CFRN General 5

Question 1

Which of the following best describes the primary role of a CFRN during aeromedical transport according to ASTNA standards?

Accepted Answer

Providing comprehensive critical care nursing throughout the continuum of care

Answer

ASTNA defines the flight nurse's role as providing autonomous, comprehensive critical care nursing across all phases of transport, from pre-transport assessment to hospital handoff.

Question 2

A CFRN is transporting a patient with burns covering 40% TBSA. Which physiologic change specific to altitude is MOST concerning?

Accepted Answer

Significant fluid shift and evaporative loss worsened by low humidity

Answer

Aircraft cabins have very low humidity (10–20%), significantly increasing evaporative fluid loss from burn wounds and worsening already complex fluid management in major burn patients.

Question 3

A CFRN observes that a rotor-wing patient compartment door seal is visibly cracked before departure. The correct action is:

Accepted Answer

Abort transport and ground the aircraft until maintenance inspection

Answer

Any structural or safety equipment defect that may compromise cabin integrity or crew safety must result in aircraft grounding; flight crew have authority and responsibility to refuse unsafe flights.

Question 4

When transporting a patient with a nasogastric tube in place, the CFRN should ensure the NG tube is:

Accepted Answer

Connected to low intermittent suction or vented to prevent gas expansion

Answer

Stomach gas expands at altitude; an NG tube vented or on suction decompresses the stomach, preventing vomiting, aspiration, and vagal stimulation from gastric distension.

Question 5

A flight nurse responds to a scene where a patient has a suspected cervical spine injury. Manual in-line stabilization should be maintained until:

Accepted Answer

The patient arrives at the receiving trauma center

Answer

Manual in-line stabilization must be continued throughout the entire transport continuum until the receiving facility assumes care and formal spinal clearance can be performed.

CFRN - Certified Flight Registered Nurse Practice Test

CFRN - Certified Flight Registered Nurse Practice Test

CFRN General 5