BCEN CFRN Practice Test 2 Questions and Answers

BCEN CFRN Practice Test 2
Questions and Answers
TheMflightMteamMisMrequestedMtoMtransportMaM43-year-
oldMpatientMtoMaMreferralMcenterM60MminutesMaway.MUponMarrivalMbedside,MtheMRNMr
eportsMnoMurineMoutputMforMfourMhours.MCreatinineMhasMincreasedMfromM1.3mg/dLMto
M2.3Mmg/dL.MVentilatorMFiO2MisMbeingMincreasedMtoM100%;MPositiveMend-
expiratoryMpressureM(PEEP)MisM10McmMH2O.




BPM85/70MmmHgMIntra-
aorticMballoonMpumpM(IABP)M1:1MratioMAugmentedMIABPMpressureM100MmmHgMMeanMa
rterialMpressureM82MmmHg



ABGMpHM7.15MPaCO2M54MmmHgMPaO2M58MmmHgMHCO3M16Mmmol/LMBaseMexcessM-
12MO2MSaturationM88%



WhatMshouldMtheMflightMnurseMdoMPRIORMtoMtransportingMthisMpatient?M-
MAnswerMContactMtheMsendingMphysician



TheMnurseMisMpreparingMtoMtransportMaMyoungMchildMfromManMoutlyingMhospitalMtoMa
MpediatricMtraumaMcenter.MTheMchildMwasMinvolvedMinManMunrestrainedMmotorMvehicle
MaccidentMandMhasMnumbnessMinMbilateralMfeet.MTheMsendingMnurseMasksMifMtheyMsho
uldMremoveMspinalMimmobilizationMbecauseMtheMCTMscanMofMtheMspineMrevealedMnoMa
bnormalities.MTheMflightMnurseMshould:M-MAnswerMmaintainMimmobilization



WhichMofMtheMfollowingMassessmentMfindingsMwouldMbeMconsistentMwithMpostpartumMh
emorrhage?M-MAnswerMaMboggyMandMenlargedMsoftMuterus



TheMflightMteamMarrivesMtoMtransportMaMpatientMwhoMhasMbeenM"coding"Mon/offMforM
15Mminutes.MTheMpatientMcontinuesMtoMexperienceMventricularMfibrillationMandMhasMbee
nMdefibrillatedMsevenMtimes.MTheMpatientMhasMaMtemporaryMpacemakerMinMplace.MSetti
ngsMare:




Mode:MVOOMRate:M70Mbeats/minMOutput:M10MmAMSensitivity:Masynchronous

,TheMflightMnurseMbeginsMtoMassistMandMrecommendsMchangingMtheMmodeMtoMVVIMand
MtheMsensitivityMtoM"fullMdemand"MbasedMonMofMtheMfactMthat:M-
MAnswerMAsynchronousMpacingMmayMcauseMR-on-TMphenomenon



AMtransportMnurseMisMcaringMforMaMtraumaMpatientMwhoMdevelopsMpulselessMelectrical
MactivityMduringMtransport.MAfterMadministrationMofMepinephrineM1MmgMIVMandManMIV
MfluidMbolusMofM2ML,MtheMpatient'sMpulseMisMrestored.MTheMcardiacMarrestMwasMMOS
TMlikelyMcausedMbyM-MAnswerMhypovolemia.



TheMflightMteamMisMtransportingMaMpatientMwithMsevereMasthmaMthatMisMreceivingMhig
hMflowMoxygen.MTheMpatientMisMnotedMtoMbeMmarkedlyMmoreMdyspneicMandMspeaking
MinMoneMwordMsentences.MTheMnurseMobtainsManMarterialMbloodMgasMwhichMreveals:



pHM7.2MPaO2M55MmmHgMPaCO2M60MmmHgMHCO3-M29MmEq/L



WhatMisMtheMnurse'sMnextMPRIORITYMintervention?M-MAnswerMPerformMdrug-
assistedMintubation



TheMflightMteamMisMcalledMforMaMpreviouslyMhealthyM53-year-
oldMwhoMhadMstentsMplacedMtoday.MEjectionMfractionMisM10%.MUponMarrival,MtheMpatie
ntMisMalertMandMorientedMx4;MskinMisMpink,McoolM&Mclammy.MRespirationsMareMlabore
dMandMcracklesMareMauscultatedMthroughoutMallMlungMfields.



VitalMsigns:

BPM95/75MmmHg

HRM120Mbeats/minM(sinusMtachycardia)

RRM32Mbreaths/minMSpO2M92%MonMNRB



ABGMresultsM1MhourMago:

pHM7.24

PaCO2M48MmmHg

PaO2M60MmmHg

HCO3M20MmEq/L

BaseMexcessM-3

, WhatMisMtheMPRIORITYMforMthisMpatient?M-MAnswerMApplyMnon-
invasiveMpositiveMpressureMventilation



TheMflightMnurseMisMcalledMtoManMICUMtoMtransportMaMventilatedMpatientM24MhoursMa
fterMaMmajorMchestMtrauma.MTheMpatientMhasMhighMpressureMalarmsMwithMworseningM
oxygenationMandMincreasedMpeakMinspiratoryMpressures.MPink,MfrothyMsputumMsputumMis
Mnoted.MTheMnurseMsuspectsMtheMprimaryMcauseMtoMbe:M-
MAnswerMPulmonaryMcontusion



WhichMofMtheMfollowingMisMtheMMOSTMappropriateMinterventionMtoMpreventMandMprote
ctMtheMpatientMfromMandMtoMreduceMtheMriskMforMpulmonaryMbarotraumaMfromMmech
anicalMventilation?M-MAnswerMAttemptMtoMlowerMtheMplateauMpressure.



DuringMtransport,MaMpatientMsuffersMcardiopulmonaryMarrest.MTheMflightMnurseMproceeds
MwithMintubationMtoMsecureManMairway.MWhichMmethodMofMassessmentMforMdeterminin
gMproperMETTMplacementMisMBESTMinMthisMsituation?M-
MAnswerMproperMETCO2MwaveformMonMmonitor



TheMflightMcrewMhasMjustMcompletedMtheMtransportMofMaMpatientMwithMHIVMinfection
MandMbloodyMdiarrhea.MDecontaminationMofMtheMtransportMvehicleMshouldMbeMaccompli
shedMby:M-MAnswerMUseMofMaMspecificallyMlabeledMsporicidal



TheMflightMteamMisMcalledMtoMtransportMaM6-month-
oldMchildMdiagnosedMwithMfebrileMseizures.MUponMarrival,MhospitalMstaffMstatesMtheMchil
dMhasMlostMIVMaccessMandMtwoMadditionalMattemptsMhaveMbeenMmadeMtoMinitiateMac
cess,MwhichMhaveMbeenMunsuccessful.



VitalMsigns:

BP:M68/40MmmHgHR:M178Mbeats/minRR:M36Mbreaths/minT(rectal):103FM(39.4C)O2MSat:M93
%M(roomMair)



TheMNEXTMappropriateMstepMis:M-MAnswerMInitiateMintraosseousMaccess



TheMtransportMteamMisMcalledMtoManMoutlyingMhospitalMforMtransportMofMaMpatientMth
atMisM31MweeksMpregnant.MTheMsendingMRNMreportsMtheMpatientMisMG3P2MandMexperi
encedMaM"gush"MofMfluidsM24MhoursMpriorMtoMarrivingMatMtheMhospital.MTheMvitalsMar
eMasMfollows: