BCEN CFRN PRACTICE TEST 2
QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
During a landing zone training a six-foot-tall, 17-year-old firefighter approaches the flight
nurse and states they developed sudden shortness of breath that started after the
helicopter landed. The patient states he also has pain, mostly upon inspiration. The
nurse suspects: - Answer- Pneumothorax
A transport nurse is caring for an adult patient with new onset seizures that persist after
lorazepam (Ativan) administration. Which of the following is BEST administered as a
second agent? - Answer- phenytoin (Dilantin)
Which of the following signs are an indication for sodium bicarbonate administration in a
tricyclic antidepressant ingestion? - Answer- a QRS complex greater than 100
milliseconds
While completing a secondary physical exam on a patient with frostbite to their feet, the
flight nurse notices that the skin on the patients' feet is red and has developed clear
blisters. What stage of frostbite does this patient have? - Answer- Second-degree
Patients with which condition may present with acute respiratory muscle insufficiency,
diplopia, or dysphagia? - Answer- Myasthenia gravis
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%
What should the flight nurse do PRIOR to transporting this patient? - Answer- 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 remove spinal
immobilization because the CT scan of the spine revealed no abnormalities. The flight
nurse should: - Answer- maintain immobilization
Which of the following assessment findings would be consistent with postpartum
hemorrhage? - Answer- 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
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: - 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 fluid
bolus of 2 L, the patient's pulse is restored. The cardiac arrest was MOST likely caused
by - Answer- 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? - Answer- Perform drug-assisted
intubation
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? - Answer- Apply non-invasive positive pressure
ventilation
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: - Answer- Pulmonary contusion
Which of the following is the MOST appropriate intervention to prevent and protect the
patient from and to reduce the risk for pulmonary barotrauma from mechanical
ventilation? - Answer- Attempt to lower the plateau pressure.
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? - Answer- proper ETCO2 waveform on
monitor
The flight crew has just completed the transport of a patient with HIV infection and
bloody diarrhea. Decontamination of the transport vehicle should be accomplished by: -
Answer- 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: - 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 a "gush"
of fluids 24 hours prior to arriving at the hospital. The vitals are as follows:
BP: 126/82 mmHg
HR: 105 beats/min
RR: 20 breaths/min
SPO2: 95% (room air)
QUESTIONS AND CORRECT
ANSWERS ALREADY PASSED
During a landing zone training a six-foot-tall, 17-year-old firefighter approaches the flight
nurse and states they developed sudden shortness of breath that started after the
helicopter landed. The patient states he also has pain, mostly upon inspiration. The
nurse suspects: - Answer- Pneumothorax
A transport nurse is caring for an adult patient with new onset seizures that persist after
lorazepam (Ativan) administration. Which of the following is BEST administered as a
second agent? - Answer- phenytoin (Dilantin)
Which of the following signs are an indication for sodium bicarbonate administration in a
tricyclic antidepressant ingestion? - Answer- a QRS complex greater than 100
milliseconds
While completing a secondary physical exam on a patient with frostbite to their feet, the
flight nurse notices that the skin on the patients' feet is red and has developed clear
blisters. What stage of frostbite does this patient have? - Answer- Second-degree
Patients with which condition may present with acute respiratory muscle insufficiency,
diplopia, or dysphagia? - Answer- Myasthenia gravis
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%
What should the flight nurse do PRIOR to transporting this patient? - Answer- 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 remove spinal
immobilization because the CT scan of the spine revealed no abnormalities. The flight
nurse should: - Answer- maintain immobilization
Which of the following assessment findings would be consistent with postpartum
hemorrhage? - Answer- 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
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: - 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 fluid
bolus of 2 L, the patient's pulse is restored. The cardiac arrest was MOST likely caused
by - Answer- 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? - Answer- Perform drug-assisted
intubation
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? - Answer- Apply non-invasive positive pressure
ventilation
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: - Answer- Pulmonary contusion
Which of the following is the MOST appropriate intervention to prevent and protect the
patient from and to reduce the risk for pulmonary barotrauma from mechanical
ventilation? - Answer- Attempt to lower the plateau pressure.
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? - Answer- proper ETCO2 waveform on
monitor
The flight crew has just completed the transport of a patient with HIV infection and
bloody diarrhea. Decontamination of the transport vehicle should be accomplished by: -
Answer- 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: - 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 a "gush"
of fluids 24 hours prior to arriving at the hospital. The vitals are as follows:
BP: 126/82 mmHg
HR: 105 beats/min
RR: 20 breaths/min
SPO2: 95% (room air)
