Free CFRN Practice Test Questions

The flight nurse is managing a patient involved in a high-speed motor vehicle collision who has sustained blunt chest trauma. The patient is hemodynamically stable but reports severe pain over the sternum. The ECG reading shows sinus rhythm with frequent premature ventricular contractions. Given the suspicion of blunt cardiac injury, which of the following interventions is MOST appropriate prior to air medical transport?

During a pre-hospital air medical response to a rural trauma scene, a patient is found unconscious with a penetrating chest wound and absent breath sounds on the affected side. The patient's vital signs include BP: 78/40 mmHg, HR: 148 beats/min, RR: 28 breaths/min, and SpO2: 82% on a non-rebreather mask. Which of the following interventions should the flight nurse prioritize immediately?

The flight nurse is preparing to transport a patient with abdominal compartment syndrome who has developed hemodynamic instability. The patient's intra-abdominal pressure is markedly elevated, and they are showing signs of progressive organ dysfunction. The transport involves a 90-minute flight to a tertiary care facility. Which of the following interventions should be the PRIORITY before flight transport?

During a mass casualty event involving a chemical plant explosion, a flight nurse is assessing a patient exposed to smoke from burning plastics. The patient presents with hoarseness, stridor, and increased work of breathing. Which of the following immediate actions should the flight nurse prioritize?

During an air medical transport, you are tasked with managing a 28-year-old patient who suffered complex maxillofacial fractures following a severe motor vehicle collision. The patient is currently on supplemental oxygen due to restricted airflow caused by facial swelling. Which of the following actions should be prioritized to ensure adequate respiratory management during transport?

A 60-year-old male is being airlifted from a rural hospital to a tertiary care center due to a suspected space-occupying lesion in the brain, causing increased intracranial pressure (ICP). Upon assessment, the patient is showing signs of Cushing's triad: bradycardia, hypertension, and irregular respirations. The flight nurse needs to manage the patient's ICP during the transport. Which of the following interventions should be prioritized?

During an air medical transport, a patient with a suspected pulmonary embolism presents with chest pain, tachycardia, and hypoxia. The aircraft is at an altitude of 8,000 feet, and the team is en route to a tertiary care center. Vital signs include a heart rate of 132 beats/min, blood pressure of 104/68 mmHg, and oxygen saturation of 89% on 6 L/min via nasal cannula. What is the most appropriate intervention for the flight nurse to prioritize to manage this patient's condition during transport?

During a long-distance air medical transport, a patient with acute kidney injury (AKI) is exhibiting oliguria and increasing levels of creatinine. The flight nurse is tasked with managing the patient's fluid balance while maintaining adequate perfusion. Which of the following interventions should be prioritized to prevent further renal deterioration during the flight?

The flight nurse is preparing to transport a patient suspected of having a highly infectious disease, such as Ebola. The referring facility has implemented contact and droplet precautions. Which of the following actions should the flight nurse prioritize upon arrival to ensure proper infection control during transport?

During an air medical transport, a 47-year-old patient presents with tremors, confusion, and a history of chronic ethanol use. The transport team suspects alcohol withdrawal syndrome. Which of the following interventions should be prioritized by the flight nurse?

During the transport of a pregnant woman in her third trimester from a rural area to an advanced care facility due to suspected placental abruption, the patient suddenly experiences heavy vaginal bleeding and severe abdominal pain. Given the constraints of air transport, which of the following actions should the flight nurse prioritize to manage this obstetric emergency?