BCEN-CTRN Exam Information and Outline
Certified Transport Registered Nurse
BCEN-CTRN Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the official BCEN-CTRN exam objectives. This course outline serves as your roadmap, breaking down exactly which technical domains and skills will be tested. By reviewing the syllabus, you can identify your strengths and focus your study time on the areas where you need the most improvement.
The information below reflects the latest 2026 course contents as defined by BCEN. We provide this detailed breakdown to help you align your preparation with the actual exam format, ensuring there are no surprises on test day. Use this outline as a checklist to track your progress as you move through our practice question banks.
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
Exam Code: BCEN-CTRN
Exam Name: BCEN Certified Transport Registered Nurse
Number of Questions: 180 multiple-choice questions with 150 scored and 30 unscored pretest questions
Time Allotted: 3 hours (180 minutes)
Passing Marks: 92 of the 150 scored questions (approximately 61.3%).
- Transport physiology
- Physiologic stressors of transport (e.g.- vibration- altitude changes-noise)
- Crew
- Patients
- Scene Operations Management
- Scene safety (e.g.- hazmat- exposures)
- Response mode
- Emergency vehicle operations
- Communications
- Radio operations (e.g.- equipment- medical control- pagingoperations)
- Patient handoff (e.g.- history from referring provider- updates forreceiving provider- SBAR)
- Crew resource management
- Safety and Survival
- Navigation (e.g.- maps- GPS)
- Survival principles (post-crash)
- Transport vehicle emergencies
- Pre-mission preparation (e.g.- shift preparedness- risk assessment-crew briefings- weather)
- Disaster Management (e.g.- natural- terrorism- industrial accident-transportation accident- mass casualties- Incident Command System)
- Professional Issues
- Legal Issues
- HIPAA
- EMTALA
- Consent
- Mandatory reporting (e.g.- abuse- neglect- medicationdiversion- non-accidental trauma)
- Legal concepts in patient care (e.g.- advanced directives-negligence- assault- battery- abandonment)
- Ethical Issues
- Psychosocial issues in transport- including families
- Systems Management
- Quality management
- Just Culture
- Healthy work environment (e.g.- wellness program- stressmanagement)
- Outreach and community education
- Principles of Assessment and Patient Preparation
- Physical assessment
- Pain and comfort assessment
- Preparing the patient for transport (i.e.- packaging)
- Airway
- Airway assessment
- Airway management
- Difficulties encountered with airway
- Rapid Sequence Induction for Intubation (RSI)- includingpharmacology
- Post-intubation management- including pharmacology
- Mechanical Ventilation
- Invasive ventilation
- Non-invasive ventilation
- Perfusion
- Components of oxygen delivery
- fluid resuscitation
- blood products
- vasopressors
- Shock and resuscitation management- including trauma andmedical
- Hypovolemic
- Obstructive
- Distributive
- Cardiogenic
- Acid base imbalances
- Principles of Management
- Mechanism of injury
- Hemostasis (e.g.- TXA- tourniquets- hemostatic agents)
- Trauma triad (i.e.- hypothermia- acidosis- coagulopathies)
- Immobilization
- Neurologic
- Traumatic brain injuries
- Spinal cord injuries
- Secondary brain injury
- Thoracic
- Chest wall injuries
- Pulmonary injuries
- Cardiac injuries
- Great vessel injuries
- Abdominal
- Hollow organ injuries
- Solid organ injuries
- Diaphragmatic injuries
- Retroperitoneal injuries
- Abdominal compartment syndrome
- Musculoskeletal
- Vertebral injuries
- Pelvic injuries
- Compartment syndrome
- Rhabdomyolysis
- Amputations
- Extremity injuries
- Burn
- Chemical burns
- Electrical burns
- Thermal burns
- Radiological burns
- Inhalation injuries
- Maxillofacial and Neck
- Facial injuries- including fractures
- Ocular injuries
- Blunt and penetrating neck injuries
- Neurologic
- Seizure disorders
- Ischemic stroke (e.g.- blood pressure management)
- Neuromuscular disorders
- Space occupying lesions (e.g.- bleeding- tumors- abscesses-hydrocephalus)
- Cardiovascular
- Acute coronary syndrome
- Heart failure
- pulmonary edema
- structural defects
- infectious or inflammatory processes
- Dysrhythmias
- Aortic abnormalities (e.g.- hypertension- blood pressuremanagement)
- Mechanical/circulatory support (e.g.- ECMO- IABP- VAD- pacing)
- Pulmonary
- Restrictive airway disease (i.e.- COPD- Asthma)
- Obstructive airway disease (e.g.- acute lung injury/ARDS- pulmonaryinfections)
- Pulmonary embolism
- Pulmonary hypertension
- Abdominal
- Abdominal compartment syndrome
- GI bleed
- Conditions of the hollow organs (e.g.- obstruction- rupture)
- Conditions of the solid organs (e.g.- pancreatitis- hepatitis)
- Electrolyte Disturbances
- Metabolic and Endocrine
- Diabetic emergencies
- Neuroendocrine disorders (e.g.- diabetes insipidus- SIADH- HHNK)
- Thyroid conditions
- Adrenal disorders
- Hematology
- Coagulopathies (including platelet disorders)
- Anemias
- Renal
- Acute kidney injury
- Chronic renal failure
- Infectious and Communicable Diseases
- Sepsis
- Infection control (e.g.- MRSA- influenza-like illness- highly-infectiousdiseases)
- Environmental and Toxicological Emergencies
- Environment
- Allergic reactions
- Cold related (e.g.- hypothermia- frostbite)
- Heat related (e.g.- heatstroke- heat exhaustion)
- Submersion injuries (i.e.- drowning- near drowning)
- Bites and envenomation
- Toxicology
- Mental Health Considerations
- Obstetrical Patients
- Trauma
- Medical (e.g.- complications of pregnancy)
- Pharmacological considerations
- Delivery and post-partum care
- Neonatal/Pediatric
- Trauma
- Medical
- Pharmacological considerations
- Geriatric
- Trauma
- Medical
- Pharmacological considerations
- Bariatric
- Trauma
- Medical
- Pharmacological considerations