Fundamental Critical Care Support (FCCS) – Post
Test Exam Practice with Verified Answers (Latest
Update) – Complete Question Bank
,INTRODUCTION:
This document contains a comprehensive set of FCCS post-test
practice questions with verified answers, covering the latest
updates. It includes detailed case-based scenarios, multiple-choice
questions, and concise rationales across critical care topics such as
sepsis, shock management, ARDS, trauma, neurology, and
emergency airway interventions. The material also provides key
FCCS core knowledge questions on fluid resuscitation, mechanical
ventilation, hemodynamic monitoring, infection control, and ICU
protocols, making it a complete exam preparation resource.
EXAM QUESTIONS AND ANSWERS:
A 24yoM admitted to ICU after falling from roof. Admission CT
reveals left frontal lobe contusion. No intubation is required.
Patient on 3L NC. Observed to have a generalized seizure.
Which of the following best characterizes the most appropriate
initial management?
A) phenytoin, 18-20 mg/kg IV, should be administered as rapidly as
possible
B) no drug therapy indicated unless ICP exceeds 25 mmHg
C) IV benzodiazepine, such as lorazepam, 0.1 mg/kg, administered
at the onset of seizure activity, may terminate the seizure
,D) IV neuromuscular relaxant such as vecuronium (10,g) should be
administered to decrease the cerebral oxygen requirement ---
correct answer ---C) an IV benzodiazepine, such as lorazepam, 0.1
mg/kg, administered at the onset of seizure activity, may terminate
the seizure.
A patient is neurologically devastated, mechanically ventilated, and
undergoing dialysis. Neurology. says no expectation of neurologic
recovery or improvement. The family is resistant to any decision
regarding limiting or stopping life-sustaining treatment. Multiple
discussion have occurred in the past 6 weeks.
Which of the following is the most appropriate next step?
A) begin the formal conflict-resolution process
B) continue to offer every medical and surgical treatment
C) stop all life-sustaining therapy
D) file a unilateral do-not-attempt-resuscitation order --- correct
answer ---A) begin the formal conflict-resolution process
An 84yoM with unknown PMHx brought to ED after falling down
flight of stairs. Initial HR 101, BP 109/76, SpO2 on RA is 98%. GCS
15. He has neck pain and irritation of C-spine collar. Large
laceration over left temporal side of head that is hemostatic, and a
ridge along this area is palpated. On secondary survey, he becomes
somnolent, SpO2 decreases to 92%, BP decreases to 104/72, and HR
112. He only opens his eyes to painful stimuli, and he grunts and
, localizes pain with his right arm only. Left pupil is now larger than
right.
Which of the following is the most appropriate next step for this
patient?
A) administer naloxone, 0.4 mg IV bolus
B) consult neurosurgery and, if not available, transfer to a tertiary
facility
C) secure the patient's airway by endotracheal intubation with in-
line cervical stabilization
D) initiate noninvasive positive pressure ventilation --- correct
answer ---C) secure the patient's airway by endotracheal intubation
with in-line cervical stabilization
A 19yoF transferred from a critical access hospital after presenting
with fever, tachycardia, and hypotension. Underwent laparoscopic
appendectomy 8 days ago. CT abdomen/pelvis reveals 5x6cm rim-
enhancing fluid collection in RLQ. WBC is 18, temp 38.9 (102F), HR
124, lactic acid 4.8.
In addition to fluid resuscitation and broad-spectrum antibiotics,
which of the following interventions will be most beneficial in
treating her sepsis?
A) IV hydrocortisone
B) norepinephrine infusion
C) percutaneous abscess drainage
Test Exam Practice with Verified Answers (Latest
Update) – Complete Question Bank
,INTRODUCTION:
This document contains a comprehensive set of FCCS post-test
practice questions with verified answers, covering the latest
updates. It includes detailed case-based scenarios, multiple-choice
questions, and concise rationales across critical care topics such as
sepsis, shock management, ARDS, trauma, neurology, and
emergency airway interventions. The material also provides key
FCCS core knowledge questions on fluid resuscitation, mechanical
ventilation, hemodynamic monitoring, infection control, and ICU
protocols, making it a complete exam preparation resource.
EXAM QUESTIONS AND ANSWERS:
A 24yoM admitted to ICU after falling from roof. Admission CT
reveals left frontal lobe contusion. No intubation is required.
Patient on 3L NC. Observed to have a generalized seizure.
Which of the following best characterizes the most appropriate
initial management?
A) phenytoin, 18-20 mg/kg IV, should be administered as rapidly as
possible
B) no drug therapy indicated unless ICP exceeds 25 mmHg
C) IV benzodiazepine, such as lorazepam, 0.1 mg/kg, administered
at the onset of seizure activity, may terminate the seizure
,D) IV neuromuscular relaxant such as vecuronium (10,g) should be
administered to decrease the cerebral oxygen requirement ---
correct answer ---C) an IV benzodiazepine, such as lorazepam, 0.1
mg/kg, administered at the onset of seizure activity, may terminate
the seizure.
A patient is neurologically devastated, mechanically ventilated, and
undergoing dialysis. Neurology. says no expectation of neurologic
recovery or improvement. The family is resistant to any decision
regarding limiting or stopping life-sustaining treatment. Multiple
discussion have occurred in the past 6 weeks.
Which of the following is the most appropriate next step?
A) begin the formal conflict-resolution process
B) continue to offer every medical and surgical treatment
C) stop all life-sustaining therapy
D) file a unilateral do-not-attempt-resuscitation order --- correct
answer ---A) begin the formal conflict-resolution process
An 84yoM with unknown PMHx brought to ED after falling down
flight of stairs. Initial HR 101, BP 109/76, SpO2 on RA is 98%. GCS
15. He has neck pain and irritation of C-spine collar. Large
laceration over left temporal side of head that is hemostatic, and a
ridge along this area is palpated. On secondary survey, he becomes
somnolent, SpO2 decreases to 92%, BP decreases to 104/72, and HR
112. He only opens his eyes to painful stimuli, and he grunts and
, localizes pain with his right arm only. Left pupil is now larger than
right.
Which of the following is the most appropriate next step for this
patient?
A) administer naloxone, 0.4 mg IV bolus
B) consult neurosurgery and, if not available, transfer to a tertiary
facility
C) secure the patient's airway by endotracheal intubation with in-
line cervical stabilization
D) initiate noninvasive positive pressure ventilation --- correct
answer ---C) secure the patient's airway by endotracheal intubation
with in-line cervical stabilization
A 19yoF transferred from a critical access hospital after presenting
with fever, tachycardia, and hypotension. Underwent laparoscopic
appendectomy 8 days ago. CT abdomen/pelvis reveals 5x6cm rim-
enhancing fluid collection in RLQ. WBC is 18, temp 38.9 (102F), HR
124, lactic acid 4.8.
In addition to fluid resuscitation and broad-spectrum antibiotics,
which of the following interventions will be most beneficial in
treating her sepsis?
A) IV hydrocortisone
B) norepinephrine infusion
C) percutaneous abscess drainage
