BCEN CFRN Practice Test 2 latest
exam review 2026
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%
answer ✅
What should the flight nurse do PRIOR to transporting this patient? - correct
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
abnormalities. The flight nurse should: - correct answer
immobilization
✅
remove spinal immobilization because the CT scan of the spine revealed no
maintain
hemorrhage? - correct answer ✅
Which of the following assessment findings would be consistent with postpartum
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
,BCEN CFRN Practice Test 2 latest
exam review 2026
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: - correct 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
likely caused by - correct answer ✅
fluid bolus of 2 L, the patient's pulse is restored. The cardiac arrest was MOST
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? - correct answer
drug-assisted intubation
✅ Perform
,BCEN CFRN Practice Test 2 latest
exam review 2026
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? - correct answer
positive pressure ventilation
✅ Apply non-invasive
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: - correct answer
Pulmonary contusion
, BCEN CFRN Practice Test 2 latest
exam review 2026
Which of the following is the MOST appropriate intervention to prevent and
mechanical ventilation? - correct answer
pressure.
✅
protect the patient from and to reduce the risk for pulmonary barotrauma from
Attempt to lower the plateau
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? - correct answer
proper ETCO2 waveform on monitor
The flight crew has just completed the transport of a patient with HIV infection
accomplished by: - correct answer ✅
and bloody diarrhea. Decontamination of the transport vehicle should be
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: - correct answer ✅ 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
exam review 2026
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%
answer ✅
What should the flight nurse do PRIOR to transporting this patient? - correct
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
abnormalities. The flight nurse should: - correct answer
immobilization
✅
remove spinal immobilization because the CT scan of the spine revealed no
maintain
hemorrhage? - correct answer ✅
Which of the following assessment findings would be consistent with postpartum
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
,BCEN CFRN Practice Test 2 latest
exam review 2026
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: - correct 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
likely caused by - correct answer ✅
fluid bolus of 2 L, the patient's pulse is restored. The cardiac arrest was MOST
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? - correct answer
drug-assisted intubation
✅ Perform
,BCEN CFRN Practice Test 2 latest
exam review 2026
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? - correct answer
positive pressure ventilation
✅ Apply non-invasive
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: - correct answer
Pulmonary contusion
, BCEN CFRN Practice Test 2 latest
exam review 2026
Which of the following is the MOST appropriate intervention to prevent and
mechanical ventilation? - correct answer
pressure.
✅
protect the patient from and to reduce the risk for pulmonary barotrauma from
Attempt to lower the plateau
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? - correct answer
proper ETCO2 waveform on monitor
The flight crew has just completed the transport of a patient with HIV infection
accomplished by: - correct answer ✅
and bloody diarrhea. Decontamination of the transport vehicle should be
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: - correct answer ✅ 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
