FCCS pre-test Exam (updated 2026) Questions & Answers | Latest Already
Graded A+ UPDATE |2026
A 76-year-old woman with a history of congestive heart failure and hypertension is admitted with
altered mental status and mild upper respiratory symptoms. According to family, her mental status has
been gradually declining over the past 3 days. Because of generalized weakness and upper respiratory
symptoms, she has had a limited amount of food and drink for the past 72 hours. Her home medications
include metoprolol, lisinopril, and furosemide. Her family states that she has been compliant with these
medications. On physical examination, vital signs are: heart rate, 118 beats/min; blood pressure, 96/53
mm Hg; respiratory rate, 14 breaths/min; and oxygen saturation, 98% on room air. Other findings
included dry mucous membranes, poor skin turgor, and the absence of jugular venous distention.
Pulmonary examination is clear on auscultation. She opens her eyes to voice, but mumbles
incomprehensible sounds and has generali - (ANSWER)B. Hypertonic (3%) saline, 100 mL for rapid early
correction, with goal serum sodium of 118 mEq/L in 24 hours
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and smoking develops
sudden-onset severe chest pain associated with difficulty breathing and diaphoresis. Her vital signs on
arrival in the emergency department are: blood pressure, 165/92 mm Hg; heart rate, 101 beats/min;
respiratory rate, 29 breaths/min; and oxygen saturation as measured by pulse oximetry, 96% on room
air. Which of the following ECG findings is the most significant indicator for immediate reperfusion in pt
management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves - (ANSWER)B. ST segment elevation
A 72-year-old man presents to the emergency department with congestive heart failure exacerbation.
He is awake and alert but in distress. He is using accessory respiratory muscles and says it is hard to
breathe. His vitals signs are: heart rate, 120 beats/min; blood pressure, 120/80 mm Hg; respiratory rate,
34 breaths/min; and oxygen saturation, 90% on 8 L of oxygen by simple face mask. Physical examination
reveals bilateral lower extremity edema and crackles in the posterior lung fields. A chest radiograph
demonstrates bilateral fluffy infiltrates consistent with pulmonary edema. Arterial blood gas analysis
demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm Hg. In addition to diuresis, which of the
following is the best next step in this patient's management?
A. Intubate and initiate invasive mechanical ventilation
, FCCS pre-test Exam (updated 2026) Questions & Answers | Latest Already
Graded A+ UPDATE |2026
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi - (ANSWER)B noninvasive positive pressure ventilation
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a motor vehicle crash.
On examination, his initial Glasgow Coma Scale score was 8 with labored respirations. He was intubated
in the emergency department and placed on a ventilator. Shortly after arrival to the unit, his pulse
oximeter (SpO2) reads 57%, with heart rate of 46 beats/min and no pulse. Which of the following is the
safest and most immediate method to verify correct endotracheal tube placement?
A. Palpation over the epigastrium for abdominal distension
B. Manual bag-mask breathing
C. Qualitative exhaled carbon dioxide monitor or detector
D. Portable chest radiograph - (ANSWER)C exhaled CO2 monitor/detector
A 52-year-old man presents after a motor vehicle crash with hypotension and obvious signs of
hemorrhagic shock. His focused assessment with sonography in trauma (FAST) examination is positive,
and an emergent surgical consultation is obtained for operative intervention. While awaiting the
surgeon and transportation to the operating room for definitive hemorrhage control, his blood pressure
continues to decline and resuscitation is begun. Which of the following is the best strategy for
resuscitation in this setting of massive hemorrhage?
A. Infusion of packed red blood cells only until laboratory results are available to assess for the presence
of coagulopathy and thrombocytopenia
B. Balanced resuscitation using a combination of packed red blood cells, fresh frozen plasma, and
platelets in a 1:1:1 ratio
C. Limited infusion of IV fluids or blood products until definitive control of hemorrhage is achieved,
regardless - (ANSWER)B. RBCS:FFP:Plate 1:1:1 ratio
Graded A+ UPDATE |2026
A 76-year-old woman with a history of congestive heart failure and hypertension is admitted with
altered mental status and mild upper respiratory symptoms. According to family, her mental status has
been gradually declining over the past 3 days. Because of generalized weakness and upper respiratory
symptoms, she has had a limited amount of food and drink for the past 72 hours. Her home medications
include metoprolol, lisinopril, and furosemide. Her family states that she has been compliant with these
medications. On physical examination, vital signs are: heart rate, 118 beats/min; blood pressure, 96/53
mm Hg; respiratory rate, 14 breaths/min; and oxygen saturation, 98% on room air. Other findings
included dry mucous membranes, poor skin turgor, and the absence of jugular venous distention.
