BCEN CFRN Practice Test 2 - Questions With Accurate
Solutions
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? Right
Ans - 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: Right Ans - maintain
immobilization
Which of the following assessment findings would be consistent with
postpartum hemorrhage? Right Ans - 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
,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: Right Ans -
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 Right Ans - 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? Right Ans - 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? Right Ans - 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: Right
Ans - 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? Right Ans - 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? Right Ans
- 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: Right Ans - 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: Right Ans - Initiate intraosseous access
The transport team is called to an outlying hospital for transport of a patient
that is 31 weeks pregnant. The sending RN reports the patient is G3P2 and
experienced a "gush" of fluids 24 hours prior to arriving at the hospital. The
vitals are as follows:
BP: 126/82 mmHg
Solutions
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? Right
Ans - 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: Right Ans - maintain
immobilization
Which of the following assessment findings would be consistent with
postpartum hemorrhage? Right Ans - 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
,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: Right Ans -
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 Right Ans - 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? Right Ans - 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? Right Ans - 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: Right
Ans - 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? Right Ans - 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? Right Ans
- 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: Right Ans - 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: Right Ans - Initiate intraosseous access
The transport team is called to an outlying hospital for transport of a patient
that is 31 weeks pregnant. The sending RN reports the patient is G3P2 and
experienced a "gush" of fluids 24 hours prior to arriving at the hospital. The
vitals are as follows:
BP: 126/82 mmHg
