FCCN Level 1 [2026/2027] | UPDATED ACTUAL
Exam Question and Answer | A+ Verified
• V1 -✓✓ 4th Intercostal Space at the R sternal boarder
• V2 -✓✓ 4th Intercostal Space at the L sternal boarder
• V3 -✓✓ Midway between V2 and V4
• V4 -✓✓ 5th intercostal space, midclavicular line
• V5 -✓✓ Directly lateral to V4 at the anterior axillary line
• V6 -✓✓ Directly lateral to v4 at the midaxillary line (furthest lateral)
• Limb Lead III -✓✓ to monitor patient who currently does not have dysrhythmias,
ischemia, injury, or infarction
(no heart hx/MIs)
• Lead II -✓✓ better visualization of p waves
• When would you select a V3 lead? -✓✓ to monitor patient who currently does not have
dysrhythmias, ischemia, injury, or infarction
(no heart hx/MIs)
• When would you select a V1 lead? -✓✓ for dysrhythmias to differentiate aberrancies
from ventricular beats or hx of heart disease
• Normal ECG -✓✓ Lead III, V3
• Admission with Afib RVR; no history concerning for ACS. -✓✓ V1
• Ischemia -✓✓ Flipped T waves
ST depression
• Injury -✓✓ ST elevation
• Infarction -✓✓ Q waves
Form after 24 hours
• Where is the ST elevation monitored? -✓✓ .06 seconds after the J-point
(1.5 squares from the end of the QRS complex)
, • ST depression -✓✓ cardiac ISCHEMIA
• ST elevation -✓✓ cardiac INJURY
• Patient Assessment of ST Chagnes -✓✓ - CP (angina) - uncomfortable, pressure,
squeezing, fullness, pain in center of chest, lasts more than a few minutes OR comes
and goes
- Pain in arm(s), back, neck, jaw, stomach
- SOB
- Anxiety
- N/V
- Sweating
- Lightheadedness
• Treatment of MI (STEMI/NSTEMI) -✓✓ - notify physician immediately
- obtain 12 lead
w/ chest paine expect:
- chewed baby ASA
- O2 (if SPO2 is low)
- nitroglycerin
- heparin
- transfer to cath lab
• What would be appropriate ST alarm limits for a patient admitted with ACS with ST
segment elevations of 2mm? -✓✓ 1.0 mm & 3.0 mm
• Which lead(s) do you select to measure QT intervals? -✓✓ Use the lead in which QT is
the longest (usually V2 or V3)
• What is considered a prolonged QTc? -✓✓ > 500 msec
• What drugs lengthen the QT interval? -✓✓ "ANTIs"
Antiarrhymthics
Antipsychotics
Antidepressants
• Left Bundle Branch Block -✓✓ WIDE QRS
usually means something (MI)!!!!
• Right Bundle Branch Block -✓✓ 2 R waves rabbit ears
Typically insignificant (benign)
• When would you use an isotonic crystalloids? -✓✓ - blood transfusions
- hyponatermia
Exam Question and Answer | A+ Verified
• V1 -✓✓ 4th Intercostal Space at the R sternal boarder
• V2 -✓✓ 4th Intercostal Space at the L sternal boarder
• V3 -✓✓ Midway between V2 and V4
• V4 -✓✓ 5th intercostal space, midclavicular line
• V5 -✓✓ Directly lateral to V4 at the anterior axillary line
• V6 -✓✓ Directly lateral to v4 at the midaxillary line (furthest lateral)
• Limb Lead III -✓✓ to monitor patient who currently does not have dysrhythmias,
ischemia, injury, or infarction
(no heart hx/MIs)
• Lead II -✓✓ better visualization of p waves
• When would you select a V3 lead? -✓✓ to monitor patient who currently does not have
dysrhythmias, ischemia, injury, or infarction
(no heart hx/MIs)
• When would you select a V1 lead? -✓✓ for dysrhythmias to differentiate aberrancies
from ventricular beats or hx of heart disease
• Normal ECG -✓✓ Lead III, V3
• Admission with Afib RVR; no history concerning for ACS. -✓✓ V1
• Ischemia -✓✓ Flipped T waves
ST depression
• Injury -✓✓ ST elevation
• Infarction -✓✓ Q waves
Form after 24 hours
• Where is the ST elevation monitored? -✓✓ .06 seconds after the J-point
(1.5 squares from the end of the QRS complex)
, • ST depression -✓✓ cardiac ISCHEMIA
• ST elevation -✓✓ cardiac INJURY
• Patient Assessment of ST Chagnes -✓✓ - CP (angina) - uncomfortable, pressure,
squeezing, fullness, pain in center of chest, lasts more than a few minutes OR comes
and goes
- Pain in arm(s), back, neck, jaw, stomach
- SOB
- Anxiety
- N/V
- Sweating
- Lightheadedness
• Treatment of MI (STEMI/NSTEMI) -✓✓ - notify physician immediately
- obtain 12 lead
w/ chest paine expect:
- chewed baby ASA
- O2 (if SPO2 is low)
- nitroglycerin
- heparin
- transfer to cath lab
• What would be appropriate ST alarm limits for a patient admitted with ACS with ST
segment elevations of 2mm? -✓✓ 1.0 mm & 3.0 mm
• Which lead(s) do you select to measure QT intervals? -✓✓ Use the lead in which QT is
the longest (usually V2 or V3)
• What is considered a prolonged QTc? -✓✓ > 500 msec
• What drugs lengthen the QT interval? -✓✓ "ANTIs"
Antiarrhymthics
Antipsychotics
Antidepressants
• Left Bundle Branch Block -✓✓ WIDE QRS
usually means something (MI)!!!!
• Right Bundle Branch Block -✓✓ 2 R waves rabbit ears
Typically insignificant (benign)
• When would you use an isotonic crystalloids? -✓✓ - blood transfusions
- hyponatermia
