CFRN PRACTICE TEST QUESTIONS WITH ACCURATE SOLUTIONS- GRADED A+
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys
B. Spleen
In the presence of midface trauma with instability, which airway maneuver would be
contraindicated?
A. Digital intubation
B. Oropharyngeal suctioning of foreign bodies
C. Oral intubation
D. Nasotracheal intubation
D. Nasotracheal intubation
You are on scene with a 37 year-old male involved in an MVC, combative and confused on-
scene. Patient was intubated with a 8.0 ETT, 24 cm at the lips. Quantitative ETCO2
monitoring shows a ETCO2 of 50. Which action should be undertaken by the
flight/transport nurse?
,A. Slightly hyperventile the patient
B. Switch to a litmus paper ETCO2 detector
C. Advance ETT 1 cm, then reassess
D. Continue ventilating at 12 bpm with 100% FiO2
A. Slightly hyperventile the patient
When assessing your patient's airway prior to intubation, you use the Mallampati
classification. Your physical assessment reveals that the posterior pharynx is partially
exposed. Based on your knowledge of this classification, you know that this is a Mallampati
grade class of:
A. I.
B. II.
C. III.
D. IV.
B. II.
During intubation, the operator may use the BURP technique. This acronym stands for:
A. Bag the patient, use pressure, reverse, placement
B. Bilateral, upwards, replace, position
C. Backward, upward, rightward, pressure
,D. Beneath, under, rearward, posterior
C. Backward, upward, rightward, pressure
You have just orally intubated your patient. When listening to breath sounds, you note that
there are air sounds over the epigastrium. It is difficult to determine the presence of lung
sounds. There is no significant chest rise or fall with revelations. The most appropriate
action at this point is to:
A. Deflate the cuff and pull back the tube 2 to 3 cm.
B. Deflate the cuff and advance the tube 1 to 2 cm.
C. Continue to ventilate for another minute and then reassess.
D. Deflate the cuff, remove the tube, and repeat the steps for oral intubation.
D. Deflate the cuff, remove the tube, and repeat the steps for oral
After several failed intubation attempts, your patient still requires an advanced airway.
There is a significant chance your patient has an airway obstruction as well. You are
considering doing a surgical cricothyrotomy. Which of the following is a TRUE statement
regarding this procedure?
A. It would be contraindicated in a 10-year-old patient.
B. It requires more than just a scalpel and an endotracheal tube.
C. It is not necessary to visualize anatomic landmarks.
D. It is indicated if intubation is not feasible.
D. It is indicated if intubation is not
, Rapid sequence intubation (RSI) is a critical skill used by the RN. Which of the following is a
TRUE statement regarding RSI?
A. The indications are markedly different than those for endotracheal intubation.
B. Use of the Sellick maneuver helps to reduce the risk of aspiration.
C. It is indicated if you are unable to ventilate the patient adequately.
D. RSI makes no assumptions about the timing of the patient's last meal.
B. Use of the Sellick maneuver helps to reduce the risk of aspiration.
When selecting a sedative/induction agent to use during RSI, sodium thiopental and
methohexital are ultra-short-acting barbiturates. Their short duration of action makes them
attractive to use; however, they do have potential complications and may not always be the
ideal agent to use. Which of the following statements best reflects the concern about using
these particular agents?
A. They are expensive.
B. They must be stored in a controlled environment.
C. They may cause a significant interaction with other ALS drugs.
D. They have a propensity to precipitate myocardial depression and hypotension.
D. They have a propensity to precipitate myocardial depression and hypotension
Which of the following is the MOST commonly injured organ in the abdominal cavity?
A. Pancreas
B. Spleen
C. Liver
D. Kidneys
B. Spleen
In the presence of midface trauma with instability, which airway maneuver would be
contraindicated?
A. Digital intubation
B. Oropharyngeal suctioning of foreign bodies
C. Oral intubation
D. Nasotracheal intubation
D. Nasotracheal intubation
You are on scene with a 37 year-old male involved in an MVC, combative and confused on-
scene. Patient was intubated with a 8.0 ETT, 24 cm at the lips. Quantitative ETCO2
monitoring shows a ETCO2 of 50. Which action should be undertaken by the
flight/transport nurse?
,A. Slightly hyperventile the patient
B. Switch to a litmus paper ETCO2 detector
C. Advance ETT 1 cm, then reassess
D. Continue ventilating at 12 bpm with 100% FiO2
A. Slightly hyperventile the patient
When assessing your patient's airway prior to intubation, you use the Mallampati
classification. Your physical assessment reveals that the posterior pharynx is partially
exposed. Based on your knowledge of this classification, you know that this is a Mallampati
grade class of:
A. I.
B. II.
C. III.
D. IV.
B. II.
During intubation, the operator may use the BURP technique. This acronym stands for:
A. Bag the patient, use pressure, reverse, placement
B. Bilateral, upwards, replace, position
C. Backward, upward, rightward, pressure
,D. Beneath, under, rearward, posterior
C. Backward, upward, rightward, pressure
You have just orally intubated your patient. When listening to breath sounds, you note that
there are air sounds over the epigastrium. It is difficult to determine the presence of lung
sounds. There is no significant chest rise or fall with revelations. The most appropriate
action at this point is to:
A. Deflate the cuff and pull back the tube 2 to 3 cm.
B. Deflate the cuff and advance the tube 1 to 2 cm.
C. Continue to ventilate for another minute and then reassess.
D. Deflate the cuff, remove the tube, and repeat the steps for oral intubation.
D. Deflate the cuff, remove the tube, and repeat the steps for oral
After several failed intubation attempts, your patient still requires an advanced airway.
There is a significant chance your patient has an airway obstruction as well. You are
considering doing a surgical cricothyrotomy. Which of the following is a TRUE statement
regarding this procedure?
A. It would be contraindicated in a 10-year-old patient.
B. It requires more than just a scalpel and an endotracheal tube.
C. It is not necessary to visualize anatomic landmarks.
D. It is indicated if intubation is not feasible.
D. It is indicated if intubation is not
, Rapid sequence intubation (RSI) is a critical skill used by the RN. Which of the following is a
TRUE statement regarding RSI?
A. The indications are markedly different than those for endotracheal intubation.
B. Use of the Sellick maneuver helps to reduce the risk of aspiration.
C. It is indicated if you are unable to ventilate the patient adequately.
D. RSI makes no assumptions about the timing of the patient's last meal.
B. Use of the Sellick maneuver helps to reduce the risk of aspiration.
When selecting a sedative/induction agent to use during RSI, sodium thiopental and
methohexital are ultra-short-acting barbiturates. Their short duration of action makes them
attractive to use; however, they do have potential complications and may not always be the
ideal agent to use. Which of the following statements best reflects the concern about using
these particular agents?
A. They are expensive.
B. They must be stored in a controlled environment.
C. They may cause a significant interaction with other ALS drugs.
D. They have a propensity to precipitate myocardial depression and hypotension.
D. They have a propensity to precipitate myocardial depression and hypotension
