CTRN CERTIFIED
TRANSPORT REGISTERED
NURSE PRACTICE EXAM
2026 175 QUESTIONS
COMPLETE
Question 1: A febrile 3-year-old is drooling, sitting forward, and has inspiratory stridor with a toxic appearance. What is the safest transport approach?
Choices:
1) Minimize agitation, allow a position of comfort, provide oxygen as tolerated, and prepare for expert airway management 2) Separate the child from the caregiver immediately 3) Give oral �uids to test swallowing 4) Force the child supine and inspect the throat with a tongue blade Correct Answer: Minimize agitation, allow a position of comfort, provide oxygen as tolerated, and prepare for expert airway management Explanation: This presentation is concerning for critical upper-airway in�ammation such as epiglottitis. Agitation can worsen obstruction, so the child should be kept calm with airway expertise readily available.Page 1
Question 2: An E oxygen cylinder has a factor of 0.28 and a pressure of 2000 psi. If 200 psi is reserved and oxygen is �owing at 10 L/min, approximately how long will the cylinder last?
Choices:
1) 25 minutes 2) 50 minutes 3) 100 minutes 4) 72 minutes
Correct Answer: 50 minutes
Explanation: Usable pressure is 2000 - 200 = 1800 psi. Duration is 0.28 x = 50.4 minutes, so approximately 50 minutes.
Question 3: A patient with blunt chest trauma has absent left breath sounds,
dullness to percussion, hypotension, and signs of blood loss. Which diagnosis is most likely?
Choices:
1) Pulmonary embolism 2) Acute asthma 3) Tension pneumothorax 4) Massive hemothorax
Correct Answer: Massive hemothorax
Explanation: Hemothorax produces loss of breath sounds with blood in the pleural space and may cause dullness to percussion and hemorrhagic shock. A tension pneumothorax is more associated with hyperresonance.Page 2
Question 4: After a 250-mL �uid bolus to a hypotensive patient, which next step is most appropriate?
Choices:
1) Reassess blood pressure, perfusion, lung �ndings, and the suspected shock mechanism before further �uid 2) Stop all monitoring 3) Give a diuretic regardless of response 4) Automatically give 2 more liters without reassessment Correct Answer: Reassess blood pressure, perfusion, lung �ndings, and the suspected shock mechanism before further �uid Explanation: Small-bolus resuscitation should be followed by reassessment of perfusion and signs of �uid tolerance or overload. Treatment should be tailored to the likely shock type.
Question 5: A patient with monomorphic wide-complex tachycardia has a pulse but
develops hypotension and chest pain. What treatment is indicated?
Choices:
1) Synchronized cardioversion 2) No treatment until a 12-lead ECG is printed 3) Adenosine regardless of rhythm regularity 4) De�brillation only after the pulse disappears
Correct Answer: Synchronized cardioversion
Explanation: A tachyarrhythmia with a pulse that causes hemodynamic instability requires synchronized cardioversion. Treatment should not be delayed for a 12-lead ECG when the patient is unstable.Page 3