BCEN CFRN Practice Test 1 - Questions With Expert
Solutions
A patient who sustains facial impact to the windshield in an automobile
collision has trismus, dental malocclusion, and paresthesia of the lower lip.
These findings are consistent with which of the following facial fractures?
Right Ans - Mandible
Specialized transport methods in an isolette are especially important for
neonates because Right Ans - neurodevelopmental complications can be
caused by excessive vibration and noise.
The flight crew has been requested for an interfacility transport of an elderly
patient who is awake, alert, and alone. After assessment, there are no life-
threatening conditions, and the patient insists on not being transported. The
patient states their child manages their finances and only allots them a certain
amount of money each month. The patient is concerned they will not be able
to afford the transport due to these financial concerns. The appropriate action
for the flight crew is to: Right Ans - Report suspected elderly abuse and
honor the patient's wishes
The best method to reduce risk in transition of care is having Right Ans - a
consistent format.
The flight nurse is transporting a patient who was involved in a motor vehicle
collision that resulted in a left nephrectomy due to trauma. Current vital signs
and lab tests are as follows:
BP: 85/45 mm HgHR: 125 beats/minRR: 24 breaths/minO2 Sat 94% (4L nasal
cannula)
Blood urea nitrogen: 65 mg/dLCreatinine level: 3.4 mg/dLSerum potassium:
4.8 mEq/LSerum sodium: 125 mEq/L
The PRIORITY intervention should include administration of Right Ans -
norepinephrine (Levophed)
During radio transmission of a patient report, the flight nurse should Right
Ans - remain brief, speaking clearly and concisely.
,The flight team is called to transport an elderly patient who has a subdural
hematoma. The nurse recognizes symptom onset and progression is typically
slower because elderly patients Right Ans - have more potential space for
the hematoma to expand.
The flight crew responds to the scene of a motor vehicle crash in which an
unrestrained driver has been extricated from the vehicle. The patient is
tachycardic, has a shortened and externally rotated leg, and is bleeding from
the urethral meatus. The nurse suspects a Right Ans - pelvic fracture.
The flight team arrives at the bedside of a patient diagnosed with septic shock
who is being transferred for higher level of care. The patient has received two
30 ml/kg fluid boluses of normal saline and has been started on
norepinephrine at 10 mcg/minute, resulting in a normotensive blood
pressure. The patient's initial lactate level was 8 mmol/L and a recent redraw
indicates that it is now 7.5 mmol/L. The flight nurse should consider
initiating: Right Ans - Dobutamine 2 mcg/kg/min IV
Prior to transport, an adult patient in status asthmaticus should be intubated
if assessment indicates Right Ans - a PaCO2 greater than 55 mm Hg
In a helicopter safety and landing zone (LZ) presentation to a local EMS
service, which of the following is the MOST important instruction for EMS
personnel? Right Ans - Proceed toward the aircraft only when directed by
the pilot.
The nurse is transporting an adult patient who has a blood pressure of 82/40
mm Hg, heart rate of 130 beats/min, respiratory rate of 30 breaths/min and
has an oxygen saturation of 95% on a nonrebreathing mask. The patient is
moaning, skin is flushed with urticaria and wheezing is auscultated bilaterally.
The nurse should suspect Right Ans - distributive shock.
During transport of a patient on mechanical ventilation who is sedated and
chemically paralyzed, the transport nurse notes the following ETCO2
waveform. Which of the following is the MOST likely cause of this finding?
Right Ans - incomplete chemical paralysis
The nurse is transporting a patient with a lower gastrointestinal bleed who is
alert but anxious. The patient has cool, clammy skin with significant pallor of
, the mucous membranes. The patient received one liter of normal saline by
local EMS upon arrival to the ED. Vital signs are as follows: Right Ans -
initiation of packed red blood cells
During a rotor scene call for a 4-year-old patient, the patient's mother
requests to ride along with the patient to the hospital. Which of the following
statements by the mother would concern the flight crew? Right Ans - "If I
can't hold my child, they won't go with you."
The flight nurse is called to the scene of a motor vehicle accident where the
patient was found pinned beneath the steering wheel. Upon initial assessment,
the patient has well-perfused upper extremities, mottling below the
umbilicus, and decreased pedal pulses. The flight nurse knows this patient is
likely suffering from: Right Ans - Traumatic aortic dissection
A 150 pound adult burn patient is being transported to a receiving center. The
patient's urine output is being monitored via an indwelling urinary catheter.
The flight nurse understands the target urine output is: Right Ans - 68
ml/hr
The flight nurse is called to transport a patient who has been stabbed multiple
times in the abdomen. Upon initial assessment, the bowel is protruding from
the abdominal wall. The flight nurse should perform the following for
transport: Right Ans - Cover the exposed bowel with sterile solution
soaked gauze.
The flight team is called to transport a patient who has an intra-aortic balloon
pump (IABP). The flight nurse knows the IABP uses counterpulsation to
Right Ans - increase coronary artery perfusion and decrease afterload.
The team is transporting a patient with a 3-day history of fever, weight loss,
and confusion. Results of laboratory studies reveal a potassium level of 3.1
mEq/L, glucose level of 524 mg/dL, pH of 7.2, and normal lipase level. The
transport nurse should suspect Right Ans - diabetic ketoacidosis.
A patient with an intra-aortic balloon pump (IABP) is being transported via
fixed-wing aircraft. After ascent, it is essential for the transport nurse to
Right Ans - rezero the arterial line.
