BCEN CFRN FINAL EXAM 2024-2025
QUESTIONS WITH 100% DETAILED
VERIFIED AND CORRECTANSWERS
BRAND NEW ACCURATE EXAM
ALREADY GRADED A+
A 330-lb (150-kg) patient is being transported. Upon
initiation of mechanical ventilation, the high- pressure
alarm sounds. Peak inspiratory pressure is 45 cm H2O,
plateau pressure is 36 mm Hg, I:E ratio is 1:2.3 and
oxygen saturation is 92%. The ventilator is on the
following settings:
Mode Assist controlRate 16 breaths/minTidal volume 900
mLFiO2 60%PEEP 5 cm H2O
Which of the following ventilator settings should be
decreased? - ....ANSWER...tidal volume
Due to the risk of hyperkalemia, succinylcholine is
contraindicated in patients with which of the following
conditions? - ....ANSWER...Muscular dystrophy
1
,The flight team arrives on scene for a patient with
decreased respiratory effort. The crew elects to initiate bag
mask ventilation. They note an immediate
decrease in systolic blood pressure. The flight nurse
recognizes that this is likely due to: -
....ANSWER...decreased preload caused by increased
intrathoracic pressure
At the scene of a motor vehicle crash, the transport
nurse assumes care of an intubated trauma patient. On-
scene, proper tube placement is confirmed by direct
visualization. En route, which of the following is the
best indication that the endotracheal tube remains
properly placed? - ....ANSWER...ETCO2 of 38 mmHg
The flight crew arrives at the bedside of an intubated,
80kg adult with asthma exacerbation. When you review
their vent settings, you note that they are receiving a tidal
volume of 800ml and have peak airway pressures of 30
cm H2O. The nurse should decrease the tidal volume to
480 ml to prevent what? - ....ANSWER...Ventilator
induced lung injury
2
,The flight crew is transporting a patient who is intubated,
has an arterial line, and a temporary transvenous
pacemaker that was inserted due to complete heart block.
The team notes decreasing blood pressure, 60/40 mmHg.
Rhythm is noted to be complete heart block with a
ventricular rate of 18. No pacemaker spikes are noted.
Pacemaker settings are as follows:
Rate 60 beats/min Output: 10 mA Sensitivity: 0.5 mV
The flight team's BEST course of action is to: -
....ANSWER...Check the battery and connections
In the absence of a nerve stimulator, which of the
following could the transport nurse use to MOST
accurately monitor the efficacy of neuromuscular
blockade? - ....ANSWER...capnography waveform
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
3
, hospital. The vitals are as follows:
BP: 126/82 mmHg
HR: 105 beats/min
RR: 20 breaths/min
SPO2: 95% (room air)
The nurse knows the PRIORITY intervention is: -
....ANSWER...Antibiotic infusion
The flight nurse responds to a high speed motor
vehicle collision on the highway. The patient is an
80-year-old male presenting with bruising on the
abdomen and upper chest consistent with a seat belt
outline. The patient's vital signs are:
The PRIORITY historical question is: - ....ANSWER...Do
you take any medications?
The flight team has been called to a critical access
hospital to transport a 7-week-old patient to a tertiary
facility. The patient was brought to the ED after three
4
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