FCCN LEVEL 1 EXAM QUESTIONS AND ANSWERS

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FCCN LEVEL 1 EXAM QUESTIONS AND ANSWERS

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2026/2027

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FCCN LEVEL 1 EXAM QUESTIONS AND ANSWERS

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FCCN LEVEL 1 EXAM QUESTIONS AND
ANSWERS

minimumjurinejoutputjforjadultj-jans-0.5mL/kg/hr

ADHj(antidiureticjhormone)j-jans--jwaterjretainer
-jvasoconstrictorj(alsojcalledjVasopressin)j
-jproducedjbyjhypothalamusj
-jstorejandjreleasedjfromjposteriorjpituitary

ADHjpathwayj-jans--
jhypothalamusjsensesjlowjbloodjvolumedjandjincreasedjserumjosmolalityj

-jsignaljpituitaryjtojreleasejADHj

-jADHjcausesjkidneyjtojretainjwaterj

-jwaterjretentionjincreasesjbloodjvolumejandjdecreasesjserumjosmolality

ANPj(atrialjnatriureticjpeptide)j-jans--jcardiacjhormonejstoredjinjatriaj
-jreleasedjwhenjatrialjpressurejincreasesj

*worksjoppositejofjRAASjbyjdecreasingjBPjandjreducingjintravascularjvolume

-jimportantjdiagnosticjmarkerjinjCHF

hydrostaticjpressurej-jans--
jforcesjfluidsjandjsolutesjthroughjthejcapillaryjwalljandjintojthejtissuejspaces

colloidjosmoticjpressurej-jans--jpullingjforcejofjalbuminjinjthejintravascularjspacesj

-jpulljfluidjintojvasculature

maintenancejfluidjtherapyj-jans--
jreplacesjnormaljongoingjlossesjofjwaterjandjelectrolytesj(urine,jsweat,jrespiration,jsto
ol)

replacementjtherapyj-jans--jcorrectsjanyjexistingjwaterjandjorjelectrolytejdeficits

isotonicjfluidsj-jans--jtonicityjequaljtojplasmajinjthejbodyj
-jnojfluidjshiftsjbecausejthejsolutionsjarejequallyjconcentratedj

, -jLRj
-jNSj
-jD5W

hypotonicjfluidsj-jans--jlowerjconcentrationjofjsolutesjinjthejvasculaturejthanjinjthejcellj
-jfluidjshiftsjintojthejcelljtojdilutejthejelectrolytesj(CELLjSWELLS)j

-j0.45NS

hypertonicjfluidj-jans--jhigherjconcentrationjofjsolutesjinjthejvasculaturejthanjinjthejcellj
-jpullsjfluidjoutjofjcellsjandjintojthejvesselsj(CELLjSHRINKS)j

-jD5j.45NS
-jD5NSj
-jD5LRj
-j3%,j7%,j23.4%jNaCl

colloidsj-jans--jpulljfluidjintojbloodstreamj

Albuminj
-j5%jisjosmoticallyjequaljtojplasma
-j25%jdrawsj4jtimesjthejnormaljvolumejintojthejcirculation

bloodj-jans--jnotjajriskjfreejfluidjreplacementj
-jthisjisjliquidjtransplant

thirdjspacingj-jans--
jfluidjisjnotjlostjfromjthejbodyjbutjthejfluidjisjnotjavailablejforjusejinjthejintracellularjorje
xtracellularjcompartmentsj(fluidjisjinjbetweenjtissues/cells)j

-jthisjpatientjisjintravascularlyjdryjandjstilljneedsjmorejfluidj

-

canjyoujgivejplateletsjthroughjthejrangerj-jans--jnojitjwilljaggreggatejthejplatelets

hyponatremiaj-jans--jlessjthanj135j-145j

-jweakness
-jabdominaljcramping/legjcramps
-jdizzyj
-jchangejinjLOCj
-jseizures

differentjwaysjtojtreatjhyponatremiaj-jans--jhypovolemicj(givejIVjfluid)j

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Uploaded on: August 18, 2026
Number of pages: 14
Written in: 2026/2027
Type: Exam (elaborations)
Contains: Questions & answers

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