Solutions
A patient who sustains facial impact to the windshield in an automobile
collision has trismus, dental malocclusion, and paresthesia of the lower lip.
These findings are consistent with which of the following facial fractures?
Right Ans - Mandible
Specialized transport methods in an isolette are especially important for
neonates because Right Ans - neurodevelopmental complications can be
caused by excessive vibration and noise.
The flight crew has been requested for an interfacility transport of an elderly
patient who is awake, alert, and alone. After assessment, there are no life-
threatening conditions, and the patient insists on not being transported. The
patient states their child manages their finances and only allots them a certain
amount of money each month. The patient is concerned they will not be able
to afford the transport due to these financial concerns. The appropriate action
for the flight crew is to: Right Ans - Report suspected elderly abuse and
honor the patient's wishes
The best method to reduce risk in transition of care is having Right Ans - a
consistent format.
The flight nurse is transporting a patient who was involved in a motor vehicle
collision that resulted in a left nephrectomy due to trauma. Current vital signs
and lab tests are as follows:
BP: 85/45 mm HgHR: 125 beats/minRR: 24 breaths/minO2 Sat 94% (4L nasal
cannula)
Blood urea nitrogen: 65 mg/dLCreatinine level: 3.4 mg/dLSerum potassium:
4.8 mEq/LSerum sodium: 125 mEq/L
The PRIORITY intervention should include administration of Right Ans -
norepinephrine (Levophed)
During radio transmission of a patient report, the flight nurse should Right
Ans - remain brief, speaking clearly and concisely.
,The flight team is called to transport an elderly patient who has a subdural
hematoma. The nurse recognizes symptom onset and progression is typically
slower because elderly patients Right Ans - have more potential space for
the hematoma to expand.
The flight crew responds to the scene of a motor vehicle crash in which an
unrestrained driver has been extricated from the vehicle. The patient is
tachycardic, has a shortened and externally rotated leg, and is bleeding from
the urethral meatus. The nurse suspects a Right Ans - pelvic fracture.
The flight team arrives at the bedside of a patient diagnosed with septic shock
who is being transferred for higher level of care. The patient has received two
30 ml/kg fluid boluses of normal saline and has been started on
norepinephrine at 10 mcg/minute, resulting in a normotensive blood
pressure. The patient's initial lactate level was 8 mmol/L and a recent redraw
indicates that it is now 7.5 mmol/L. The flight nurse should consider
initiating: Right Ans - Dobutamine 2 mcg/kg/min IV
Prior to transport, an adult patient in status asthmaticus should be intubated
if assessment indicates Right Ans - a PaCO2 greater than 55 mm Hg
In a helicopter safety and landing zone (LZ) presentation to a local EMS
service, which of the following is the MOST important instruction for EMS
personnel? Right Ans - Proceed toward the aircraft only when directed by
the pilot.
The nurse is transporting an adult patient who has a blood pressure of 82/40
mm Hg, heart rate of 130 beats/min, respiratory rate of 30 breaths/min and
has an oxygen saturation of 95% on a nonrebreathing mask. The patient is
moaning, skin is flushed with urticaria and wheezing is auscultated bilaterally.
The nurse should suspect Right Ans - distributive shock.
During transport of a patient on mechanical ventilation who is sedated and
chemically paralyzed, the transport nurse notes the following ETCO2
waveform. Which of the following is the MOST likely cause of this finding?
Right Ans - incomplete chemical paralysis
The nurse is transporting a patient with a lower gastrointestinal bleed who is
alert but anxious. The patient has cool, clammy skin with significant pallor of
, the mucous membranes. The patient received one liter of normal saline by
local EMS upon arrival to the ED. Vital signs are as follows: Right Ans -
initiation of packed red blood cells
During a rotor scene call for a 4-year-old patient, the patient's mother
requests to ride along with the patient to the hospital. Which of the following
statements by the mother would concern the flight crew? Right Ans - "If I
can't hold my child, they won't go with you."
The flight nurse is called to the scene of a motor vehicle accident where the
patient was found pinned beneath the steering wheel. Upon initial assessment,
the patient has well-perfused upper extremities, mottling below the
umbilicus, and decreased pedal pulses. The flight nurse knows this patient is
likely suffering from: Right Ans - Traumatic aortic dissection
A 150 pound adult burn patient is being transported to a receiving center. The
patient's urine output is being monitored via an indwelling urinary catheter.
The flight nurse understands the target urine output is: Right Ans - 68
ml/hr
The flight nurse is called to transport a patient who has been stabbed multiple
times in the abdomen. Upon initial assessment, the bowel is protruding from
the abdominal wall. The flight nurse should perform the following for
transport: Right Ans - Cover the exposed bowel with sterile solution
soaked gauze.
The flight team is called to transport a patient who has an intra-aortic balloon
pump (IABP). The flight nurse knows the IABP uses counterpulsation to
Right Ans - increase coronary artery perfusion and decrease afterload.
The team is transporting a patient with a 3-day history of fever, weight loss,
and confusion. Results of laboratory studies reveal a potassium level of 3.1
mEq/L, glucose level of 524 mg/dL, pH of 7.2, and normal lipase level. The
transport nurse should suspect Right Ans - diabetic ketoacidosis.
A patient with an intra-aortic balloon pump (IABP) is being transported via
fixed-wing aircraft. After ascent, it is essential for the transport nurse to
Right Ans - rezero the arterial line.
