CFRN General 3

Question 1

During rotor-wing transport, a patient becomes combative. The flight nurse's FIRST priority is:

Accepted Answer

Ensure crew and aircraft safety before clinical intervention

Answer

Scene and crew safety always takes priority in aeromedical transport; a combative patient threatening aircraft control requires safety measures before clinical management.

Question 2

When performing a pre-flight patient assessment, which condition would most likely require a pressurized fixed-wing aircraft rather than a rotor-wing?

Accepted Answer

Burn patient requiring transport over 500 miles with altitude-sensitive wounds

Answer

Long-distance transports (>150–200 miles) where altitude control is essential favor fixed-wing pressurized aircraft, combining range and the ability to maintain lower cabin altitude.

Question 3

A CFRN is preparing to transport a neonate. Which physiologic characteristic makes neonates especially vulnerable to hypothermia during flight?

Accepted Answer

Large surface-area-to-body-mass ratio

Answer

Neonates have a large surface-area-to-body-mass ratio, thin skin, minimal subcutaneous fat, and an immature shivering mechanism, making them highly susceptible to heat loss.

Question 4

Which communication technique is MOST recommended for flight nurses using crew resource management (CRM)?

Accepted Answer

Closed-loop communication with read-back confirmation

Answer

Closed-loop communication — where the receiver repeats back the message for confirmation — is a cornerstone of CRM and reduces critical errors in high-noise aviation environments.

Question 5

A CFRN is transporting a patient with a chest tube connected to a water-seal drainage system. What is the primary concern at altitude?

Accepted Answer

Increasing altitude may allow air to re-enter the pleural space through the seal

Answer

As altitude increases, expanding gases in the pleural space can force air backward through the water seal; a Heimlich valve or clamping during climb may be indicated.

CFRN - Certified Flight Registered Nurse Practice Test

CFRN - Certified Flight Registered Nurse Practice Test

CFRN General 3