgical System, (FRSS), the Surgical

Levels of Care: The Fleet Hospital Comes with up to 500 beds and is comparable with the Army level III hospital. What is the Fleet Hospital equipped to provide? - correct answers ✅Resuscitation, initial wound surgery, and postoperative treatment. p. Levels of Care: Patients at a level III hospital are stabilized for continued support through the system or returned to duty. Level III capabilities are similar between the services. What three things has it proven to be with respect to deployment rotations? - correct answers ✅1. Interoperable.

  1. Interchangeable.
  2. Interdependent p. Levels of Care: Which facility can have up to 248 beds, which are usually divided into 48 intensive care unit, ICU beds and 200 intermediate care beds, (medical-surgical). Patient who need minimal care are handled by a 120-bed Minimal Care Medical

Detachment? - correct answers ✅The Army Combat Support Hospital, CSH level III facility. p. Levels of Care: Which facilities surgical capability can provide up to six OR tables with a maximum of 96 operating hours per day. Surgical services include general, , orthopedic, urologic, dental, and oral maxillofacial? - correct answers ✅The Army Combat Support Hospital, CSH level III facility. p. Levels of Care: Which facility, known as the Expeditionary Medical Support Hospital, EMEDS is a 25 bed facility. It includes 84 personnel and two OR tables that can accomplish 20 operations within 48 hours. The capability's can be increased by the addition of specialty teams such as vascular/cardiothoracic; neurosurgery; obstetrics/gynecology, ear, nose, and throat; and ophthalmology? - correct answers ✅The Air Force Level III facility. p. Levels of Care:

Which hospitals, located in the United States, provide complete medical care and maintain all general and specialty capabilities. These include Department of Defense hospitals such as Bethesda National Naval Medical Center and Walter Reed Army Medical Center. The focus in these facilities is on medical, surgical, rehabilitative, and convalescent care? - correct answers ✅Level V hospitals. p. Military Patient Transportation: Within the military medical system, during combat operations, What does patient transportation involves moving patients, this movement takes the full effort of the military medical system? - correct answers ✅Intratheater and Intertheater. p. Military Patient Transportation: What is a continuation of care during transport. This type of care builds with critical care capability as the patient moves through the system. Rapid care and transport help return individuals to their units or moves them out of theater to a facility that can provide more definitive care? - correct answers ✅En route care. p.

Military Patient Transportation: Notable differences between the Army and Navy are found in regards to how they support en route casualty evacuation. For the most part, the US Army uses a dedicated medical evacuation platform, (air or ground ambulance) that is staffed with trained flight medics or nurses, (medical evacuation or MEDEVAC). What does the Navy use? - correct answers ✅Transport vehicles designed for multiple use air or ground. p. Military Patient Transportation: The Navy often uses transport vehicles designed for multiple use, (air or ground). What is vehicle of opportunity, not necessarily fitted for a medical specific mission called? - correct answers ✅Casualty Evacuation or CASEVAC. p. Military Patient Transportation: Once POI care is provided and the decision to transport has been made, a number of options are exercised. What is the most rapid option? - correct answers ✅Casualty Evacuation or CASEVAC. p.

Military Patient Transportation: Casualties are normally loaded headfirst in the field ambulance. However, if the casualty requires access to a specific injured side, the patient can be loaded feet first. Which ambulance can accommodate 2 litter patients and 1 ambulatory? - correct answers ✅The M996 ambulance. p. Military Patient Transportation: Which ambulance can accommodate 4 litter patients and 1 ambulatory or a total of 8 ambulatory? - correct answers ✅The M997 and the M113. p. Military Patient Transportation: Which type of medical evacuation involves the rapid movement of a patient with a medically staffed and equipped vehicle? - correct answers ✅MEDEVAC. p. Military Patient Transportation: Medical evacuation or MEDEVAC

involves the rapid movement of a patient with a medically staffed and equipped vehicle. What is a classic example of this, known as the MEDEVAC workhorse of the Army? - correct answers ✅U-H 60 Black Hawk. p. Military Patient Transportation: Which individual does not generally accompany a MEDEVAC to the POI. Care is provided by flight medics between levels of care unless the patient being transported is in critical condition. In a critical care transport, a critical care nurse and a flight medic accompany the patient? - correct answers ✅A nurse. p. Military Patient Transportation: What do critical care patients from a level I or II FST or FRSS frequently have left open? - correct answers ✅Abdomens and can be chemically paralyzed, sedated, and ventilated. p. Military Patient Transportation: What is an Air Force specific mission that uses fixed-wing resources to rapidly evacuate the sick and wounded under the care of qualified AE crewmembers both intratheater in

What is the standard crew for other airmedical evacuation missions that maybe carrying larger patient loads for longer flight times? - correct answers ✅2 flight nurses and 3 air medical evacuation technicians, AETs. p. Military Patient Transportation: The airmedical environment is dynamic. Which four components are required by each crew members to maintain?

  • correct answers ✅1. Professional expertise.
  1. Accountability.
  2. Knowledge.
  3. The skills to manage patients in flight. p. Military Patient Transportation: The airmedical environment is dynamic, each crew member is required to maintain professional expertise, accountability, knowledge, and skills to manage patients in flight. The team leader, who is one of the flight nurses is responsible for operational medical mission management. What is the team leader known as? - correct answers ✅The medical crew director, MCD. p.

Military Patient Transportation: For transport of critical patients the air medical evacuation crew may be augmented by specialty teams. Which specialty team consists of one physician, one critical care nurse, and a cardiopulmonary technician? - correct answers ✅The Critical Care Air Transport Team, CCATT. Military Patient Transportation: For an augmentation to the airmedical evacuation crew, Who does the Critical Care Air Transport Team, CCATT works with and receives mission operational directions from? - correct answers ✅The medical crew director, MCD. p. Military Patient Transportation: Augmenting specialty teams to the airmedical evacuation, AE system has resulted in rapid critical patient transport. Moving an injured patient from a level I to level V facility in the continental United States, CONUS was a process that sometimes took more than a month during the Vietnam War. Today it is not unusual to take how many hours? - correct answers ✅Only 36 hours. p.