FCCN 2 Exam Questions and Answers 100% Pass

FCCN 2 Exam Questions and Answers 100% Pass How do you calculate Minute Ventilation? - Respiratory Rate x Tidal Volume What are three reasons to intubate? - 1. Pt is unable to protect their airway 2. Pt is unable to oxygenate properly 3. Pt is unable to ventilate properly Which of the following would not be an indication that the patient may need to be intubated? A. Pt has increased work of breathing, anxiety B. Pt is tyachacardic, with wheezing and grunting C. Pt has periodic resolving pleural effusions upon Xray findings D. Pt is in tripod position and having retractions or nasal flaring - C What is the role of the RN during intubation? - To monitor the patient! What does ROME stand for? - Respiratory Opposite Metabolic Equal Is high pH Acidic or Basic? - Basic (Alkalosis) Page 2/10 Crafted for Academic Insight by ©KatelynWhitman 2025. All rights reserved. What could be the cause of Metabolic Acidosis? - DKA, Anaerobic Metabolism, Diarrhea, Shock, Renal Failure PEEP stands for? What does it assess? - PEEP stands for Positive End Expiratory Pressure and it assesses oxygenation. Another word for PEEP is CPAP Would a patient with a high CO2 be placed on CPAP or BiPAP? - BiPAP because CO2 is a ventilation issue Intubation Medication Administration includes what classes of drugs and in what order? - Pre- Medication -Midazolam (amnesia), Fentanyl Induction (sedative) -Etomdiate, Ketamine, Propofol Neuromuscular Blockade (paralytic) -Succinylcholine, Rocuronium In order to avoid VAP (a complication of intubation) what should be done? - Oral cares Which of the following is not a disadvantage to PEEP? A. Barotrauma Page 3/10 Crafted for Academic Insight by ©KatelynWhitman 2025. All rights reserved. B. Valutrauma C. Decreased blood pressure, Increased ICP D. Increased blood pressure, Decreased ICP - D What Ventilator setting is considered for lung protective ventilation? - Tidal volume (because it wont over distend the alveoli) CMV and SIMV - Continuous mandatory ventilation has a set rate of breaths and tidal volume, cannot breathe over the vent. Synchronized intermittent mandatory ventilation has assisted breaths and the tidal volume varies with each breath, may breath over the vent What is better for ARD's patients, CMV or SIMV? - CMV Problem solving: patient deterioration while intubated (what does DOPES stand for?) - Displacement (verify tube is at the same location) Obstruction (biting, coughing, mucus plug, kinked) Pneumothorax! (would cause a high pressure alarm) Equipment (malfunction) Stacked Breaths Examples of high pressure alarms on a ventilator - Pneumothorax, Excessive secretions, mucus plug, biting the ETT, fighting the ventilator Examples of low pressure alarms on a ventilator - Leak in the ventilator circuit, cuff leak, ETT displacement, apnea What does a pulse oximetry measure? - It measures the oxygen saturation of hemoglobin Page 4/10 Crafted for Academic Insight by ©KatelynWhitman 2025. All rights reserved. P/F ratio calculation tells us what? - It tells us the degree of sickness of our patients lungs, and helps us assess oxygenation Normal, mild, moderate and severe ARD's are indicated by a P/F ratio of what? - Normal (>300) Mild (200-300) Moderate (100-200) Severe (<100) What is a plateau pressure? - Plateau pressures is the pressure exerted on small airways and alveoli during mechanical ventilation (ideally no higher than 30 cm H2O) High plateau pressures put the patient at risk for alveolar over distention and associated lung injury Plateu pressure monitoring may not be accurate in obese patients due to poor chest wall compliance What is Nitric Oxide? - It is a selective vasodilator of pulmonary vessels. It improves ventilation/perfusion, decreases pulmonary artery pressure, and improves oxygenation (should see immediate effects) What do Neuromuscular Blockers (paralytics) do to oxygen consumption? - Paralytics greatly decrease O2 consumption so O2 supply can adequately meet O2 demand Indications for using NMD - To facilitate short procedures, facilitate mechanical ventilation, to reduce muscle oxygen consumption, to prevent. respiratory or other movements, and to treat muscle activity Page 5/10 Crafted for Academic Insight by ©KatelynWhitman 2025. All rights reserved. What is the clinical use for neuromuscular blockades? - Generally they are reserved for patients with severe, refractory, or life threatening hypoxemia who are not responsive to other sedatives or analgesics What is Succinylcholine? - It is a paralytic used during intubation with a rapid onset (30-60 seconds) but a short duration (4-10 min) What should be given before NMD's are given? - Make sure the patient gets pain and sedation medication first! Side note: Dexmedetomidine should not be used for sedation with NMD due to light sedative properties Titrate dose of non depolerizing NMD agent to achieve how many twitches? - 1/4 or 2/4 which is 85%-90% if blocked receptors Which pressor should be used to bridge the pressor before propofol is given? - Phenylephrine Which pressor is used first line for sepsis? - Norepinephrine Which pressor is primarily used for right sided heart failure? (after-load reduction) - Milrinone Why should an extra dose of Flolan be with you while administering a dose and what is its indication of use? - Flolan is used for pulmonary arterial hypertension and you will need an extra dose because its half like is only 6 seconds What is the greatest sign that a patient is deteriorating neurologically? - Loss of consciousness Which pressor does not have an immediate effect on heart rate? - Norepinephrine