200+ Free CTRN Practice Questions
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Key Facts: CTRN Exam
155
Total Items
BCEN CTRN exam page
130 + 25
Scored + Unscored
BCEN CTRN exam page
91/130
Passing Standard
BCEN CTRN exam page
3h
Exam Time
BCEN CTRN exam page
$230/$310
Member / Nonmember Fee
BCEN CTRN exam page
Feb 2026
Current Content Outline
BCEN CTRN 2026 Content Outline
4 years
Recertification Cycle
BCEN CTRN FAQ
BCEN lists the CTRN exam at 155 total items (130 scored + 25 unscored pretest), 3-hour test time, and a passing standard of 91 scored items. The updated CTRN Content Outline (effective February 2026) includes 7 domains: General Principles of Transport (19%), Resuscitation Principles (25%), Mechanical Ventilation (8%), Clinical Practice: Trauma (17%), Clinical Practice: Medical (16%), Special Populations (9%), and Professional Issues (6%). BCEN requires active unrestricted RN licensure and 2+ years of transport nursing experience is recommended.
About the CTRN Exam
CTRN is BCEN's specialty certification for registered nurses providing care to acutely ill or injured patients during ground interfacility transport. The exam tests clinical judgment in transport physiology and safety, resuscitation principles, mechanical ventilation, clinical trauma and medical emergencies, special populations considerations, and professional issues in transport medicine. The 2026 BCEN content outline separates ground transport (CTRN) from air transport (CFRN) certifications.
Questions
155 scored questions
Time Limit
3 hours
Passing Score
91 out of 130 scored items (70%)
Exam Fee
$230 ENA/BCEN members / $310 non-members (BCEN (Board of Certification for Emergency Nursing))
CTRN Exam Content Outline
General Principles of Transport
Transport physiology including effects of acceleration, deceleration, and altitude; vehicle safety and operations; patient packaging; environmental considerations; and interfacility transfer coordination
Resuscitation Principles
Airway management during transport, rapid sequence intubation, shock recognition and management, cardiac arrest protocols, fluid resuscitation, and hemodynamic monitoring in mobile environments
Mechanical Ventilation
Ventilator modes and settings, transport ventilator management, weaning considerations, troubleshooting alarms, and managing ventilator-dependent patients during transfer
Clinical Practice: Trauma
Traumatic brain injury, spinal cord injury, thoracic trauma, abdominal trauma, pelvic trauma, burns, and musculoskeletal injuries during interfacility transport
Clinical Practice: Medical
Cardiac emergencies, respiratory failure, neurologic emergencies, GI emergencies, environmental emergencies, and toxicology in transport settings
Special Populations
Pediatric transport considerations, geriatric trauma, pregnant patient transport, bariatric patients, and patients with special medical devices
Professional Issues
Legal and ethical issues in transport medicine, documentation requirements, quality improvement, safety management, and scope of practice during transport
How to Pass the CTRN Exam
What You Need to Know
- Passing score: 91 out of 130 scored items (70%)
- Exam length: 155 questions
- Time limit: 3 hours
- Exam fee: $230 ENA/BCEN members / $310 non-members
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
CTRN Study Tips from Top Performers
Frequently Asked Questions
What is the difference between CTRN and CFRN?
Effective February 2026, BCEN separated ground and air transport certifications. CTRN (Certified Transport Registered Nurse) covers ground interfacility transport only. CFRN (Certified Flight Registered Nurse) covers rotor-wing and fixed-wing air transport and includes flight-specific physiology. Both certifications are separate and require different exam preparation.
How many questions are on the CTRN exam?
BCEN lists 155 total items: 130 scored items and 25 unscored pretest items. You have 3 hours to complete the exam.
What score do I need to pass CTRN?
BCEN lists the CTRN passing standard as 91 correct out of 130 scored items, which is approximately 70%.
How long is the CTRN exam?
BCEN lists a 3-hour testing appointment for CTRN.
What changed for CTRN in 2026?
BCEN released an updated CTRN Exam Content Outline effective February 2026 that separates ground transport (CTRN) from air transport (CFRN). The new CTRN outline focuses specifically on ground interfacility transport with 7 domains including General Principles (19%), Resuscitation (25%), Mechanical Ventilation (8%), Clinical Trauma (17%), Clinical Medical (16%), Special Populations (9%), and Professional Issues (6%).
How much does CTRN cost?
BCEN's current CTRN fees are $230 for ENA/BCEN members and $310 for non-members.
Who can take the CTRN exam?
BCEN requires active unrestricted RN licensure. Two years of transport nursing experience is recommended before testing. CTRN is ideal for nurses working in critical care transport, mobile ICU, and interfacility transfer services using ground ambulance or mobile intensive care units.
How often do I renew CTRN?
BCEN certifications follow a 4-year recertification cycle. You can recertify by continuing education hours or by retaking the exam.