BCEN CFRN EXAM QUESTIONS AND
ANSWERS ALL CORRECT
If your patient has high PEEP and has COPD, what do you do to decrease your Peak
and plateau pressures? - Answer--Decrease PEEP
What happens to sodium in heatstroke? - Answer--Hyponatremia
If your patient condition has changed prior to transport, what do you do? - Answer--Alert
accepting provider
If your pacer is not capturing and you have the mA high, what else do you do? -
Answer--Check battery and connections
How do you reposition somebody with a bad lung? - Answer--Place them on their good
side
Why is a normal SPO2 unreliable for a submersion injury - Answer--Hypothermia
causes a left shift in oxy dissociation, tissues could be hypoxic
If a patient begins to decompensate, shows signs of MODS, and is hypoxic on a
ventilator prior to transport, what do you do? - Answer--Contact sending physician for
new treatment plan
What do you prioritize in a DKA patient? - Answer--Neuro status because the large
shifts can cause cerebral edema
When a patient is involved in a trauma, what is the most important HISTORICAL
question to ask? - Answer--Are you taking any meds
What is the concern for somebody who has had 24 hours of rupture of membranes?
What do they need? - Answer--Sepsis/infection
-ABX
If a Trauma patient's airway pressures and plateau pressure increase, what should you
do?
What is happening?
, How would you know if tube has dislodged? - Answer--Needle decomp
-Tension pneumo
-low pressure alarm
what does it mean if you see Q waves? - Answer--Myocardial necrosis
If a freshly intubated pediatric patient has correct ventilator settings and has no chest
rise with hypercarbia, what do you get rid of?
Why? - Answer--Inline suction and elbow
-The inline suction and elbow have up to 80 ml of dead space
Upon descent, if the Vt drops. What do you check (deflated)? What law addresses this?
- Answer--Cuff pressure
-Boyle's Law
If a baby is persistently tachycardic, what can you do (position, O2, Fluids)? - Answer--
Place mom on left, oxygen, IV F
If a family member is acting crazy, do you let them come on the aircraft? - Answer--No
If a trauma patient has already received blood, what else can you give them? - Answer-
TxA
What usually happens after chest trauma and is typically delayed?
what else does it present with (PP, sputum, o2) - Answer-Pulmonary Contusion
-Increased peak pressures, hemoptysis, hypoxia
What are two common factors for fatal HEMS crashes? - Answer--Pilot error and night
flight
What can be used to fix Hyperkalemia U waves? - Answer--Calcium, Sodium Bicarb,
Insulin
Why use a miller blade to intubate a child?
What kind of ETT for peds?
What age for cric? - Answer--Epiglottis is large and floppy
ANSWERS ALL CORRECT
If your patient has high PEEP and has COPD, what do you do to decrease your Peak
and plateau pressures? - Answer--Decrease PEEP
What happens to sodium in heatstroke? - Answer--Hyponatremia
If your patient condition has changed prior to transport, what do you do? - Answer--Alert
accepting provider
If your pacer is not capturing and you have the mA high, what else do you do? -
Answer--Check battery and connections
How do you reposition somebody with a bad lung? - Answer--Place them on their good
side
Why is a normal SPO2 unreliable for a submersion injury - Answer--Hypothermia
causes a left shift in oxy dissociation, tissues could be hypoxic
If a patient begins to decompensate, shows signs of MODS, and is hypoxic on a
ventilator prior to transport, what do you do? - Answer--Contact sending physician for
new treatment plan
What do you prioritize in a DKA patient? - Answer--Neuro status because the large
shifts can cause cerebral edema
When a patient is involved in a trauma, what is the most important HISTORICAL
question to ask? - Answer--Are you taking any meds
What is the concern for somebody who has had 24 hours of rupture of membranes?
What do they need? - Answer--Sepsis/infection
-ABX
If a Trauma patient's airway pressures and plateau pressure increase, what should you
do?
What is happening?
, How would you know if tube has dislodged? - Answer--Needle decomp
-Tension pneumo
-low pressure alarm
what does it mean if you see Q waves? - Answer--Myocardial necrosis
If a freshly intubated pediatric patient has correct ventilator settings and has no chest
rise with hypercarbia, what do you get rid of?
Why? - Answer--Inline suction and elbow
-The inline suction and elbow have up to 80 ml of dead space
Upon descent, if the Vt drops. What do you check (deflated)? What law addresses this?
- Answer--Cuff pressure
-Boyle's Law
If a baby is persistently tachycardic, what can you do (position, O2, Fluids)? - Answer--
Place mom on left, oxygen, IV F
If a family member is acting crazy, do you let them come on the aircraft? - Answer--No
If a trauma patient has already received blood, what else can you give them? - Answer-
TxA
What usually happens after chest trauma and is typically delayed?
what else does it present with (PP, sputum, o2) - Answer-Pulmonary Contusion
-Increased peak pressures, hemoptysis, hypoxia
What are two common factors for fatal HEMS crashes? - Answer--Pilot error and night
flight
What can be used to fix Hyperkalemia U waves? - Answer--Calcium, Sodium Bicarb,
Insulin
Why use a miller blade to intubate a child?
What kind of ETT for peds?
What age for cric? - Answer--Epiglottis is large and floppy
