FCCN Level 1 Exam: 2025/2026 Practice Test Questions
and Answers
This practice exam is designed to simulate the latest FCCN (Facility Certification for
Cardiovascular Nurses) Level 1 certification exam for 2025/2026. It consists of 50 multiple-
choice questions covering key topics such as cardiovascular physiology, ECG
interpretation, hemodynamics, acute coronary syndromes, dysrhythmias, pharmacology,
and critical care interventions. Each question has four options (A-D), with one correct
answer.
Instructions:
- Select the best answer for each question.
- Time limit: 90 minutes (approximate).
- Passing score: 70% (35/50 correct).
- Answers with explanations are provided at the end.
#### Section 1: Cardiovascular Physiology and Hemodynamics (Questions 1-15)
1. What is the minimum urine output for an adult patient to indicate adequate renal perfusion?
A. 0.2 mL/kg/hr
B. 0.5 mL/kg/hr
C. 1.0 mL/kg/hr
D. 2.0 mL/kg/hr
2. ADH (antidiuretic hormone) is primarily responsible for:
A. Increasing blood pressure through vasodilation
B. Water retention and vasoconstriction
, C. Promoting sodium excretion
D. Decreasing serum osmolality directly
3. In the ADH pathway, what triggers the hypothalamus to signal the pituitary?
A. High blood volume and low osmolality
B. Low blood volume and increased serum osmolality
C. Elevated atrial pressure
D. Decreased cardiac output only
4. ANP (atrial natriuretic peptide) works opposite to which system by decreasing blood
pressure?
A. Sympathetic nervous system
B. Renin-angiotensin-aldosterone system (RAAS)
C. Parasympathetic system
D. Coagulation cascade
5. Hydrostatic pressure in capillaries primarily:
A. Pulls fluid into the vasculature
B. Forces fluids and solutes into tissue spaces
C. Maintains colloid osmotic balance
D. Regulates preload directly
6. Colloid osmotic pressure is mainly due to:
A. Sodium ions in the interstitium
B. Albumin pulling fluid into the intravascular space
C. Increased venous return
and Answers
This practice exam is designed to simulate the latest FCCN (Facility Certification for
Cardiovascular Nurses) Level 1 certification exam for 2025/2026. It consists of 50 multiple-
choice questions covering key topics such as cardiovascular physiology, ECG
interpretation, hemodynamics, acute coronary syndromes, dysrhythmias, pharmacology,
and critical care interventions. Each question has four options (A-D), with one correct
answer.
Instructions:
- Select the best answer for each question.
- Time limit: 90 minutes (approximate).
- Passing score: 70% (35/50 correct).
- Answers with explanations are provided at the end.
#### Section 1: Cardiovascular Physiology and Hemodynamics (Questions 1-15)
1. What is the minimum urine output for an adult patient to indicate adequate renal perfusion?
A. 0.2 mL/kg/hr
B. 0.5 mL/kg/hr
C. 1.0 mL/kg/hr
D. 2.0 mL/kg/hr
2. ADH (antidiuretic hormone) is primarily responsible for:
A. Increasing blood pressure through vasodilation
B. Water retention and vasoconstriction
, C. Promoting sodium excretion
D. Decreasing serum osmolality directly
3. In the ADH pathway, what triggers the hypothalamus to signal the pituitary?
A. High blood volume and low osmolality
B. Low blood volume and increased serum osmolality
C. Elevated atrial pressure
D. Decreased cardiac output only
4. ANP (atrial natriuretic peptide) works opposite to which system by decreasing blood
pressure?
A. Sympathetic nervous system
B. Renin-angiotensin-aldosterone system (RAAS)
C. Parasympathetic system
D. Coagulation cascade
5. Hydrostatic pressure in capillaries primarily:
A. Pulls fluid into the vasculature
B. Forces fluids and solutes into tissue spaces
C. Maintains colloid osmotic balance
D. Regulates preload directly
6. Colloid osmotic pressure is mainly due to:
A. Sodium ions in the interstitium
B. Albumin pulling fluid into the intravascular space
C. Increased venous return
