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Certified Flight Registered Nurse Practice Test

CFRN test Format | Course Contents | Course Outline | test Syllabus | test Objectives

1. General principles of transport nursing practice
A. Transport physiology
1. Physiologic stressors of transport
2. Effects of altitude on patients
B. Scene operations
1. Secure landing zone
2. Incident Command System
C. Communications
1. Radio operations
2. Patient handoff (e.g., history from referring provider, updates for receiving provider, SBAR)
3. Crew resource management
D. Safety and survival
1. ELT
2. Navigation (e.g., maps, GPS, night-vision goggles)
3. Transponder codes
4. Survival principles (post-crash)
5. Transport vehicle emergencies
6. Pre-mission preparation (e.g., shift preparedness, risk assessment, crew briefings, weather limitations,AMRM)
E. Management of man-made disasters (e.g., terrorism, industrial accident, transportation accident, mass casualties)
F. Professional issues
1. Evidence-based practice and research
2. Legal issues
a. HIPAA
b. EMTALA
c. Consent
d. Mandatory reporting (e.g., abuse, neglect, diversion, non-accidental trauma)
e. Legal concepts in patient care (e.g., negligence, assault, battery, abandonment)
3. Ethical issues
4. Psychosocial issues in transport, including families
G. Management
1. Quality management and fair work environment
2. Outreach and community education
3. Stress management (e.g., self-care, post-traumatic critical incident)
2. Resuscitation principles 27 31
A. Principles of assessment and patient preparation
1. Physical assessment
2. Pain and comfort assessment
3. Preparing the patient for transport (i.e., packaging)
B. Airway management
1. Airway assessment
2. Airway management
3. Difficulties encountered with airway
4. Rapid Sequence Induction for Intubation (RSI), including pharmacology
C. Mechanical ventilation
1. Invasive ventilation
2. Non-invasive ventilation
D. Perfusion
1. Components of oxygen delivery
2. Shock pathophysiology
3. Trauma triad (hypothermia, acidosis, coagulopathies)
4. Acid base imbalances
3. Trauma 26 31
A. Principles of management
1. Mechanism of injury
2. Shock
a. Hypovolemic
b. Obstructive
c. Distributive (including neurogenic)
d. Cardiogenic
3. Immobilization
B. Neurologic
1. Traumatic brain injuries
2. Spinal cord injuries
3. Post-traumatic seizures
C. Thoracic
1. Chest wall injuries
2. Pulmonary injuries
3. Cardiac injuries
4. Great vessel injuries
D. Abdominal
1. Hollow organ injuries
2. Solid organ injuries
3. Diaphragmatic injuries
4. Retroperitoneal injuries
5. Abdominal compartment syndrome
E. Orthopedic
1. Vertebral injuries
2. Pelvic injuries
3. Compartment syndrome
4. Amputations
5. Extremity fractures
6. Soft-tissue injuries
F. Burn
1. Chemical burns
2. Electrical burns
3. Thermal burns
4. Radiological burns
5. Inhalation injuries
G. Maxillofacial and neck
1. Facial injuries, including fractures
2. Ocular injuries
3. Blunt and penetrating neck injuries
4. Medical emergencies 44 44
A. Neurologic
1. Seizure disorders
2. Stroke
3. Neuromuscular disorders
4. Space occupying lesions
a. Blood
b. Tumors
c. Abscesses
d. Hydrocephalus
e. Encephalopathies
B. Cardiovascular
1. Acute coronary syndrome
2. Congestive heart failure
3. Pulmonary edema
4. Dysrhythmias
5. Aortic abnormalities
6. Hypertension
7. Mechanical/circulatory support (e.g., IABP, VAD, pacing)
C. Pulmonary
1. COPD
2. Acute lung injury/ARDS
3. Pulmonary infections
4. Asthma
5. Pulmonary embolism
D. Abdominal
1. Abdominal compartment syndrome
2. GI bleed
3. Conditions of the hollow organs (e.g., obstruction,rupture)
4. Conditions of the solid organs (e.g., pancreatitis, hepatitis)
E. Electrolyte disturbances
F. Metabolic and endocrine
1. Diabetic emergencies
2. Neuroendocrine disorders (e.g., diabetes insipidus, SIADH, HHNK)
3. Thyroid conditions
4. Adrenal disorders
G. Hematology
1. Coagulopathies (including platelet disorders)
2. Anemias
H. Renal
1. Acute kidney injury (i.e., acute renal failure)
2. Chronic renal failure
I. Infectious and communicable diseases
1. SIRS and sepsis
2. Isolation precautions (e.g., MRSA, influenza-like illness, highly-infectious diseases)
J. Shock
1. Hypovolemic
2. Obstructive
3. Distributive (including neurogenic and anaphylaxis)
4. Cardiogenic
K. Environmental and toxicological emergencies
1. Environment
a. Allergic reactions
b. Cold related (e.g., hypothermia, frostbite)
c. Heat related (e.g., heatstroke, heat exhaustion)
d. Submersion injuries (i.e., diving injuries, drowning, near drowning)
e. Bites and envenomation
2. Toxicology
A. Obstetrical patients
1. Complications of pregnancy
2. Delivery and post-partum care of mother and infant
3. Trauma
B. Pediatric
1. Trauma
2. Medical (e.g., respiratory, cardiac, and neurological emergencies, metabolic disturbances)
C. Geriatric
1. Trauma (e.g., falls, immobilization)
2. Medical (e.g., drug interactions and comorbidities, dementia)
D. Bariatric (e.g., logistical issues, drug dosage, skin issues,airway management)

