FCCS 2024 EXAM REVIEW/70 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS| GRADED A+
Which of the following parameters may be a late sign of
cardiovascular disturbance signaling failure of the
compensatory mechanisms?
A. Tachycardia
B. Bradycardia
C. Hypotension
D. Hypertension - CORRECT ANS-✔✔✔ C
Investigative tests should be based on the patient's
history and physical examination as well as on previous
tests. Which of the following is one of the most
important indicators of critical illness?
A. Respiratory acidosis
B. Metabolic acidosis
C. Elevated creatinine
D. Hyponatremia - CORRECT ANS-✔✔✔ B
A 22-year-old man is brought to the emergency room
after falling from a horse. He is awaiting transfer to
another facility. He has a chest contusion and a non-
displaced femur fracture. He is in spinal motion
restriction with a cervical collar and long backboard. He
has worsening respiratory distress and hypoxemia
requiring endotracheal intubation. Which of the following
modifications of the manual assisted ventilation
technique is appropriate?
,A. Place an oral airway one size larger than usual.
B. Add additional downward pressure on the face mask
once it is sealed.
C. Use a jaw thrust technique in place of neck
extension.
D. Increase the tidal volume with each manual assisted
breath. - CORRECT ANS-✔✔✔ C
Which of the following anatomic features is most likely
to contribute to difficulty in maintaining a patent airway
in a supine patient?
A. Edentulous mandible
B. Posteriorly displaced tongue
C. Deviated nasal septum
D. Anteriorly displaced thyroid cartilage - CORRECT
ANS-✔✔✔ B
An elderly patient is on the medical ward for respiratory
distress. Which of the following is correct regarding
airway assessment?
A. Laryngeal displacement toward the chest during
inspiration occurs only with upper airway obstruction
B. Chest rise with inspiration indicates an adequate tidal
volume
C. Unilateral absent breath sounds on auscultation is a
tension pneumothorax
D. Complete airway obstruction is likely when chest
retraction and movement is present, but there are no
breath sounds - CORRECT ANS-✔✔✔ D
An 82-year-old man who awoke with chest pain in the
morning is being evaluated in the emergency
, department. He is alert and oriented. Shortly after being
placed on a cardiac monitor in normal sinus rhythm with
ST segment elevations, he becomes unresponsive and
develops ventricular fibrillation. Which of the following
initial interventions is most appropriate for this patient?
A. Do not initiate treatment because, due to his age, he
probably has a do-not-resuscitate order on file.
B. Attempt to contact the family before treating to
discuss the level of intervention.
C. Start cardiopulmonary resuscitation while preparing
to defibrillate.
D. Start bag-mask-valve ventilation while preparing to
intubate. - CORRECT ANS-✔✔✔ C
Which of the following is the purpose of
cardiopulmonary resuscitation?
A. To reverse symptomatic bradycardia in an
ICU patient who is on multiple vasoactive
infusions
B. To reverse sudden cardiac death in a patient who
is in the palliative care unit
C. To prolong the life of a patient who has a do-not-
resuscitate order on file to allow time for family to arrive
D. To reverse sudden, unexpected death from a
reversible disease process or iatrogenic complications -
CORRECT ANS-✔✔✔ D
A 75-year-old man with a long history of smoking,
chronic lung disease, and treatment noncompliance is
brought to the emergency department by his daughter.
He has had progressive dyspnea. He is awake, alert,
and in moderate distress, with the use of accessory
QUESTIONS AND CORRECT ANSWERS| GRADED A+
Which of the following parameters may be a late sign of
cardiovascular disturbance signaling failure of the
compensatory mechanisms?
A. Tachycardia
B. Bradycardia
C. Hypotension
D. Hypertension - CORRECT ANS-✔✔✔ C
Investigative tests should be based on the patient's
history and physical examination as well as on previous
tests. Which of the following is one of the most
important indicators of critical illness?
A. Respiratory acidosis
B. Metabolic acidosis
C. Elevated creatinine
D. Hyponatremia - CORRECT ANS-✔✔✔ B
A 22-year-old man is brought to the emergency room
after falling from a horse. He is awaiting transfer to
another facility. He has a chest contusion and a non-
displaced femur fracture. He is in spinal motion
restriction with a cervical collar and long backboard. He
has worsening respiratory distress and hypoxemia
requiring endotracheal intubation. Which of the following
modifications of the manual assisted ventilation
technique is appropriate?
,A. Place an oral airway one size larger than usual.
B. Add additional downward pressure on the face mask
once it is sealed.
C. Use a jaw thrust technique in place of neck
extension.
D. Increase the tidal volume with each manual assisted
breath. - CORRECT ANS-✔✔✔ C
Which of the following anatomic features is most likely
to contribute to difficulty in maintaining a patent airway
in a supine patient?
A. Edentulous mandible
B. Posteriorly displaced tongue
C. Deviated nasal septum
D. Anteriorly displaced thyroid cartilage - CORRECT
ANS-✔✔✔ B
An elderly patient is on the medical ward for respiratory
distress. Which of the following is correct regarding
airway assessment?
A. Laryngeal displacement toward the chest during
inspiration occurs only with upper airway obstruction
B. Chest rise with inspiration indicates an adequate tidal
volume
C. Unilateral absent breath sounds on auscultation is a
tension pneumothorax
D. Complete airway obstruction is likely when chest
retraction and movement is present, but there are no
breath sounds - CORRECT ANS-✔✔✔ D
An 82-year-old man who awoke with chest pain in the
morning is being evaluated in the emergency
, department. He is alert and oriented. Shortly after being
placed on a cardiac monitor in normal sinus rhythm with
ST segment elevations, he becomes unresponsive and
develops ventricular fibrillation. Which of the following
initial interventions is most appropriate for this patient?
A. Do not initiate treatment because, due to his age, he
probably has a do-not-resuscitate order on file.
B. Attempt to contact the family before treating to
discuss the level of intervention.
C. Start cardiopulmonary resuscitation while preparing
to defibrillate.
D. Start bag-mask-valve ventilation while preparing to
intubate. - CORRECT ANS-✔✔✔ C
Which of the following is the purpose of
cardiopulmonary resuscitation?
A. To reverse symptomatic bradycardia in an
ICU patient who is on multiple vasoactive
infusions
B. To reverse sudden cardiac death in a patient who
is in the palliative care unit
C. To prolong the life of a patient who has a do-not-
resuscitate order on file to allow time for family to arrive
D. To reverse sudden, unexpected death from a
reversible disease process or iatrogenic complications -
CORRECT ANS-✔✔✔ D
A 75-year-old man with a long history of smoking,
chronic lung disease, and treatment noncompliance is
brought to the emergency department by his daughter.
He has had progressive dyspnea. He is awake, alert,
and in moderate distress, with the use of accessory
