The Certified Flight Registered Nurse (CFRN) exam is a certification developed by the Board of Certification for Emergency Nursing (BCEN). The exam is for flight nurses to prove their expertise and knowledge in flight nursing.
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CFRN Exam Eligibility
To be eligible for this exam, you must hold a current, unrestricted RN license in the United States, its territories, Canada, or Australia. BCEN recommends that you also have at least two years of experience as a flight nurse, although it is not required.
CFRN Exam Outline
The CFRN certification exam contains 180 multiple-choice questions, 30 of which are unscored, and you will be given a time limit of 3 hours.
The exam is split into five domains:
1. General Principles of Flight Transport Nursing Practice (28 scored questions)
The questions in this domain assess your knowledge and skills related to the following:
- Transport physiology
- Scene operations management
- Communications
- Safety and survival
- Disaster management
- Professional issues
- Systems management
2. Resuscitation Principles (38 scored questions)
The questions in this domain assess your knowledge and skills related to the following:
- Principles of assessment and patient preparation
- Airway
- Mechanical ventilation
- Perfusion
3. Trauma (29 scored questions)
The questions in this domain assess your knowledge and skills related to the following:
- Principles of management
- Neurologic
- Thoracic
- Abdominal
- Musculoskeletal
- Burn
- Maxillofacial and neck
4. Medical Emergencies (40 scored questions)
The questions in this domain assess your knowledge and skills related to the following:
- Neurologic
- Cardiovascular
- Pulmonary
- Abdominal
- Electrolyte disturbances
- Metabolic and endocrine
- Hematology
- Renal
- Infectious and communicable diseases
- Environmental and toxicological emergencies
5. Special Populations (15 scored questions)
The questions in this domain assess your knowledge and skills related to the following:
- Obstetrical patients
- Neonatal/Pediatric
- Geriatric
- Bariatric
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CFRN Exam Registration
To register for the exam, you will need to visit the BCEN website and create an account.
Before you can schedule your exam, you need to pay the examination fee. The exam fee is $350 for ASTNA members, $380 for non-members, and $195 for active-duty military, reservists, and veterans.
Once your application has been reviewed and accepted, you will be given information about setting up an examination appointment with PSI. You have a 90-day window to schedule and take your exam. If you do not schedule your exam within your testing window or schedule and fail to attend your testing appointment, your exam fee will be forfeited.
Test Day
On the day of the exam, you should report to the assigned PSI test center 15-30 minutes before the scheduled testing time. If you are participating in a special administration, you are required to check in at the assigned testing room at the time specified on the confirmation notification.
If you arrive more than 15 minutes after the designated testing time, you will not be able to take the exam. If you fail to appear for an exam without providing the required two business days’ notice, your exam fees will be forfeited.
Once you are checked in, you will be asked to leave all personal items in a secure locker outside the testing area. You will then be given a short tutorial of the testing system before officially starting your exam.
How the CFRN Exam is Scored
The CFRN exam simply uses your raw score (the actual number of items you answered correctly) in order to measure your performance on the exam. To pass the exam and qualify for certification, you need to answer at least 108 of the 150 scored questions correctly. Correctly answered unscored questions do not count toward this total.
About 60% of candidates who sit for the exam pass, which is a pretty good for a pass rate, but still low enough to show you that preparation is essential to your success on this test.
Retaking the CFRN Exam
If you fail the exam, you may retake it as many times as you want. There is a mandatory 90-day waiting period between each retake.
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FAQs
Q
How many questions are on the CFRN exam?
A
There are 180 multiple-choice questions on the exam.
Q
How long is the CFRN exam?
A
The time limit for the exam is 3 hours.
Q
What is the passing score for the CFRN exam?
A
To pass the exam, you must answer at least 108 of the scored questions correctly.
Q
How much does the CFRN exam cost?
A
The examination fee will differ depending on your ASTNA membership status. The fee is $350 for ASTNA members, $380 for non-members, and $195 for active-duty military, reservists, and veterans.