Procedures
PA catheter
Point-of-care testing
Video laryngoscopy
Chest radiographs
Transvenous pacing
Capnography for non-intubated patients
Surgical cricothyrotomy
Therapeutic hypothermia
Central venous pressure measurement
Arterial line
Needle cricothyrotomy
Needle thoracostomy
Tourniquet application
Central line
Chest tube
Pelvic stabilization
Non-invasive mechanical ventilation
Traction splint
12-lead ECG
Invasive mechanical ventilation
Transcutaneous pacing
Blood product administration
Capnography for intubated patients
Endotrachael intubation
Initiate/titrate medications
Intraosseous catheter
IABP operation
Escharotomy
CT scans
Medical circulatory devices (VAD, Impella®)
Fracture/dislocation reduction
ICP monitoring
Pericardiocentesis
Neck radiographs
Ventriculostomy monitoring

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killexams.com Nursing CFRN
BCEN Certified Flight Registered Nurse 2025
https://killexams.com/pass4sure/exam-detail/CFRN
Question: 330
dministering high-flow supplemental oxygen
erforming needle decompression of the affected hemithorax pplying a occlusive dressing to the chest wall
nitiating positive-pressure ventilation with a bag-valve-mask device eparing for emergent chest tube insertion
wer: B
anation: For a patient with a suspected tension pneumothorax, the nur riority should be to perform needle decompression of the affected thorax. This immediate intervention helps relieve the life-threatening ase in intrathoracic pressure caused by the tension pneumothorax. Th interventions, while important, should be implemented after the initi le decompression.
stion: 331
tient with a history of hypertension and diabetes presents with sudden
A patient with a suspected tension pneumothorax is being transported by air. Which of the following in-flight interventions should the nurse perform first?
1. A
2. P
3. A
4. I
5. Pr
Ans
Expl se's
first p hemi
incre e
other al
need
Que
A pa -
onset severe headache, nausea, and vomiting. Which of the following is the most likely diagnosis?
1. Stroke
2. Intracranial hemorrhage
3. Meningitis
4. Hypertensive emergency
Answer: D
Explanation: The combination of sudden-onset severe headache, nausea, and vomiting in a patient with a history of hypertension and diabetes is most indicative of a hypertensive emergency. Hypertensive emergencies require immediate recognition and management to prevent life-threatening complications, such as stroke, intracranial hemorrhage, and end-organ damage.
tient is experiencing severe anaphylaxis with hypotension, respiratory ess, and facial swelling. Which of the following is the MOST appropr
intervention? dminister antihistamines dminister epinephrine dminister corticosteroids nitiate fluid resuscitation
wer: B
anation: Administering epinephrine is the most appropriate initial vention for severe anaphylaxis, as it can rapidly reverse the life-threat ptoms.
stion: 333
ch of the following is the most common cause of inflight seizures? ypoglycemia
lcohol withdrawal ebrile illness
Question: 332
A pa
distr iate
initial
1. A
2. A
3. A
4. I
Ans Expl
inter ening
sym
Que
Whi
1. H
2. A
3. F
4. Head trauma
Answer: A
Explanation: Hypoglycemia is the most common cause of inflight seizures. This can occur in patients with diabetes or other conditions that can lead to low blood sugar levels, which can be exacerbated by the stresses of high-altitude flight.
Question: 334
A 35-year-old patient is being transported by air with suspected spinal cord injury. Which of the following is the most appropriate immediate intervention?
1. Administer high-dose methylprednisolone
2. Perform emergent decompression surgery
3. Apply a rigid cervical collar and immobilize the spine
itiate noninvasive positive pressure ventilation
wer: C
anation: Immediate immobilization of the spine with a rigid cervical c pinal precautions is the most appropriate initial intervention to preve er neurological injury in a suspected spinal cord injury.
stion: 335
tient is experiencing a suspected spinal cord injury. Which of the wing is the most appropriate immediate intervention?
ervical collar application ndotracheal intubation travenous fluid resuscitation teroid administration
mergent decompression surgery
wer: A
Administer a bolus of IV fluids
4. In
Ans
Expl ollar
and s nt
furth
Que A pa follo
1. C
2. E
3. In
4. S
5. E
Ans
Explanation: The most appropriate immediate intervention for a suspected spinal cord injury is the application of a cervical collar. This helps to immobilize the spine and prevent further injury during patient transport and evaluation.
Question: 336
A patient with a history of chronic kidney disease presents with nausea,
