USA

Certified Flight Registered Nurse (CFRN) Examination

600 questions

About this exam

The Certified Flight Registered Nurse (CFRN) Examination is a national specialty certification exam for registered nurses who provide or are preparing to provide care during air medical transport. The credential assesses knowledge used in the flight environment; it is not a license to practice nursing or a guarantee of a particular job. Candidates review emergency and critical care across the lifespan, including assessment and stabilization, trauma, transport considerations, and the effects of altitude and flight on patients.

CFRN exam preparation should connect clinical priorities to the challenges of transport, where resources, time, and access to definitive care may be limited. Key review areas include airway management and mechanical ventilation, cardiovascular emergencies and hemodynamic support, and recognizing how physiology changes at altitude. The computer-based exam has 175 questions and a three-hour time limit; 150 questions are scored and 25 are unscored pretest items. Check the current BCEN candidate handbook and exam content outline for policies and registration details.

How to prepare for the CFRN examination

  1. Use the current BCEN CFRN exam content outline to organize a study plan, then review flight nursing assessment and stabilization across age groups, including transport-specific priorities.
  2. Study airway management, ventilation, cardiovascular emergencies, hemodynamic support, and altitude-related effects together; practice explaining why an intervention is appropriate in the flight setting.
  3. Build timed sessions with representative questions, review the reasoning behind missed answers, and confirm eligibility, scheduling, and exam-day rules in the current BCEN candidate handbook.

FAQ

Who is eligible to take the CFRN exam?

Candidates need an unrestricted registered nurse license or an accepted equivalent. BCEN recommends two years of experience in flight nursing, but experience is not a requirement to sit for the exam. Check the current BCEN candidate handbook for eligibility details.

How many questions are on the CFRN exam, and how long is it?

The computer-based exam contains 175 questions and allows three hours. Of those questions, 150 count toward the score and 25 are unscored pretest items. Confirm current testing policies with BCEN before scheduling.

What subjects should I study for the CFRN exam?

Use the current BCEN exam content outline as your guide. Preparation includes flight nursing assessment and stabilization, care across the lifespan, trauma and transport considerations, airway management and ventilation, cardiovascular emergencies, hemodynamic support, and altitude-related physiology.