FCCN Level 2 Exam Latest Update
Questions & Answers with Rationales| 100%
Correct | Grade.
1) PaO2 partial pressure of oxygen in arterial blood,
obtained using an ABG
80-100mmHG
PaO2 60=SpO2 90%
2) SpO2 saturation of peripheral oxygen, obtained
using pulse ox
90-100%
SpO2 90%=PaO2 60
3) PaCO2 35-45
4) respiratory acidosis low pH, high CO2
, causes: CNS depression from drugs such
as sedation, injury, or disease
breathe too slow, retaining CO2
5) respiratory alkalosis high pH, low CO2
causes: pain, fever, sepsis
breathe too fast, not retaining enough CO2
6) HCO3 22-26
7) metabolic acidosis low pH, low HCO3
causes: diarrhea, DKA, hyperkalemia
8) metabolic alkalosis high pH, high HCO3
causes: vomiting, suctioning, hypokalemia
9) pH 7.35-7.45
10) reading ABGs 1. evaluate pH to identify acidosis or
alkalosis
2. match CO2 or HCO3 with pH state using
ROME to determine respiratory or
metabolic
, 3. assess whether CO2 or HCO3 state is
opposite of pH to determine if it is
uncompensated, partially compensated,
fully compensated, or corrected
11) non-invasive ventilation CPAP/BiPAP
12) CPAP continuous positive airway pressure;
provides inspiratory pressure
13) BiPAP bilevel positive airway pressure; provides
inspiratory and expiratory pressure
14) intubation insertion of ETT into trachea
15) RSI administration of induction agent and
neuromuscular blockade agent
simultaneously
16) intubation kit medications premeds - versed and fentanyl
sedatives - propofol, etomidate, ketamine
paralytics - succinylcholine, rocuronium
pressor - phenylephrine
17) intubation preparation -notify RT and pharmacist
-discuss need for intubation and obtain
consent, ensure pt does not have DNI
, order.
-evaluate whether pt has difficult airway
-verify equipment and PPE
-assure functioning IV access
-position pt
-ensure verbalization of procedural pause
-preoxygenate
18) RN role during intubation monitor pt vital signs especially O2 sats,
administer medications, monitor time of
intubation attempts, suctioning as needed
19) intubation process -following sedation, bag mask ventilate the
pt
-physician visualize ETT passing through
cords
-anesthesia backup will be notified after 10
minutes or 2 attempts to secure the airway
20) post intubation care -portable chest x-ray, ABGs
-obtain sedation and analgesia orders
-hourly RASS observation
-monitor for hemodynamic changes
21) ventilator settings FiO2
Tidal Volume
Respiratory Rate
Questions & Answers with Rationales| 100%
Correct | Grade.
1) PaO2 partial pressure of oxygen in arterial blood,
obtained using an ABG
80-100mmHG
PaO2 60=SpO2 90%
2) SpO2 saturation of peripheral oxygen, obtained
using pulse ox
90-100%
SpO2 90%=PaO2 60
3) PaCO2 35-45
4) respiratory acidosis low pH, high CO2
, causes: CNS depression from drugs such
as sedation, injury, or disease
breathe too slow, retaining CO2
5) respiratory alkalosis high pH, low CO2
causes: pain, fever, sepsis
breathe too fast, not retaining enough CO2
6) HCO3 22-26
7) metabolic acidosis low pH, low HCO3
causes: diarrhea, DKA, hyperkalemia
8) metabolic alkalosis high pH, high HCO3
causes: vomiting, suctioning, hypokalemia
9) pH 7.35-7.45
10) reading ABGs 1. evaluate pH to identify acidosis or
alkalosis
2. match CO2 or HCO3 with pH state using
ROME to determine respiratory or
metabolic
, 3. assess whether CO2 or HCO3 state is
opposite of pH to determine if it is
uncompensated, partially compensated,
fully compensated, or corrected
11) non-invasive ventilation CPAP/BiPAP
12) CPAP continuous positive airway pressure;
provides inspiratory pressure
13) BiPAP bilevel positive airway pressure; provides
inspiratory and expiratory pressure
14) intubation insertion of ETT into trachea
15) RSI administration of induction agent and
neuromuscular blockade agent
simultaneously
16) intubation kit medications premeds - versed and fentanyl
sedatives - propofol, etomidate, ketamine
paralytics - succinylcholine, rocuronium
pressor - phenylephrine
17) intubation preparation -notify RT and pharmacist
-discuss need for intubation and obtain
consent, ensure pt does not have DNI
, order.
-evaluate whether pt has difficult airway
-verify equipment and PPE
-assure functioning IV access
-position pt
-ensure verbalization of procedural pause
-preoxygenate
18) RN role during intubation monitor pt vital signs especially O2 sats,
administer medications, monitor time of
intubation attempts, suctioning as needed
19) intubation process -following sedation, bag mask ventilate the
pt
-physician visualize ETT passing through
cords
-anesthesia backup will be notified after 10
minutes or 2 attempts to secure the airway
20) post intubation care -portable chest x-ray, ABGs
-obtain sedation and analgesia orders
-hourly RASS observation
-monitor for hemodynamic changes
21) ventilator settings FiO2
Tidal Volume
Respiratory Rate
