BCEN CFRN Practice Test 2 2025/2026
Exam Questions and Answers | A+ Score
Assured
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 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
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,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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
, 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
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STATEMENT. ALL RIGHTS RESERVED
Exam Questions and Answers | A+ Score
Assured
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 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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
2
STATEMENT. ALL RIGHTS RESERVED
,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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED
, 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
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
