1|Page
ORACLE FCCS CERTIFICATION EXAM LATEST
2025 ACTUAL EXAM| COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| FCCS
CERTIFICATION EXAM 2025 (BRAND NEW!!)
What is the dx and treatment? - ANSWER - Tension pneumothorax
Needle decompression/chest tube
A pt. in ARDS s/p pneumonia is on 100% FiO2 with PEEP of 22. PO2 is
88%. Peak airway pressure and plateau are both high. VT is 5 ml/kg.
How can you decrease the airway pressures? - ANSWER - Decrease the
PEEP, even though it will decrease PaO2.
(Note: you can't decrease the VT because it is already on the low end).
A young asthmatic pt. is on the vent. His lungs are very tight. He is on
the AC setting and there is a lot of auto-PEEP. You correct it by reducing
the rate, giving him more time to exhale and making sure he has enough
flow. FiO2 is at .50. He is sedated and seems comfortable. On ABG the
pH is 7.24, CO2 is 65, O2 is 80, and bicarb is 29.
What would you do with the vent settings in this case? - ANSWER -
Keep the settings where they are.
You can't hyperventilate the pt. to blow off CO2 b/c the asthma will
worsen. As long as the pH is > 7.2, the settings are okay as they are.
CO2 will correct over time.
pg. 1
,2|Page
Which two conditions are the most indicated for BiPAP? - ANSWER -
COPD exacerbation
Cardiogenic pulmonary edema
what are the 4 indications for invasive ventilation? - ANSWER - failure
to oxygenate, failure to ventilate, failure to protect, projected clinical
course
what are the ABCD of the vent cycle? - ANSWER - A: triggering
(initiation of inspiration)
B: end of inspiratory flow
C: cycling (start of expiratory flow)
what is assist-control ventilation? - ANSWER - VT is guaranteed at
present flow rate with a minimum RR however pt. can initiate breaths
and trigger the vent, so Pt can breathe at higher RR if he wants
can be either volume cycled or time cycled (pressure assist), volume is
much more common
what is PSV? - ANSWER - SPV provides a preset level of inspiratory
pressure with each vent detected pt. effort
best for spontaneously breathing pt. to offer increased comfort
what is SIMV? - ANSWER - synchronized intermittent mandatory
ventilation, breaths may be triggered by the pt. or time elapsed, vent will
pg. 2
,3|Page
synch to pt. breaths, if no breath is detected vent will deliver preset VT
at preset time
what are best initial vent settings? (VT, FiO2, RR)? what is normal
minute ventilation? - ANSWER - VT = 4-8 mL/kg; closer to 8 for
COPD, closer to 4 for ARDS
7-8 L/min
92-94%
what is peak airway pressure? inspiratory plateau pressure? which one
corresponds more to barotrauma? how can you decrease Plat? -
ANSWER - Peak = a measure of airway resistance; < 40 is ideal
Plateau = measure of compliance and alveolar distension, a static
measurement; need an inspiratory hold of 1 sec; normal < 30 cm H2O
Plat
decrease PEEP, decrease VT
if you can't get FiO2 < 60 what should you do? - ANSWER - increase
PEEP
what is auto PEEP? how can tell it’s happening on tracing? - ANSWER -
badness, happens when expiratory time is too short to allow full
exhalation. can decrease CO, need to adjust vent. To get rid of increase
peak flow and decrease RR can see on tracing by if a breath is initiated
below baseline
pg. 3
, 4|Page
Most important indicator that a patient has a severe illness? - ANSWER
- Tachypnea
3 respiratory types, and their criteria - ANSWER - Hypoxemic (PaO2
<50-60)
Hypercapnic (PaCO2 >50, pH <7.36)
Mixed
A 70 y/o pt. with CHF presents with SOB, accessory muscle use, RR 34,
SpO2 90% on 8L O2. CXR reveals infiltrates in a bat wing pattern. She
also has LE edema. She is dx with a CHF exacerbation w/ respiratory
failure. Her ABG shows pH 7.3, PO2 64, CO2 50.
What is the best Tx for this pt.? - ANSWER - Non-invasive BiPAP.
A pt. comes in w/ a femur fox and a rod is placed. Post-op he develops
dyspnea and fever. HR 140, RR 30, SpO2 92% on non-rebreather. He is
transferred to the ICU where you intubate, place a central line, and start
resuscitating him. Hb 8.2, lactate 3.2, SVO2 is 52%.
Why is his SVO2 low? How can we improve it? - ANSWER -
Decreased O2 delivery and increased consumption.
