CFRN Practice Test 2026 — Free CFRN Exam Prep Questions
The CFRN is BCEN's specialty certification for registered nurses who provide critical care in rotor-wing and fixed-wing air medical transport. Our practice questions follow BCEN's CFRN Examination Content Outline effective August 2026, with in-flight vignettes on transport physiology, scene and safety operations, airway and ventilation, shock, trauma, medical emergencies and special populations.
A woman at 32 weeks' gestation is secured supine on a backboard after a motor vehicle crash. Her blood pressure falls from 118/72 to 86/50 mm Hg during loading. What should the flight nurse do first?
CFRN format, scoring & key facts
Computer-based at PSI testing centers or by Live Remote Proctoring (LRP).
Facts last verified Oct 5, 2026. Source: bcen.org/wp-content/uploads/2026/02/BCEN-CFRN-ECO_Final_082026.pdf. Always confirm details with BCEN before your exam.
When can you take the CFRN?
Plan backwards from your exam date
What the CFRN covers
Every PrepBanq CFRN test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
General Principles of Flight Transport Nursing Practice30 items: transport physiology and stressors, scene and landing-zone operations, EMTALA, communications and AMRM, safety and survival, assessment and patient preparation. | 20% | ~30 | 5 questions → |
Resuscitation Principles40 items: airway assessment, pre-intubation optimization, RSI and post-intubation care, invasive and non-invasive ventilation, fluids, blood products, vasopressors and shock. | 26.7% | ~40 | 7 questions → |
Trauma30 items: mechanism and hemostasis, trauma diamond, spinal motion restriction, neurologic, maxillofacial, thoracic, abdominal, musculoskeletal and burn trauma. | 20% | ~30 | 5 questions → |
Medical Emergencies35 items: neurologic (stroke, ICP), cardiovascular (ACS, aortic emergencies, mechanical circulatory support), pulmonary, abdominal, metabolic, hematologic, renal, environmental and toxicologic emergencies. | 23.3% | ~35 | 6 questions → |
Special Populations15 items: obstetric, neonatal/pediatric, geriatric and bariatric patients: trauma, medical, pharmacology and transport considerations. | 10% | ~15 | 2 questions → |
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CFRN FAQ
How many questions are on the CFRN?
The CFRN has 175 questions (150 of them scored) and you have 3 hours to finish. Question types: Multiple choice (150 scored and 25 unscored pretest items).
How long is the CFRN exam?
Testing time for the CFRN is 3 hours.
What is on the CFRN?
The CFRN covers General Principles of Flight Transport Nursing Practice (about 20%), Resuscitation Principles (about 26.7%), Trauma (about 20%), Medical Emergencies (about 23.3%), Special Populations (about 10%).
Who administers the CFRN?
The Certified Flight Registered Nurse (CFRN) Exam is administered by BCEN. Delivery: Computer-based at PSI testing centers or by Live Remote Proctoring (LRP).
Is there a free CFRN practice test?
Yes. PrepBanq has 3 free CFRN practice tests with 25 exam-style questions in the real CFRN formats, and every answer is explained. No credit card is needed.
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