Nursing
BCEN CFRNCertified Flight Registered Nurse
The BCEN Certified Flight Registered Nurse (CFRN) validates the specialty practice of rotary- and fixed-wing air-medical transport nurses. CFRN and the ground-transport CTRN share a common core but have separate content outlines reflecting the distinct operational and clinical demands of air transport (altitude physiology, aircraft systems, limited resources).
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Exam facts
Everything you need to know about the BCEN CFRN exam.
- Passing score
- 108 / 150 scored items correct (72%)
- Format & length
- 180 questions (150 scored + 30 pretest) · 3 hours
- Voucher cost
- $380 USD (non-member) · $285 ASTNA member · $195 military
- Prerequisites
- Active, unrestricted RN license (US, US territory, Canada, or Australia); 2 years of flight-nursing experience recommended but not required
- Validity
- 4 years (100 CE contact hours for recertification by attestation, or retest)
Exam facts sourced from the official BCEN (Board of Certification for Emergency Nursing) certification page. Last reviewed June 2026.
What’s tested
Key topics on the BCEN CFRN® exam.
The Cert Climb question bank is mapped to every domain on the official BCEN CFRN® exam blueprint, so what you study is what the test asks.
- Resuscitation Principles
- Trauma
- Medical Emergencies
- Special Populations
- Transport Systems Management
Who it’s for
Built for the people taking this exam.
Flight nurses on rotary-wing (helicopter EMS) and fixed-wing air ambulance programs. The credential is widely required for hire or by end of probation at major HEMS operators (Air Methods, PHI, Med-Trans, hospital-based programs).
Why it matters in 2026
The career signal.
Air-medical RN positions almost universally require CFRN within 1–2 years of hire and most hiring programs prefer it on application. First-time pass rate (~62%) reflects the demanding mix of ICU-level clinical and aviation-specific content. CFRN combined with CCRN is the gold-standard credential pair for fixed-wing critical care transport.
Sample question
What a BCEN CFRN question looks like.
Which physical law states that the amount of a gas dissolved per unit volume of liquid is proportional to the partial pressure of that gas above the liquid?
See the answer & explanation
Correct: C. Henry's Law
Why: Henry's Law describes the relationship between a gas and how much of it dissolves into a liquid based on the pressure exerted by that gas. As pressure increases over a liquid, more gas dissolves into it; when pressure decreases, dissolved gas escapes. Boyle's Law relates gas volume to pressure. Dalton's Law addresses partial pressures of gas mixtures. Charles' Law describes the relationship between temperature and gas volume.
What you get
Everything you need to actually pass.
Full question bank
1,126 questions covering every objective on the official BCEN CFRN® exam blueprint, with detailed explanations on every option — right and wrong.
Quiz modes
Timed exam simulation, missed-only review, topic drills, and a daily question of the day. Practice the way you study best.
Flashcards
Spaced-repetition flashcards generated from each topic. Pull them up on a phone in the gap between meetings.
Progress tracking
See per-topic accuracy and answered counts. Find weak areas before they cost you on test day.
Per-category premium
Unlocking BCEN CFRN® unlocks every other Nursing exam in the Cert Climb catalog — pay once, stack credentials.
No-fluff explanations
Every wrong answer comes with a 2-3 sentence explanation of why it’s wrong, not just “the correct answer is X.” Pattern recognition is the whole game.
FAQ
Frequently asked questions about BCEN CFRN
What is the BCEN CFRN exam?
The BCEN Certified Flight Registered Nurse (CFRN) validates the specialty practice of rotary- and fixed-wing air-medical transport nurses. CFRN and the ground-transport CTRN share a common core but have separate content outlines reflecting the distinct operational and clinical demands of air transport (altitude physiology, aircraft systems, limited resources).
How many questions are on the BCEN CFRN exam, and how long is it?
180 questions (150 scored + 30 pretest) · 3 hours
What is the passing score for the BCEN CFRN exam?
108 / 150 scored items correct (72%)
How much does the BCEN CFRN exam cost?
$380 USD (non-member) · $285 ASTNA member · $195 military
Are there prerequisites for the BCEN CFRN exam?
Active, unrestricted RN license (US, US territory, Canada, or Australia); 2 years of flight-nursing experience recommended but not required
How long is the BCEN CFRN certification valid?
4 years (100 CE contact hours for recertification by attestation, or retest)
How many questions does the BCEN CFRN bank have?
1,126 questions, organized into 5 subject areas mapped to the official exam objectives.
Is the free trial really free?
Yes. 30 questions, no credit card, no email-trap, no “activate by Friday or pay” spam. You either upgrade because the bank’s good, or you don’t.
What does premium cost?
Premium is sold per category and unlocks every Nursing exam in the Cert Climb catalog. Plans are 1-month, 3-month, or 12-month — see the upgrade modal for current pricing.
How current is the BCEN CFRN® content?
We track exam version updates and refresh the bank within weeks of new objectives. Where the version of an exam matters (e.g. CompTIA SY0-701 vs. SY0-601), question explanations call it out.
Can I cancel my subscription anytime?
Yes. Cancellation is one click from your profile. Your access continues through the end of the period you’ve already paid for.
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