vomiting, and altered mental status. Laboratory studies reveal the following: Serum creatinine: 4.2 mg/dL (baseline 2.8 mg/dL)
Serum potassium: 6.8 mEq/L
The most appropriate initial management is:
1. Administer furosemide
2. Perform emergent hemodialysis
dminister sodium polystyrene sulfonate dminister insulin and dextrose
wer: C
anation: The presentation of nausea, vomiting, altered mental status, a re hyperkalemia (6.8 mEq/L) in a patient with chronic kidney disease cal emergency. The most appropriate initial management is to admini um gluconate, which can help stabilize the cardiac membrane and pre er arrhythmias while definitive treatment, such as hemodialysis, is ged.
stion: 337
ch of the following is the most common cause of in-flight hypothermi ng air medical transport?
ecreased ambient temperature ecreased metabolic rate ecreased insulation
Administer calcium gluconate
3. A
4. A
Ans
Expl nd
seve is a
medi ster
calci vent
furth arran
Que
Whi a
duri
1. D
2. D
3. D
4. All of the above
Answer: D
Explanation: The most common cause of in-flight hypothermia during air medical transport is the combination of decreased ambient temperature, decreased metabolic rate, and decreased insulation. The cold environment and limited access to warming measures can lead to a rapid drop in the patient's
core body temperature.
Question: 338
A patient with a history of diabetes presents with altered mental status, rapid breathing, and a fruity odor to their breath. Which of the following is the most likely diagnosis?
1. Diabetic ketoacidosis
roke
etabolic acidosis
wer: A
anation: The combination of altered mental status, rapid breathing, an odor to the breath in a patient with a history of diabetes is most cons iabetic ketoacidosis (DKA). DKA is a life-threatening complication
etes characterized by the accumulation of ketones and the developmen bolic acidosis.
stion: 339
tient with a history of hypertension presents with sudden-onset severe ache, nausea, and vomiting. The most appropriate next step is:
dminister pain medication erform a CT scan of the head
easure the patient's blood pressure erform a lumbar puncture
Hypoglycemia
2. St
3. M
Ans
Expl d a
fruity istent
with d of
diab t of
meta
Que A pa head
1. A
2. P
3. M
4. P
5. Initiate IV fluids and antiemetics
Answer: C
Explanation: The most appropriate next step for a patient with a sudden-onset severe headache, nausea, and vomiting and a history of hypertension is to measure the patient's blood pressure. Sudden, severe headaches can be a symptom of a hypertensive emergency, such as a hypertensive crisis or
intracerebral hemorrhage, which require immediate blood pressure management. Measuring the blood pressure is the crucial next step in determining the appropriate course of action.
Question: 340
Which of the following is the most common cause of in-flight hypoglycemia during air medical transport?
ecreased food intake
creased insulin requirements ecreased gluconeogenesis
ll of the above
wer: A
anation: The most common cause of in-flight hypoglycemia during air cal transport is decreased food intake, as patients may have limited ac eals or snacks during the flight. This can lead to a rapid drop in blood ose levels.
stion: 341
tient experiences a seizure during a flight. Which of the following is t appropriate first-line treatment for the CFRN to administer?
ntravenous diazepam (Valium) tramuscular midazolam (Versed) ral lorazepam (Ativan)
ectal diazepam (Diastat)
D
In
D
A
Ans Expl
medi cess
to m gluc
Que
A pa he
most
1. I
2. In
3. O
4. R
Answer: B
Explanation: The most appropriate first-line treatment for a patient experiencing a seizure during a flight is the administration of intramuscular midazolam (Versed). This benzodiazepine medication can be rapidly administered to quickly terminate the seizure and stabilize the patient in the confined space of an aircraft.
Question: 342
A patient with a history of asthma presents with wheezing, shortness of breath, and decreased oxygen saturation. Which of the following is the most appropriate course of action?
1. Administer bronchodilators and corticosteroids
2. Perform endotracheal intubation
rovide supplemental oxygen only
wer: A
anation: The most appropriate course of action for a patient with an as erbation presenting with wheezing, shortness of breath, and decreased en saturation is to administer bronchodilators (e.g., albuterol) and costeroids. This combination of medications helps to relax and open t ays, reducing inflammation and providing relief. Endotracheal intubati entilatory support may be necessary if the patient's condition does no ove with initial treatment.
Administer furosemide (Lasix)
3. P
Ans
Expl thma
exac oxyg
corti he
airw on
and v t
impr

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