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Exam Code: BCEN-CTRN
Exam Name: BCEN Certified Transport Registered Nurse
Number of Questions: 180 multiple-choice questions with 150 scored and 30 unscored pretest questions
Time Allotted: 3 hours (180 minutes)
Passing Marks: 92 of the 150 scored questions (approximately 61.3%).

- Transport physiology
- Physiologic stressors of transport (e.g.- vibration- altitude changes-noise)
- Crew
- Patients
- Scene Operations Management
- Scene safety (e.g.- hazmat- exposures)
- Response mode
- Emergency vehicle operations
- Communications
- Radio operations (e.g.- equipment- medical control- pagingoperations)
- Patient handoff (e.g.- history from referring provider- updates forreceiving provider- SBAR)
- Crew resource management
- Safety and Survival
- Navigation (e.g.- maps- GPS)
- Survival principles (post-crash)
- Transport vehicle emergencies
- Pre-mission preparation (e.g.- shift preparedness- risk assessment-crew briefings- weather)
- Disaster Management (e.g.- natural- terrorism- industrial accident-transportation accident- mass casualties- Incident Command System)
- Professional Issues
- Legal Issues
- HIPAA
- EMTALA
- Consent
- Mandatory reporting (e.g.- abuse- neglect- medicationdiversion- non-accidental trauma)
- Legal concepts in patient care (e.g.- advanced directives-negligence- assault- battery- abandonment)
- Ethical Issues
- Psychosocial issues in transport- including families
- Systems Management
- Quality management
- Just Culture
- Healthy work environment (e.g.- wellness program- stressmanagement)
- Outreach and community education

- Principles of Assessment and Patient Preparation
- Physical assessment
- Pain and comfort assessment
- Preparing the patient for transport (i.e.- packaging)
- Airway
- Airway assessment
- Airway management
- Difficulties encountered with airway
- Rapid Sequence Induction for Intubation (RSI)- includingpharmacology
- Post-intubation management- including pharmacology
- Mechanical Ventilation
- Invasive ventilation
- Non-invasive ventilation
- Perfusion
- Components of oxygen delivery
- fluid resuscitation
- blood products
- vasopressors
- Shock and resuscitation management- including trauma andmedical
- Hypovolemic
- Obstructive
- Distributive
- Cardiogenic
- Acid base imbalances

- Principles of Management
- Mechanism of injury
- Hemostasis (e.g.- TXA- tourniquets- hemostatic agents)
- Trauma triad (i.e.- hypothermia- acidosis- coagulopathies)
- Immobilization
- Neurologic
- Traumatic brain injuries
- Spinal cord injuries
- Secondary brain injury
- Thoracic
- Chest wall injuries
- Pulmonary injuries
- Cardiac injuries
- Great vessel injuries
- Abdominal
- Hollow organ injuries
- Solid organ injuries
- Diaphragmatic injuries
- Retroperitoneal injuries
- Abdominal compartment syndrome
- Musculoskeletal
- Vertebral injuries
- Pelvic injuries
- Compartment syndrome
- Rhabdomyolysis
- Amputations
- Extremity injuries
- Burn
- Chemical burns
- Electrical burns
- Thermal burns
- Radiological burns
- Inhalation injuries
- Maxillofacial and Neck
- Facial injuries- including fractures
- Ocular injuries
- Blunt and penetrating neck injuries

- Neurologic
- Seizure disorders
- Ischemic stroke (e.g.- blood pressure management)
- Neuromuscular disorders
- Space occupying lesions (e.g.- bleeding- tumors- abscesses-hydrocephalus)
- Cardiovascular
- Acute coronary syndrome
- Heart failure
- pulmonary edema
- structural defects
- infectious or inflammatory processes
- Dysrhythmias
- Aortic abnormalities (e.g.- hypertension- blood pressuremanagement)
- Mechanical/circulatory support (e.g.- ECMO- IABP- VAD- pacing)
- Pulmonary
- Restrictive airway disease (i.e.- COPD- Asthma)
- Obstructive airway disease (e.g.- acute lung injury/ARDS- pulmonaryinfections)
- Pulmonary embolism
- Pulmonary hypertension
- Abdominal
- Abdominal compartment syndrome
- GI bleed
- Conditions of the hollow organs (e.g.- obstruction- rupture)
- Conditions of the solid organs (e.g.- pancreatitis- hepatitis)
- Electrolyte Disturbances

- Metabolic and Endocrine
- Diabetic emergencies
- Neuroendocrine disorders (e.g.- diabetes insipidus- SIADH- HHNK)
- Thyroid conditions
- Adrenal disorders
- Hematology
- Coagulopathies (including platelet disorders)
- Anemias
- Renal
- Acute kidney injury
- Chronic renal failure
- Infectious and Communicable Diseases
- Sepsis
- Infection control (e.g.- MRSA- influenza-like illness- highly-infectiousdiseases)
- Environmental and Toxicological Emergencies
- Environment
- Allergic reactions
- Cold related (e.g.- hypothermia- frostbite)
- Heat related (e.g.- heatstroke- heat exhaustion)
- Submersion injuries (i.e.- drowning- near drowning)
- Bites and envenomation
- Toxicology
- Mental Health Considerations

- Obstetrical Patients
- Trauma
- Medical (e.g.- complications of pregnancy)
- Pharmacological considerations
- Delivery and post-partum care
- Neonatal/Pediatric
- Trauma
- Medical
- Pharmacological considerations
- Geriatric
- Trauma
- Medical
- Pharmacological considerations
- Bariatric
- Trauma
- Medical
- Pharmacological considerations