BCEN CFRN EXAM QUESTIONS AND ANSWERS ALL
CORRECT
/. 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
-Cuffed
-Above 10
/.Who is at risk for a spontaneous pneumo? - Answer--young, tall, skinny guys
/.What causes an esophageal injury?
What is the treatment for this?
What are the s/s (sub q, abd pain, sputum, hematemesis - Answer--Penetrating trauma
-Esophageal repair
-Sub Q emphysema, upper abdominal pain, bloody sputum, hematemesis
/.What could you do to the ventilator for a patient that is hypercarbic?
What happens if you increase the RR? - Answer--Decrease RR to increase the IE time
-Shortens IE time which increases the PaCO2
/.What do you do if your patient has a high plateau pressure and high auto peep?
CORRECT
/. 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
-Cuffed
-Above 10
/.Who is at risk for a spontaneous pneumo? - Answer--young, tall, skinny guys
/.What causes an esophageal injury?
What is the treatment for this?
What are the s/s (sub q, abd pain, sputum, hematemesis - Answer--Penetrating trauma
-Esophageal repair
-Sub Q emphysema, upper abdominal pain, bloody sputum, hematemesis
/.What could you do to the ventilator for a patient that is hypercarbic?
What happens if you increase the RR? - Answer--Decrease RR to increase the IE time
-Shortens IE time which increases the PaCO2
/.What do you do if your patient has a high plateau pressure and high auto peep?
