We use this for debugging access to CI builds, among other things – when a particular build parameter is set, then the CI build will use an OAuth key to request an ephemeral, single-use access key from the Tailscale API, then use that to create a node that engineers can SSH into.
Access keys ideally should be short-lived and single-use where possible. https://tailscale.com/kb/1215/oauth-clients#generating-long-... has details on this flow.