BCEN CFRN Practice Test 2 Exam
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The flight team is requested to transport a 43-year-old patient to a
referral center 60 minutes away. Upon arrival bedside, the RN reports
no urine output for four hours. Creatinine has increased from
1.3mg/dL to 2.3 mg/dL. Ventilator FiO2 is being increased to 100%;
Positive end-expiratory pressure (PEEP) is 10 cm H2O.
BP 85/70 mmHg Intra-aortic balloon pump (IABP) 1:1 ratio Augmented
IABP pressure 100 mmHg Mean arterial pressure 82 mmHg
ABG pH 7.15 PaCO2 54 mmHg PaO2 58 mmHg HCO3 16 mmol/L Base
excess -12 O2 Saturation 88%
,What should the flight nurse do PRIOR to transporting this patient? -
ANSWER-Contact the sending physician
The nurse is preparing to transport a young child from an outlying
hospital to a pediatric trauma center. The child was involved in an
unrestrained motor vehicle accident and has numbness in bilateral
feet. The sending nurse asks if they should remove spinal
immobilization because the CT scan of the spine revealed no
abnormalities. The flight nurse should: - ANSWER-maintain
immobilization
Which of the following assessment findings would be consistent with
postpartum hemorrhage? - ANSWER-a bogie and enlarged soft uterus
The flight team arrives to transport a patient who has been "coding"
on/off for 15 minutes. The patient continues to experience ventricular
fibrillation and has been defibrillated seven times. The patient has a
temporary pacemaker in place. Settings are:
Mode: VOO Rate: 70 beats/min Output: 10 mA Sensitivity:
asynchronous
,The flight nurse begins to assist and recommends changing the mode
to VVI and the sensitivity to "full demand" based on of the fact that: -
ANSWER-Asynchronous pacing may cause R-on-T phenomenon
A transport nurse is caring for a trauma patient who develops
pulseless electrical activity during transport. After administration of
epinephrine 1 mg IV and an IV fluid bolus of 2 L, the patient's pulse is
restored. The cardiac arrest was MOST likely caused by - ANSWER-
hypovolemia.
The flight team is transporting a patient with severe asthma that is
receiving high flow oxygen. The patient is noted to be markedly more
dyspneic and speaking in one word sentences. The nurse obtains an
arterial blood gas which reveals:
pH 7.2 PaO2 55 mmHg PaCO2 60 mmHg HCO3- 29 mEq/L
What is the nurse's next PRIORITY intervention? - ANSWER-Perform
drug-assisted intubation
The flight team is called for a previously healthy 53-year-old who had
stents placed today. Ejection fraction is 10%. Upon arrival, the patient
is alert and oriented x4; skin is pink, cool & clammy. Respirations are
labored and crackles are auscultated throughout all lung fields.
Vital signs:
BP 95/75 mmHg
, HR 120 beats/min (sinus tachycardia)
RR 32 breaths/min SpO2 92% on NRB
ABG results 1 hour ago:
pH 7.24
PaCO2 48 mmHg
PaO2 60 mmHg
HCO3 20 mEq/L
Base excess -3
What is the PRIORITY for this patient? - ANSWER-Apply non-invasive
positive pressure ventilation
The flight nurse is called to an ICU to transport a ventilated patient 24
hours after a major chest trauma. The patient has high pressure
alarms with worsening oxygenation and increased peak inspiratory
pressures. Pink, frothy sputum is noted. The nurse suspects the
primary cause to be: - ANSWER-Pulmonary contusion
Which of the following is the MOST appropriate intervention to
prevent and protect the patient from and to reduce the risk for
pulmonary barotrauma from mechanical ventilation? - ANSWER-
Attempt to lower the plateau pressure.
During transport, a patient suffers cardiopulmonary arrest. The flight
nurse proceeds with intubation to secure an airway. Which method of
Merged With Correct Complete
Solutions || Already Graded A+ ||
2026-2027 Latest Update!!!
The flight team is requested to transport a 43-year-old patient to a
referral center 60 minutes away. Upon arrival bedside, the RN reports
no urine output for four hours. Creatinine has increased from
1.3mg/dL to 2.3 mg/dL. Ventilator FiO2 is being increased to 100%;
Positive end-expiratory pressure (PEEP) is 10 cm H2O.
BP 85/70 mmHg Intra-aortic balloon pump (IABP) 1:1 ratio Augmented
IABP pressure 100 mmHg Mean arterial pressure 82 mmHg
ABG pH 7.15 PaCO2 54 mmHg PaO2 58 mmHg HCO3 16 mmol/L Base
excess -12 O2 Saturation 88%
,What should the flight nurse do PRIOR to transporting this patient? -
ANSWER-Contact the sending physician
The nurse is preparing to transport a young child from an outlying
hospital to a pediatric trauma center. The child was involved in an
unrestrained motor vehicle accident and has numbness in bilateral
feet. The sending nurse asks if they should remove spinal
immobilization because the CT scan of the spine revealed no
abnormalities. The flight nurse should: - ANSWER-maintain
immobilization
Which of the following assessment findings would be consistent with
postpartum hemorrhage? - ANSWER-a bogie and enlarged soft uterus
The flight team arrives to transport a patient who has been "coding"
on/off for 15 minutes. The patient continues to experience ventricular
fibrillation and has been defibrillated seven times. The patient has a
temporary pacemaker in place. Settings are:
Mode: VOO Rate: 70 beats/min Output: 10 mA Sensitivity:
asynchronous
,The flight nurse begins to assist and recommends changing the mode
to VVI and the sensitivity to "full demand" based on of the fact that: -
ANSWER-Asynchronous pacing may cause R-on-T phenomenon
A transport nurse is caring for a trauma patient who develops
pulseless electrical activity during transport. After administration of
epinephrine 1 mg IV and an IV fluid bolus of 2 L, the patient's pulse is
restored. The cardiac arrest was MOST likely caused by - ANSWER-
hypovolemia.
The flight team is transporting a patient with severe asthma that is
receiving high flow oxygen. The patient is noted to be markedly more
dyspneic and speaking in one word sentences. The nurse obtains an
arterial blood gas which reveals:
pH 7.2 PaO2 55 mmHg PaCO2 60 mmHg HCO3- 29 mEq/L
What is the nurse's next PRIORITY intervention? - ANSWER-Perform
drug-assisted intubation
The flight team is called for a previously healthy 53-year-old who had
stents placed today. Ejection fraction is 10%. Upon arrival, the patient
is alert and oriented x4; skin is pink, cool & clammy. Respirations are
labored and crackles are auscultated throughout all lung fields.
Vital signs:
BP 95/75 mmHg
, HR 120 beats/min (sinus tachycardia)
RR 32 breaths/min SpO2 92% on NRB
ABG results 1 hour ago:
pH 7.24
PaCO2 48 mmHg
PaO2 60 mmHg
HCO3 20 mEq/L
Base excess -3
What is the PRIORITY for this patient? - ANSWER-Apply non-invasive
positive pressure ventilation
The flight nurse is called to an ICU to transport a ventilated patient 24
hours after a major chest trauma. The patient has high pressure
alarms with worsening oxygenation and increased peak inspiratory
pressures. Pink, frothy sputum is noted. The nurse suspects the
primary cause to be: - ANSWER-Pulmonary contusion
Which of the following is the MOST appropriate intervention to
prevent and protect the patient from and to reduce the risk for
pulmonary barotrauma from mechanical ventilation? - ANSWER-
Attempt to lower the plateau pressure.
During transport, a patient suffers cardiopulmonary arrest. The flight
nurse proceeds with intubation to secure an airway. Which method of
