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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 exam,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 exam
- Pain and comfort exam
- Preparing the patient for transport (i.e., packaging)
- Airway
- Airway exam
- 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