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FCCN LEVEL 1 EXAM||2025 UPDATE, Exams of Nursing

Chamberlain College of NursingNursing

FCCN LEVEL 1 EXAM||2025 UPDATE|| ACTUAL QUESTIONS AND CORRECT ANSWERS

Typology: Exams

2024/2025

Available from 04/17/2025

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FCCN LEVEL 1 EXAM||2025
UPDATE|| ACTUAL QUESTIONS
AND CORRECT ANSWERS
minimum urine output for adult - CORRECT-ANSWER-0.5mL/kg/hr
ADH (antidiuretic hormone) - CORRECT-ANSWER-- water retainer
- vasoconstrictor (also called Vasopressin)
- produced by hypothalamus
- store and released from posterior pituitary
ADH pathway - CORRECT-ANSWER-- hypothalamus senses low blood
volumed and increased serum osmolality
- signal pituitary to release ADH
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Download FCCN LEVEL 1 EXAM||2025 UPDATE and more Exams Nursing in PDF only on Docsity!

FCCN LEVEL 1 EXAM||

UPDATE|| ACTUAL QUESTIONS

AND CORRECT ANSWERS

minimum urine output for adult - CORRECT-ANSWER- 0.5mL/kg/hr

ADH (antidiuretic hormone) - CORRECT-ANSWER- - water retainer

  • vasoconstrictor (also called Vasopressin)
  • produced by hypothalamus
  • store and released from posterior pituitary

ADH pathway - CORRECT-ANSWER- - hypothalamus senses low blood volumed and increased serum osmolality

  • signal pituitary to release ADH
  • ADH causes kidney to retain water
  • water retention increases blood volume and decreases serum osmolality

ANP (atrial natriuretic peptide) - CORRECT-ANSWER- - cardiac hormone stored in atria

  • released when atrial pressure increases

*works opposite of RAAS by decreasing BP and reducing intravascular volume

  • important diagnostic marker in CHF

hydrostatic pressure - CORRECT-ANSWER- - forces fluids and solutes through the capillary wall and into the tissue spaces

Pt. has dry mouth, tachycardia and low UO after diuresing 1.5 L from lasix. he has weak pedal pulses and pale lower extremities. Which best describes his hemodynamics

a. high preload and vasodilated

b. high preload and vasoconstricted

c. low preload and dilated

d. low preload and constricted - CORRECT-ANSWER- d

what is blood pressure - CORRECT-ANSWER- - MAP = CO x SVR

  • increase in CO or SVR will increase MAP and vice versa
  • patient with MAP of 60 can have high or low CO and high or low SVR

a good BP does not mean good perfusion

V1 and V2 look at what part of the heart - CORRECT-ANSWER- - septum

V3 and V4 look at what part of the heart - CORRECT-ANSWER- - anterior

V5 and V6 look at what part of the heart - CORRECT-ANSWER- - lateral

lead selection - CORRECT-ANSWER- - lead III is used to monitor patient who has no cardiac history

  • lead II to look at P waves

precordial leads used - CORRECT-ANSWER- - V3 to monitor patient who has no cardiac history

  • V1 to monitor dysrhythmias and differentiate from ventricular beats
  • V1 to V6 if patient has injury or infarction....chooose lead that has the most ST elevation

hypotonic fluids - CORRECT-ANSWER- - lower concentration of solutes in the vasculature than in the cell

  • fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)

- 0.45NS

hypertonic fluid - CORRECT-ANSWER- - higher concentration of solutes in the vasculature than in the cell

  • pulls fluid out of cells and into the vessels (CELL SHRINKS)

- D5 .45NS

- D5NS

- D5LR

  • 3%, 7%, 23.4% NaCl

colloids - CORRECT-ANSWER- - pull fluid into bloodstream

Albumin

  • 5% is osmotically equal to plasma
  • 25% draws 4 times the normal volume into the circulation

blood - CORRECT-ANSWER- - not a risk free fluid replacement

  • this is liquid transplant

third spacing - CORRECT-ANSWER- - fluid is not lost from the body but the fluid is not available for use in the intracellular or extracellular compartments (fluid is in between tissues/cells)

  • this patient is intravascularly dry and still needs more fluid

can you give platelets through the ranger - CORRECT-ANSWER- - no it will aggreggate the platelets

