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These 10 free CTRN questions are organized by exam domain, so you can see how each part of the Certified Transport Registered Nurse blueprint is tested. Reveal the answer and explanation under each question.
A ground critical care team accepts a patient from a rural emergency department for transfer to a tertiary center. The patient deteriorates 20 minutes into the transport. Under EMTALA, responsibility for this patient rests with:
Correct answer: D - The sending hospital, until the patient arrives at the receiving facility
During a two-hour ground interfacility transport of an intubated patient, which monitoring modality is LEAST degraded by vehicle vibration and ambient compartment noise?
Correct answer: C - Continuous waveform capnography
A patient is intubated during transport using ketamine 2 mg/kg and rocuronium 1.2 mg/kg. Twenty-five minutes later, the heart rate rises from 88 to 132, the blood pressure rises from 118/70 to 186/98, and the transport nurse notes tearing and diaphoresis. The endotracheal tube position and waveform capnography are unchanged. Which action is MOST appropriate?
Correct answer: A - Administer additional sedation and analgesia
A patient with a C5 spinal cord injury after a fall has a blood pressure of 80/46 and a heart rate of 44. The skin is warm and dry. Which finding MOST supports neurogenic rather than hemorrhagic shock?
Correct answer: D - The bradycardic heart rate of 44 beats per minute
During transport, an intubated patient's peak inspiratory pressure rises from 28 to 46 cm H2O. The plateau pressure is unchanged at 22 cm H2O. This pattern MOST likely indicates:
Correct answer: A - Increased airway resistance from secretions or bronchospasm
A patient with an inferior ST-elevation myocardial infarction becomes hypotensive with a blood pressure of 76/44 shortly after receiving sublingual nitroglycerin. The lung fields are clear and the jugular veins are distended. Which intervention is MOST appropriate?
Correct answer: D - Administer an intravenous fluid bolus
A patient in diabetic ketoacidosis has a glucose of 642 mg/dL, a pH of 7.08, and a potassium of 3.1 mEq/L. A one-liter isotonic fluid bolus has been completed. Which action should be taken NEXT?
Correct answer: B - Replace potassium before the insulin infusion
A patient with an acute type B aortic dissection has a blood pressure of 198/104 and a heart rate of 104. Which medication should be initiated FIRST?
Correct answer: B - Esmolol
Four hours after a closed tibial fracture, a patient reports severe pain unrelieved by escalating opioid doses and has pain with passive extension of the toes. The dorsalis pedis pulse is palpable and capillary refill is two seconds. Which action is MOST appropriate?
Correct answer: D - Notify the receiving facility of possible compartment syndrome
A patient with severe preeclampsia receiving a magnesium sulfate infusion becomes drowsy, and patellar reflexes can no longer be elicited. The respiratory rate is 11. Which action is MOST appropriate?
Correct answer: C - Stop the infusion and administer calcium gluconate
The full bank has 1,020 more CTRN questions with explanations.
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