FCCN LEVEL 1 EXAM
WITH COMPLETE SOLUTIONS.
"Heparin nomagram system - CORRECT ANSWER HNS will only accept Anti-Xa results that were drawn
at least 4 hrs after heparin start or dose change"
"Heparin was stopped yesterday because Anti-Xa was in range. provider wants to resume heparin. what
dose do you use? - CORRECT ANSWER - go back to last dose where Anti-Xa was in goal"
"nursing pearls for MI - CORRECT ANSWER - ASA should be in chewable form for emergency ...be
prepared to give 4 tablets
- nitrate drips and or SL nitro can cause pin point headaches and hypotension
- keep your patient in bed. DO NOT get them up
- get 2 PIV sites"
"common inotropes used - CORRECT ANSWER - milrinone
- dobutamine
- dopamine"
"treatment options for kidney failure - CORRECT ANSWER - hemodialysis
- peritoneal dialysis
- CRRT
- kidney transplant
- no treatment"
"high K foods - CORRECT ANSWER - oranges
- strawberries
- bananas
- tomatoes
- potatoes
- dairy"
"high PHos foods - CORRECT ANSWER - dairy
- cola
- whole grain
- chocolate
- beer"
1|P a g e
, "causes of prerenal renal failure - CORRECT ANSWER - decreased intravascular volume (bleeding,
vomiting, diarrhea, sepsis)
- decreased cardiac function, CO
- vasodilation = sepsis and anaphylaxis
- abdominal compartment syndrome
- altered renal hemodynamics"
"medullary (ATN) intrarenal failure causes - CORRECT ANSWER - ischemic (same as prerenal)
- nephrotoxic
- antibiotics
- NSAIDs
- radiographic contrast"
"intrarenal renal failure assessment - CORRECT ANSWER - same as prerenal
- patient can be oliguric or non oliguric"
"hydrostatic pressure - CORRECT ANSWER - forces fluids and solutes through the capillary wall and into
the tissue spaces"
"colloid osmotic pressure - CORRECT ANSWER - pulling force of albumin in the intravascular spaces
- pull fluid into vasculature"
"maintenance fluid therapy - CORRECT ANSWER - replaces normal ongoing losses of water and
electrolytes (urine, sweat, respiration, stool)"
"replacement therapy - CORRECT ANSWER - corrects any existing water and or electrolyte deficits"
"isotonic fluids - CORRECT ANSWER - tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
- D5W"
"hypotonic fluids - CORRECT ANSWER - lower concentration of solutes in the vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS"
2|P a g e
WITH COMPLETE SOLUTIONS.
"Heparin nomagram system - CORRECT ANSWER HNS will only accept Anti-Xa results that were drawn
at least 4 hrs after heparin start or dose change"
"Heparin was stopped yesterday because Anti-Xa was in range. provider wants to resume heparin. what
dose do you use? - CORRECT ANSWER - go back to last dose where Anti-Xa was in goal"
"nursing pearls for MI - CORRECT ANSWER - ASA should be in chewable form for emergency ...be
prepared to give 4 tablets
- nitrate drips and or SL nitro can cause pin point headaches and hypotension
- keep your patient in bed. DO NOT get them up
- get 2 PIV sites"
"common inotropes used - CORRECT ANSWER - milrinone
- dobutamine
- dopamine"
"treatment options for kidney failure - CORRECT ANSWER - hemodialysis
- peritoneal dialysis
- CRRT
- kidney transplant
- no treatment"
"high K foods - CORRECT ANSWER - oranges
- strawberries
- bananas
- tomatoes
- potatoes
- dairy"
"high PHos foods - CORRECT ANSWER - dairy
- cola
- whole grain
- chocolate
- beer"
1|P a g e
, "causes of prerenal renal failure - CORRECT ANSWER - decreased intravascular volume (bleeding,
vomiting, diarrhea, sepsis)
- decreased cardiac function, CO
- vasodilation = sepsis and anaphylaxis
- abdominal compartment syndrome
- altered renal hemodynamics"
"medullary (ATN) intrarenal failure causes - CORRECT ANSWER - ischemic (same as prerenal)
- nephrotoxic
- antibiotics
- NSAIDs
- radiographic contrast"
"intrarenal renal failure assessment - CORRECT ANSWER - same as prerenal
- patient can be oliguric or non oliguric"
"hydrostatic pressure - CORRECT ANSWER - forces fluids and solutes through the capillary wall and into
the tissue spaces"
"colloid osmotic pressure - CORRECT ANSWER - pulling force of albumin in the intravascular spaces
- pull fluid into vasculature"
"maintenance fluid therapy - CORRECT ANSWER - replaces normal ongoing losses of water and
electrolytes (urine, sweat, respiration, stool)"
"replacement therapy - CORRECT ANSWER - corrects any existing water and or electrolyte deficits"
"isotonic fluids - CORRECT ANSWER - tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
- D5W"
"hypotonic fluids - CORRECT ANSWER - lower concentration of solutes in the vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS"
2|P a g e
