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CFRN Exam Preparation

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CFRN Preparation and Resources

The Board of Certification for Emergency Nursing (BCEN) offers a list of recommended references to assist candidates preparing for the Certified Flight Registered Nurse (CFRN) exam. These resources include essential textbooks and guides covering key aspects of flight nursing, such as aeromedical physiology, trauma management, critical care transport, and patient care at altitude.

BoardCerts integrates these recommended references and the CFRN exam blueprint into the development of its question bank. This approach ensures that practice questions remain accurate, relevant, and closely aligned with the exam's required knowledge and competencies. By providing comprehensive, high-quality study materials, BoardCerts equips candidates with the tools needed to succeed in this rigorous certification exam.

Key Concepts on CFRN Exam

Exam Categories: Percentage Distribution

CFRN Blueprint and Focus Areas

Area of FocusSubtopicsNumber of QuestionsPercent of Exam

General Principles of Flight Transport Nursing Practice

  • Transport Physiology: Understanding physiological stressors such as vibration, altitude changes, and noise affecting both crew and patients.
  • Scene Operations Management: Ensuring scene safety and managing landing zone operations.
  • Communications: Proficiency in radio operations, patient handoff procedures, and crew resource management.
  • Safety and Survival: Knowledge of emergency locator transmitters (ELT), navigation tools, survival principles post-crash, and handling transport vehicle emergencies.
  • Disaster Management: Preparedness for natural disasters, terrorism, industrial accidents, transportation accidents, and mass casualty incidents.
  • Professional Issues: Familiarity with legal and ethical considerations, including HIPAA, EMTALA, consent, mandatory reporting, and psychosocial aspects in transport.
  • Systems Management: Engagement in quality management, fostering a just culture, promoting a healthy work environment, and participating in outreach and community education.

28

19%

Resuscitation Principles

  • Assessment and Patient Preparation: Conducting thorough physical assessments, evaluating pain and comfort, and preparing patients for transport.
  • Airway Management: Assessing and managing airways, addressing difficulties, and performing rapid sequence induction for intubation, including pharmacology.
  • Mechanical Ventilation: Managing both invasive and non-invasive ventilation techniques.
  • Perfusion: Understanding components of oxygen delivery, managing various types of shock (hypovolemic, obstructive, distributive, cardiogenic), and addressing acid-base imbalances.

38

25%

Trauma

  • Principles of Management: Analyzing mechanisms of injury, implementing hemostasis techniques, and understanding the trauma triad (hypothermia, acidosis, coagulopathies).
  • Neurologic Trauma: Managing traumatic brain injuries, spinal cord injuries, and preventing secondary brain injury.
  • Thoracic Trauma: Addressing chest wall, pulmonary, cardiac, and great vessel injuries.
  • Abdominal Trauma: Managing injuries to hollow and solid organs, diaphragmatic injuries, retroperitoneal injuries, and abdominal compartment syndrome.
  • Musculoskeletal Trauma: Treating vertebral and pelvic injuries, compartment syndrome, rhabdomyolysis, amputations, and extremity injuries.
  • Burns: Managing chemical, electrical, thermal, radiological burns, and inhalation injuries.
  • Maxillofacial and Neck Trauma: Addressing facial injuries, ocular injuries, and blunt or penetrating neck injuries.

29

19%

Medical Emergencies

  • Neurologic Emergencies: Managing seizure disorders, ischemic strokes, neuromuscular disorders, and space-occupying lesions.
  • Cardiovascular Emergencies: Addressing acute coronary syndrome, heart failure, dysrhythmias, aortic abnormalities, and mechanical/circulatory support.
  • Pulmonary Emergencies: Managing restrictive and obstructive airway diseases, pulmonary embolism, and pulmonary hypertension.
  • Abdominal Emergencies: Treating abdominal compartment syndrome, gastrointestinal bleeding, and conditions affecting hollow and solid organs.
  • Electrolyte Disturbances: Identifying and managing various electrolyte imbalances.
  • Metabolic and Endocrine Emergencies: Addressing diabetic emergencies, neuroendocrine disorders, thyroid conditions, and adrenal disorders.
  • Hematologic Emergencies: Managing coagulopathies and anemias.
  • Renal Emergencies: Treating acute kidney injury and chronic renal failure.
  • Infectious and Communicable Diseases: Managing sepsis and implementing infection control measures.
  • Environmental and Toxicological Emergencies: Addressing allergic reactions, temperature-related injuries, submersion injuries, evolved gas disorders, bites, envenomation, and toxicological emergencies.

40

27%

Special Populations

  • Obstetrical Patients: Managing trauma, medical complications of pregnancy, pharmacological considerations, and delivery and postpartum care.
  • Neonatal/Pediatric Patients: Addressing trauma, medical emergencies, and pharmacological considerations specific to these age groups.
  • Geriatric Patients: Managing trauma, medical conditions, and pharmacological considerations pertinent to older adults.
  • Bariatric Patients: Handling logistical issues, skin care, airway management, and pharmacological considerations for bariatric patients.

15

10%

CFRN Resources

The BoardCerts CFRN Question Bank is expertly crafted to align with the official exam blueprint, helping each individual concentrate on the most relevant topics for success.

In addition, the exam candidate handbook lists the following resources as additional possible material to support preparation:

  • AACN Procedure Manual for High Acuity, Progressive and Critical Care, Elsevier Saunders.
  • AACN Core Curriculum for Progressive and Critical Care Nursing, Elsevier Saunders.
  • AACN Core Curriculum for Pediatric High Acuity, Progressive, and Critical Care Nursing, Elsevier Saunders.
  • Advanced Burn Life Support Course Provider Manual, American Burn Association.
  • Advanced Cardiovascular Life Support Provider Manual, American Heart Association.
  • Advanced Trauma for the Transport Professional, Air & Surface Transport Nurses Association.
  • Advanced Trauma Life Support Student Course Manual, American College of Surgeons.
  • ASTNA Patient Transport: Principles and Practice, Elsevier Mosby.
  • Critical Care Nursing: Diagnosis & Management, Elsevier Mosby.
  • Critical Care Transport, Jones & Bartlett.
  • Critical Care Transport Core Curriculum, Air & Surface Transport Nurses Association.
  • Emergency Nursing Core Curriculum, Elsevier Saunders.
  • Emergency Nursing Pediatric Course Provider Manual, Emergency Nurses Association.
  • Mosby’s Nursing Drug Reference, Elsevier Mosby.
  • Mosby’s Diagnostic and Laboratory Test Reference, Elsevier Mosby.
  • Nancy Caroline’s Emergency Care in the Streets, Jones & Bartlett Learning.
  • Neonatal Resuscitation Textbook, American Academy of Pediatrics and American Heart Association.
  • Pediatric Advanced Life Support Provider Manual, American Heart Association.
  • Pediatric Advanced Transport Course, Air & Surface Transport Nurses Association.
  • Sheehy’s Manual of Emergency Care, Elsevier Mosby.
  • Standards for Critical Care and Specialty Transport, Air & Surface Transport Nurses Association.
  • Transport Professional Advanced Trauma Course, Air & Surface Transport Nurses Association.
  • Trauma Nursing from Resuscitation through Rehabilitation, Elsevier Saunders.
  • The Walls Manual of Emergency Airway Management, Lippincott Williams & Wilkins.
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