PFCCS EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| PEDIATRIC FUNDAMENTAL CRITICAL CARE
SUPPORT (PFCCS) EXAM REVIEW WITH COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
A 72-year-old woman with a history of hypertension, type 2 diabetes
mellitus, and smoking develops sudden-onset severe chest pain
associated with difficulty breathing and diaphoresis. Her vital signs on
arrival in the emergency department are: blood pressure, 165/92 mm
Hg; heart rate, 101 beats/min; respiratory rate, 29 breaths/min; and
oxygen saturation as measured by pulse oximetry, 96% on room air.
Which of the following ECG findings is the most significant indicator for
immediate reperfusion in pt management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves ......ANSWER......B. ST segment elevation
A 72-year-old man presents to the emergency department with
congestive heart failure exacerbation. He is awake and alert but in
distress. He is using accessory respiratory muscles and says it is hard to
breathe. His vitals signs are: heart rate, 120 beats/min; blood pressure,
120/80 mm Hg; respiratory rate, 34 breaths/min; and oxygen
saturation, 90% on 8 L of oxygen by simple face mask. Physical
examination reveals bilateral lower extremity edema and crackles in the
posterior lung fields. A chest radiograph demonstrates bilateral fluffy
pg. 1
,infiltrates consistent with pulmonary edema. Arterial blood gas analysis
demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm Hg. In
addition to diuresis, which of the following is the best next step in this
patient's management?
A. Intubate and initiate invasive mechanical ventilation
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi ......ANSWER......B noninvasive positive pressure ventilation
A 27-year-old man is admitted to the ICU with a subarachnoid
hemorrhage after a motor vehicle crash. On examination, his initial
Glasgow Coma Scale score was 8 with labored respirations. He was
intubated in the emergency department and placed on a ventilator.
Shortly after arrival to the unit, his pulse oximeter (SpO2) reads 57%,
with heart rate of 46 beats/min and no pulse. Which of the following is
the safest and most immediate method to verify correct endotracheal
tube placement?
A. Palpation over the epigastrium for abdominal distension
B. Manual bag-mask breathing
C. Qualitative exhaled carbon dioxide monitor or detector
D. Portable chest radiograph ......ANSWER......C exhaled CO2
monitor/detector
pg. 2
, A 52-year-old man presents after a motor vehicle crash with
hypotension and obvious signs of hemorrhagic shock. His focused
assessment with sonography in trauma (FAST) examination is positive,
and an emergent surgical consultation is obtained for operative
intervention. While awaiting the surgeon and transportation to the
operating room for definitive hemorrhage control, his blood pressure
continues to decline and resuscitation is begun. Which of the following
is the best strategy for resuscitation in this setting of massive
hemorrhage?
A. Infusion of packed red blood cells only until laboratory results are
available to assess for the presence of coagulopathy and
thrombocytopenia
B. Balanced resuscitation using a combination of packed red blood cells,
fresh frozen plasma, and platelets in a 1:1:1 ratio
C. Limited infusion of IV fluids or blood products until definitive control
of hemorrhage is achieved, regardless ......ANSWER......B.
RBCS:FFP:Plate 1:1:1 ratio
A 75-year-old woman is admitted to the emergency department with
altered mental status. A CT scan of her head shows an intracranial
hemorrhage. A decision is made to intubate her, but there is concern
for increased intracranial pressure. Which of the following pretreatment
agents is most appropriate before performing rapid sequence
intubation?
A. Nimbex
B succinylcholine
pg. 3
BANK| PEDIATRIC FUNDAMENTAL CRITICAL CARE
SUPPORT (PFCCS) EXAM REVIEW WITH COMPLETE 350
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
A 72-year-old woman with a history of hypertension, type 2 diabetes
mellitus, and smoking develops sudden-onset severe chest pain
associated with difficulty breathing and diaphoresis. Her vital signs on
arrival in the emergency department are: blood pressure, 165/92 mm
Hg; heart rate, 101 beats/min; respiratory rate, 29 breaths/min; and
oxygen saturation as measured by pulse oximetry, 96% on room air.
Which of the following ECG findings is the most significant indicator for
immediate reperfusion in pt management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves ......ANSWER......B. ST segment elevation
A 72-year-old man presents to the emergency department with
congestive heart failure exacerbation. He is awake and alert but in
distress. He is using accessory respiratory muscles and says it is hard to
breathe. His vitals signs are: heart rate, 120 beats/min; blood pressure,
120/80 mm Hg; respiratory rate, 34 breaths/min; and oxygen
saturation, 90% on 8 L of oxygen by simple face mask. Physical
examination reveals bilateral lower extremity edema and crackles in the
posterior lung fields. A chest radiograph demonstrates bilateral fluffy
pg. 1
,infiltrates consistent with pulmonary edema. Arterial blood gas analysis
demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm Hg. In
addition to diuresis, which of the following is the best next step in this
patient's management?
A. Intubate and initiate invasive mechanical ventilation
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi ......ANSWER......B noninvasive positive pressure ventilation
A 27-year-old man is admitted to the ICU with a subarachnoid
hemorrhage after a motor vehicle crash. On examination, his initial
Glasgow Coma Scale score was 8 with labored respirations. He was
intubated in the emergency department and placed on a ventilator.
Shortly after arrival to the unit, his pulse oximeter (SpO2) reads 57%,
with heart rate of 46 beats/min and no pulse. Which of the following is
the safest and most immediate method to verify correct endotracheal
tube placement?
A. Palpation over the epigastrium for abdominal distension
B. Manual bag-mask breathing
C. Qualitative exhaled carbon dioxide monitor or detector
D. Portable chest radiograph ......ANSWER......C exhaled CO2
monitor/detector
pg. 2
, A 52-year-old man presents after a motor vehicle crash with
hypotension and obvious signs of hemorrhagic shock. His focused
assessment with sonography in trauma (FAST) examination is positive,
and an emergent surgical consultation is obtained for operative
intervention. While awaiting the surgeon and transportation to the
operating room for definitive hemorrhage control, his blood pressure
continues to decline and resuscitation is begun. Which of the following
is the best strategy for resuscitation in this setting of massive
hemorrhage?
A. Infusion of packed red blood cells only until laboratory results are
available to assess for the presence of coagulopathy and
thrombocytopenia
B. Balanced resuscitation using a combination of packed red blood cells,
fresh frozen plasma, and platelets in a 1:1:1 ratio
C. Limited infusion of IV fluids or blood products until definitive control
of hemorrhage is achieved, regardless ......ANSWER......B.
RBCS:FFP:Plate 1:1:1 ratio
A 75-year-old woman is admitted to the emergency department with
altered mental status. A CT scan of her head shows an intracranial
hemorrhage. A decision is made to intubate her, but there is concern
for increased intracranial pressure. Which of the following pretreatment
agents is most appropriate before performing rapid sequence
intubation?
A. Nimbex
B succinylcholine
pg. 3
