BCEN CTRN Certification Sample Questions

The BCEN Certified Transport Registered Nurse Certification Sample Question Set on this page is designed to familiarize you with the actual BCEN CTRN exam format and question types. These sample questions help you understand how questions are structured and what to expect on test day. While they provide a useful starting point, they represent only a limited preview of the real exam experience.

These sample questions are intended for evaluation and familiarization only. To understand exam style, pacing, and reasoning patterns more clearly, we recommend trying our online sample practice environment. If you are preparing for the BCEN Certified Transport Registered Nurse (CTRN) and want to assess your readiness more rigorously, structured, timed, scenario-based practice is recommended. This approach aligns with the cognitive demands and professional expectations typically associated with transport nurses, critical care transport nurses, registered nurses in ground transport working in settings such as critical care ground transport programs, ambulance and interfacility transport services, emergency and critical care transport environments.

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The demo introduces core concepts, while full-length premium simulations provide deeper, scenario-based coverage that more closely reflects the actual cognitive demands of the BCEN Certified Transport Registered Nurse exam, particularly in areas such as ground transport nursing assessment, resuscitation and airway management, patient management across special populations. You can use these sample questions as a starting point, then progress to the BCEN CTRN Certification Practice Exam for stronger readiness. Our premium simulations are designed to mirror real exam conditions, helping you refine reasoning, pacing, and decision-making before your official exam attempt.

BCEN CTRN Sample Questions:

01. An 85-year-old patient who was involved in a single-vehicle collision in a parking lot after sunset is being evaluated by the transport nurse. The patient is oriented, denies loss of consciousness, and only reports visual disturbances. The patient's pupils are unequally reactive with a hazy appearance. The nurse should suspect which of the following age-related issues?
a) presbyopia
b) cataracts
c) mental decline
d) macular degeneration

02. The nurse is preparing to transport a patient who was intubated due to hypovolemic shock secondary to hematochezia. Over the past 24 hours, the patient has received 2L of IV fluids and 8 units of packed red blood cells. Currently, the patient is receiving norepinephrine (Levophed). Vital signs and laboratory results are:

BP 100/65 mmHg;
HR 100 beats/min;
ETCO2 36 mmHg;
O2 sat 98%;
CVP 3 mmHg;
CO 4.1 L/min;
SVR 1,000 dynes/sec/cm-5;
urine output 325 mL over the last 4 hours;

pH 7.35; HCO3 22 mmHg;
lactate level 1.5 mg/dL;
troponin 0.01 ng/dL;
PT 12 seconds;
INR 1.2;
hemoglobin 9.5 g/dL;
hematocrit 28.5%.

Which of the following should the nurse anticipate will benefit the patient MOST during the transport?
a) Transfuse an additional 4 units of blood products.
b) Initiate a second vasopressor.
c) Continue to monitor the patient.
d) Increase the ventilator respiratory rate.

03. The team is transporting a patient with a pulmonary embolism for an emergency thrombectomy. The patient is currently receiving a norepinephrine (Levophed) infusion at 15 mcg/min. Prior to initiating Levophed, the patient received a 30 mL/kg bolus of 0.8% sodium chloride. Which of the following could be a potential complication of this treatment?
a) pulmonary edema
b) lower extremity compartment syndrome
c) uncal herniation
d) embolic stroke

04. The transport nurse is called to transport two patients from a mass casualty incident involving a sodium hypochlorite leak at a factory. The nurse should anticipate that
a) transport should be expedited.
b) the patients should be decontaminated prior to transport.
c) patient data should be collected at the scene by the EMS command officer.
d) the patients require triage commander assessment first.

05. Transporting a patient against their will is BEST described as
a) beneficence.
b) negligence.
c) malfeasance.
d) battery.

06. A patient who was involved in a motor vehicle crash 2 days ago is now being transported. Assessment findings for a pulmonary contusion include
a) tracheal deviation.
b) stridor.
c) diffuse crackles.
d) bradycardia

07. The nurse is preparing to transport a patient who had a seizure and was intubated for airway protection. The patient received ketamine (Ketalar) and rocuronium (Esmeron) for the procedure. The MOST appropriate medication for the nurse to administer is
a) dexmedetomidine hydrochloride (Precedex).
b) midazolam (Versed).
c) vecuronium (Norcuron).
d) fentanyl (Sublimaze).

08. The team is transporting a 12-year-old patient who has autism spectrum disorder with frequent exaggerated emotional reactions. Which of the following should the transport nurse do to BEST facilitate the transport?
a) Delay the transport until a specialist can be consulted.
b) Restrain the patient to a spine board and transport.
c) Sedate and intubate the patient and transport.
d) Ask the parent for the best techniques to interact with child.

09. The transport nurse is assessing a patient who has a history of mental health issues. The patient's behavior has been reported by bystanders as “bizarre.” Which of the following assessments should the nurse anticipate using to eliminate physiologic causes for the behavior?
a) point-of-care glucose testing
b) ETCO2 measurement
c) Cincinnati Stroke Scale Assessment
d) 12-lead ECG

10. The transport team is preparing to load a bariatric patient for transport. The nurse is MOST concerned about which of the following risks from positioning the patient flat during loading or transport?
a) alveolar hyperventilation
b) gastroesophageal reflux
c) decreased functional capacity
d) increased cardiac output

Answers:

For full-length, timed, scenario-based practice aligned with the official exam framework - and to build pacing, consistency, and confidence - explore our Premium BCEN CTRN Certification Practice Exam.

Note: These sample questions are not official exam questions and are intended only for familiarization and study purposes. If you find any typos or data entry errors in these BCEN Certified Transport Registered Nurse (CTRN) sample questions, please let us know by emailing us at feedback@medicoexam.com