1|Page
BCEN CFRN EXAM AND PRACTICE EXAM NEWEST 2026/ 2027
TEST BANK| CFRN BCEN FINAL EXAM PREP WITH COMPLETE
450 REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW!!)
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 boggy 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
,2|Page
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.
,3|Page
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 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
, 4|Page
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
assessment for determining proper ETT placement is BEST in this
situation? ......ANSWER......proper ETCO2 waveform on monitor
The flight crew has just completed the transport of a patient with HIV
infection and bloody diarrhea. Decontamination of the transport vehicle
should be accomplished by: ......ANSWER......Use of a specifically labeled
sporicidal
The flight team is called to transport a 6-month-old child diagnosed
with febrile seizures. Upon arrival, hospital staff states the child has lost
IV access and two additional attempts have been made to initiate
access, which have been unsuccessful.
Vital signs:
BP: 68/40 mmHgHR: 178 beats/minRR: 36 breaths/minT(rectal):103F
(39.4C)O2 Sat: 93% (room air)
The NEXT appropriate step is: ......ANSWER......Initiate intraosseous
access
BCEN CFRN EXAM AND PRACTICE EXAM NEWEST 2026/ 2027
TEST BANK| CFRN BCEN FINAL EXAM PREP WITH COMPLETE
450 REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (BRAND NEW!!)
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 boggy 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
,2|Page
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.
,3|Page
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 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
, 4|Page
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
assessment for determining proper ETT placement is BEST in this
situation? ......ANSWER......proper ETCO2 waveform on monitor
The flight crew has just completed the transport of a patient with HIV
infection and bloody diarrhea. Decontamination of the transport vehicle
should be accomplished by: ......ANSWER......Use of a specifically labeled
sporicidal
The flight team is called to transport a 6-month-old child diagnosed
with febrile seizures. Upon arrival, hospital staff states the child has lost
IV access and two additional attempts have been made to initiate
access, which have been unsuccessful.
Vital signs:
BP: 68/40 mmHgHR: 178 beats/minRR: 36 breaths/minT(rectal):103F
(39.4C)O2 Sat: 93% (room air)
The NEXT appropriate step is: ......ANSWER......Initiate intraosseous
access
