BCEN CFRN FINAL EXAM ACTUAL EXAM ACCURATE EXAM
BCEN CFRN Practice Test 2
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
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ANSWERS)/ALREADY GRADED A+
1. The flight team is requested to transport a 43-year-old Contact the sending
patient to a referral center 60 minutes away. Upon physician
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 ar-
terial 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?
2. The nurse is preparing to transport a young child from maintain immobilization
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 send-
ing nurse asks if they should remove spinal immobi-
lization because the CT scan of the spine revealed no
abnormalities. The flight nurse should:
3. Which of the following assessment findings would be a boggy and enlarged soft
consistent with postpartum hemorrhage? uterus
4. The flight team arrives to transport a patient who has Asynchronous pacing may
been "coding" on/off for 15 minutes. The patient con- cause R-on-T phenome-
tinues to experience ventricular fibrillation and has non
been defibrillated seven times. The patient has a tem-
, BCEN CFRN Practice Test 2
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porary pacemaker in place. Settings are:
Mode: VOO Rate: 70 beats/min Output: 10 mA Sensi-
tivity: 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:
5. A transport nurse is caring for a trauma patient who hypovolemia.
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
6. The flight team is transporting a patient with severe Perform drug-assisted in-
asthma that is receiving high flow oxygen. The patient tubation
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?
7. The flight team is called for a previously healthy Apply non-invasive posi-
53-year-old who had stents placed today. Ejection tive pressure ventilation
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.
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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?
8. The flight nurse is called to an ICU to transport a ven- Pulmonary contusion
tilated patient 24 hours after a major chest trauma.
The patient has high pressure alarms with worsen-
ing oxygenation and increased peak inspiratory pres-
sures. Pink, frothy sputum sputum is noted. The nurse
suspects the primary cause to be:
9. Which of the following is the MOST appropriate inter- Attempt to lower the
vention to prevent and protect the patient from and plateau pressure.
to reduce the risk for pulmonary barotrauma from
mechanical ventilation?
10. During transport, a patient suffers cardiopulmonary proper ETCO2 waveform
arrest. The flight nurse proceeds with intubation to on monitor
secure an airway. Which method of assessment for
determining proper ETT placement is BEST in this sit-
uation?
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11. The flight crew has just completed the transport of Use of a specifically la-
a patient with HIV infection and bloody diarrhea. De- beled sporicidal
contamination of the transport vehicle should be ac-
complished by:
12. The flight team is called to transport a 6-month-old Initiate intraosseous ac-
child diagnosed with febrile seizures. Upon arrival, cess
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:
13. The transport team is called to an outlying hospital Antibiotic infusion
for transport of a patient that is 31 weeks pregnant.
The sending RN reports the patient is G3P2 and expe-
rienced a "gush" of fluids 24 hours prior to arriving at
the hospital. The vitals are as follows:
BP: 126/82 mmHg
HR: 105 beats/min
RR: 20 breaths/min
SPO2: 95% (room air)
The nurse knows the PRIORITY intervention is:
14. The flight crew is called for an interfacility transfer Maintain spinal motion
of a 3-year-old patient involved in a high-speed MVA restrictions
BCEN CFRN Practice Test 2
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT
Study online at https://quizlet.com/_fct6rp
ANSWERS)/ALREADY GRADED A+
1. The flight team is requested to transport a 43-year-old Contact the sending
patient to a referral center 60 minutes away. Upon physician
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 ar-
terial 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?
2. The nurse is preparing to transport a young child from maintain immobilization
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 send-
ing nurse asks if they should remove spinal immobi-
lization because the CT scan of the spine revealed no
abnormalities. The flight nurse should:
3. Which of the following assessment findings would be a boggy and enlarged soft
consistent with postpartum hemorrhage? uterus
4. The flight team arrives to transport a patient who has Asynchronous pacing may
been "coding" on/off for 15 minutes. The patient con- cause R-on-T phenome-
tinues to experience ventricular fibrillation and has non
been defibrillated seven times. The patient has a tem-
, BCEN CFRN Practice Test 2
Study online at https://quizlet.com/_fct6rp
porary pacemaker in place. Settings are:
Mode: VOO Rate: 70 beats/min Output: 10 mA Sensi-
tivity: 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:
5. A transport nurse is caring for a trauma patient who hypovolemia.
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
6. The flight team is transporting a patient with severe Perform drug-assisted in-
asthma that is receiving high flow oxygen. The patient tubation
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?
7. The flight team is called for a previously healthy Apply non-invasive posi-
53-year-old who had stents placed today. Ejection tive pressure ventilation
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.
, BCEN CFRN Practice Test 2
Study online at https://quizlet.com/_fct6rp
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?
8. The flight nurse is called to an ICU to transport a ven- Pulmonary contusion
tilated patient 24 hours after a major chest trauma.
The patient has high pressure alarms with worsen-
ing oxygenation and increased peak inspiratory pres-
sures. Pink, frothy sputum sputum is noted. The nurse
suspects the primary cause to be:
9. Which of the following is the MOST appropriate inter- Attempt to lower the
vention to prevent and protect the patient from and plateau pressure.
to reduce the risk for pulmonary barotrauma from
mechanical ventilation?
10. During transport, a patient suffers cardiopulmonary proper ETCO2 waveform
arrest. The flight nurse proceeds with intubation to on monitor
secure an airway. Which method of assessment for
determining proper ETT placement is BEST in this sit-
uation?
, BCEN CFRN Practice Test 2
Study online at https://quizlet.com/_fct6rp
11. The flight crew has just completed the transport of Use of a specifically la-
a patient with HIV infection and bloody diarrhea. De- beled sporicidal
contamination of the transport vehicle should be ac-
complished by:
12. The flight team is called to transport a 6-month-old Initiate intraosseous ac-
child diagnosed with febrile seizures. Upon arrival, cess
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:
13. The transport team is called to an outlying hospital Antibiotic infusion
for transport of a patient that is 31 weeks pregnant.
The sending RN reports the patient is G3P2 and expe-
rienced a "gush" of fluids 24 hours prior to arriving at
the hospital. The vitals are as follows:
BP: 126/82 mmHg
HR: 105 beats/min
RR: 20 breaths/min
SPO2: 95% (room air)
The nurse knows the PRIORITY intervention is:
14. The flight crew is called for an interfacility transfer Maintain spinal motion
of a 3-year-old patient involved in a high-speed MVA restrictions