Pulmonary examination is clear on auscultation. She opens her eyes to voice, but mumbles
incomprehensible sounds and has generali - (ANSWER)B. Hypertonic (3%) saline, 100 mL for rapid early
correction, with goal serum sodium of 118 mEq/L in 24 hours
A 72-year-old woman with a history of hypertension, type 2 diabetes mellitus, and smoking develops
sudden-onset severe chest pain associated with difficulty breathing and diaphoresis. Her vital signs on
arrival in the emergency department are: blood pressure, 165/92 mm Hg; heart rate, 101 beats/min;
respiratory rate, 29 breaths/min; and oxygen saturation as measured by pulse oximetry, 96% on room
air. Which of the following ECG findings is the most significant indicator for immediate reperfusion in pt
management
A. ST segment depression
B. ST segment elevation
C. T wave inversions
D. Peaked T waves - (ANSWER)B. ST segment elevation
A 72-year-old man presents to the emergency department with congestive heart failure exacerbation.
He is awake and alert but in distress. He is using accessory respiratory muscles and says it is hard to
breathe. His vitals signs are: heart rate, 120 beats/min; blood pressure, 120/80 mm Hg; respiratory rate,
34 breaths/min; and oxygen saturation, 90% on 8 L of oxygen by simple face mask. Physical examination
reveals bilateral lower extremity edema and crackles in the posterior lung fields. A chest radiograph
demonstrates bilateral fluffy infiltrates consistent with pulmonary edema. Arterial blood gas analysis
demonstrates: pH 7.30, PCO2 50 mm Hg, and PO2 64 mm Hg. In addition to diuresis, which of the
following is the best next step in this patient's management?
A. Intubate and initiate invasive mechanical ventilation
, FCCS pre-test Exam (updated 2026) Questions & Answers | Latest Already
Graded A+ UPDATE |2026
B. Initiate noninvasive positive pressure ventilation
C. Switch to nonrebreather oxygen mask
D. Swi - (ANSWER)B noninvasive positive pressure ventilation
A 27-year-old man is admitted to the ICU with a subarachnoid hemorrhage after a motor vehicle crash.
On examination, his initial Glasgow Coma Scale score was 8 with labored respirations. He was intubated
in the emergency department and placed on a ventilator. Shortly after arrival to the unit, his pulse
oximeter (SpO2) reads 57%, with heart rate of 46 beats/min and no pulse. Which of the following is the
safest and most immediate method to verify correct endotracheal tube placement?
A. Palpation over the epigastrium for abdominal distension
B. Manual bag-mask breathing
C. Qualitative exhaled carbon dioxide monitor or detector
D. Portable chest radiograph - (ANSWER)C exhaled CO2 monitor/detector
A 52-year-old man presents after a motor vehicle crash with hypotension and obvious signs of
hemorrhagic shock. His focused assessment with sonography in trauma (FAST) examination is positive,
and an emergent surgical consultation is obtained for operative intervention. While awaiting the
surgeon and transportation to the operating room for definitive hemorrhage control, his blood pressure
continues to decline and resuscitation is begun. Which of the following is the best strategy for
resuscitation in this setting of massive hemorrhage?
A. Infusion of packed red blood cells only until laboratory results are available to assess for the presence
of coagulopathy and thrombocytopenia
B. Balanced resuscitation using a combination of packed red blood cells, fresh frozen plasma, and
platelets in a 1:1:1 ratio
C. Limited infusion of IV fluids or blood products until definitive control of hemorrhage is achieved,
regardless - (ANSWER)B. RBCS:FFP:Plate 1:1:1 ratio
