FCCS PRETEST AND POST TEST EXAM QUESTIONS WITH ACTUAL CORRECT ANSWERS CURRENTLY TESTING
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Course
FCCS
Institution
FCCS
The text contains pretest and post-test exam questions focusing on various medical scenarios such as cardiovascular disturbances, respiratory distress, emergency interventions, and critical care situations. Each question is followed by the correct answer, providing detailed explanations for better ...
FCCS PRETEST AND POST TEST EXAM QUESTIONS WITH ACTUAL
CORRECT ANSWERS CURRENTLY TESTING
PRETEST
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 - ANSWER-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 - ANSWER-B
3. 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. - ANSWER-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 - ANSWER-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 - ANSWER-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. - ANSWER-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 -
ANSWER-D
8. 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 muscles during inspiration and expiration and a respiratory
rate of
30 beats/min. There are audible expiratory wheezes. Which of the following pharmacologic treatments
should be
initiated?
A. Inhaled beta2-agonist
B. Aerosolized racemic epinephrine
C. Transtracheal lidocaine
D. N-acetylcysteine - ANSWER-A
9. A 65-year-old woman is admitted with pulmonary edema due to acute diastolic left ventricular failure.
She is alert
and oriented but has a respiratory rate of 30 breaths/min and a room air SpO2 of 88%. On examination,
she has 4
cm jugular venous distention and end-inspiratory crackles in her lung fields bilaterally. Room air arterial
blood gas
analysis shows: pH 7.28, PCO2 48 mm Hg, and PO2 58 mm Hg. Along with diuresis and antihypertensive
therapy,
she is placed on bilevel noninvasive ventilation with an inspiratory positive airway pressure (IPAP) of 12
cm H 2O
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