(normal is 65-70)
Administer packed RBCs - 1U of blood will change his Hb from 8.2 to
9.2. O2, fluid, and VT would not work.
pg. 4
ORACLE FCCS CERTIFICATION EXAM LATEST
2025 ACTUAL EXAM| COMPLETE 350 REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+| FCCS
CERTIFICATION EXAM 2025 (BRAND NEW!!)
What is the dx and treatment? - ANSWER - Tension pneumothorax
Needle decompression/chest tube
A pt. in ARDS s/p pneumonia is on 100% FiO2 with PEEP of 22. PO2 is
88%. Peak airway pressure and plateau are both high. VT is 5 ml/kg.
How can you decrease the airway pressures? - ANSWER - Decrease the
PEEP, even though it will decrease PaO2.
(Note: you can't decrease the VT because it is already on the low end).
A young asthmatic pt. is on the vent. His lungs are very tight. He is on
the AC setting and there is a lot of auto-PEEP. You correct it by reducing
the rate, giving him more time to exhale and making sure he has enough
flow. FiO2 is at .50. He is sedated and seems comfortable. On ABG the
pH is 7.24, CO2 is 65, O2 is 80, and bicarb is 29.
What would you do with the vent settings in this case? - ANSWER -
Keep the settings where they are.
You can't hyperventilate the pt. to blow off CO2 b/c the asthma will
worsen. As long as the pH is > 7.2, the settings are okay as they are.
CO2 will correct over time.
pg. 1
,2|Page
Which two conditions are the most indicated for BiPAP? - ANSWER -
COPD exacerbation
Cardiogenic pulmonary edema
what are the 4 indications for invasive ventilation? - ANSWER - failure
to oxygenate, failure to ventilate, failure to protect, projected clinical
course
what are the ABCD of the vent cycle? - ANSWER - A: triggering
(initiation of inspiration)
B: end of inspiratory flow
C: cycling (start of expiratory flow)
what is assist-control ventilation? - ANSWER - VT is guaranteed at
present flow rate with a minimum RR however pt. can initiate breaths
and trigger the vent, so Pt can breathe at higher RR if he wants
can be either volume cycled or time cycled (pressure assist), volume is
much more common
what is PSV? - ANSWER - SPV provides a preset level of inspiratory
pressure with each vent detected pt. effort
best for spontaneously breathing pt. to offer increased comfort
what is SIMV? - ANSWER - synchronized intermittent mandatory
ventilation, breaths may be triggered by the pt. or time elapsed, vent will
pg. 2
,3|Page
synch to pt. breaths, if no breath is detected vent will deliver preset VT
at preset time
what are best initial vent settings? (VT, FiO2, RR)? what is normal
minute ventilation? - ANSWER - VT = 4-8 mL/kg; closer to 8 for
COPD, closer to 4 for ARDS
7-8 L/min
92-94%
what is peak airway pressure? inspiratory plateau pressure? which one
corresponds more to barotrauma? how can you decrease Plat? -
ANSWER - Peak = a measure of airway resistance; < 40 is ideal
Plateau = measure of compliance and alveolar distension, a static
measurement; need an inspiratory hold of 1 sec; normal < 30 cm H2O
Plat
decrease PEEP, decrease VT
if you can't get FiO2 < 60 what should you do? - ANSWER - increase
PEEP
what is auto PEEP? how can tell it’s happening on tracing? - ANSWER -
badness, happens when expiratory time is too short to allow full
exhalation. can decrease CO, need to adjust vent. To get rid of increase
peak flow and decrease RR can see on tracing by if a breath is initiated
below baseline
pg. 3
, 4|Page
Most important indicator that a patient has a severe illness? - ANSWER
- Tachypnea
3 respiratory types, and their criteria - ANSWER - Hypoxemic (PaO2
<50-60)
Hypercapnic (PaCO2 >50, pH <7.36)
Mixed
A 70 y/o pt. with CHF presents with SOB, accessory muscle use, RR 34,
SpO2 90% on 8L O2. CXR reveals infiltrates in a bat wing pattern. She
also has LE edema. She is dx with a CHF exacerbation w/ respiratory
failure. Her ABG shows pH 7.3, PO2 64, CO2 50.
What is the best Tx for this pt.? - ANSWER - Non-invasive BiPAP.
A pt. comes in w/ a femur fox and a rod is placed. Post-op he develops
dyspnea and fever. HR 140, RR 30, SpO2 92% on non-rebreather. He is
transferred to the ICU where you intubate, place a central line, and start
resuscitating him. Hb 8.2, lactate 3.2, SVO2 is 52%.
Why is his SVO2 low? How can we improve it? - ANSWER -
Decreased O2 delivery and increased consumption.
(normal is 65-70)
Administer packed RBCs - 1U of blood will change his Hb from 8.2 to
9.2. O2, fluid, and VT would not work.
pg. 4