  • below 115
  • give hypertonic saline if patient is symptomatic
  • in ICU setting

infused slowly in small amounts....be prepared to handle seizures

hypokalemia ECG changes - CORRECT-ANSWER- - prolonged QT

  • ST depression

U WAVE is hallmark sign

if you see a U wave then YOU need K+

hypokalemia - CORRECT-ANSWER- - 3.5 to 5

  • muscle weakness

hyperkalemia ECG changes - CORRECT-ANSWER- - tall tented T waves is the earliest sign

  • AV blocks

treating hyperkalemia - CORRECT-ANSWER- - Calcium chloric or gluconate to antagonize cardiac abnormalities

  • Bicarbonate for pt with acidosis
  • IV insulin and 50% dextrose to shift K into cells
  • kayexelate (fecal excretion of K)
  • dialysis for ARF

hypocalcemia - CORRECT-ANSWER- 8.5 - 10.

  • tetany
  • muscle cramps
  • trousseau's and chvosteks sign
  • colicky abdominal pain
  • administer loop diuretics
  • corticosteroids to decrease absorption from GI
  • phosphates to decrease breakdown of bones by inhibiting release
  • dialysis

hypomagnesemia - CORRECT-ANSWER- - tetany

  • weakness
  • confusion
  • ECG changes (wide QRS, prolong PR/QT)

treating hypomagnesemia - CORRECT-ANSWER- - CPR

  • magnesium
  • shock

hypomagnesemia and digoxin - CORRECT-ANSWER- - low MG increases pharmacologic action of digoxin

  • look for N/V, bradycardia, AV block, yellow tinged vision

hypermagenesemia - CORRECT-ANSWER- - take too many antacids or laxatives

  • respiratory depression
  • muscle relaxation

hypophosphatemia - CORRECT-ANSWER- - cause by hyperparathyroidism, chronic diarrhea, long term diuretic use, malnutrition and severe burns

  • muscle weakness
  • impaired cardiac function
  • poor tissue oxygenation
  • failure to wean from mechanical ventilation
  • depressed CNS - confusion
  1. Ca

physical assessment of perfusion - CORRECT-ANSWER- - pulses

  • blood pressure
  • skin
  • kidneys
  • sensorium

oxygenation - CORRECT-ANSWER- - SPO

  • nasal cannula and oxygen mask help oxygenate

ventilation - CORRECT-ANSWER- - how fast and deep pt is breathing

  • look at CO2 on ABG to assess ventilation
  • BiPAP, Ambu bagsm and ventilators help ventilate

*patient can have good oxygenation but not be ventilating adequately

systolic Blood Pressure - CORRECT-ANSWER- - pressure on arterial walls during ventricular contraction

  • increase in CO/force of contraction with exercise will increase SBP but not necessarily affect DBP

diastolic BP - CORRECT-ANSWER- - pressure during ventricular relaxation

  • vasomotor tone of arterioles and venules

dilated arteries = decrease DBP

constricted arteries = Increase DBP

mean (MAP) - CORRECT-ANSWER- - average pressure for circulation

  • normal 70-
  • MAP < 60 is inadequate

how constriction/dilation affected preload - CORRECT-ANSWER- dilation = less preload (more dry)

constriction = more preload (more wet)

optimizing perfusion - preload - CORRECT-ANSWER- low preload = give fluid (blood, fluids, colloids)

high preload = give diuretics/vasodilators/dialysis

your patient is experiencing angina, the provider orders nitroglycerin. what do you anticipate will happen

a. blood pressure will drecrease

b. preload will increase

c. preload will decrease

d. A and C - CORRECT-ANSWER- D

optimizing perfusion - afterload - CORRECT-ANSWER- - since the heart ejects into the arteries....the arteries affect the afterload

  • constricted = more resistance and decreased CO
  • dilated = less resistance and increased CO

high afterload - CORRECT-ANSWER- - constricted arteries

  • physical assessment (cool extremities, pale, mottled
  • treat = dilate arteries (ACE inhibitors, ARBs, morphine, rewarm patient)

SOO how to optimize perfusion - CORRECT-ANSWER- 1. consider fluid status

  1. consider how clamped down the patient is