FCCS FUNDAMENTALS OF
CRITICAL CARE SUPPORT PRE-
TEST EXAM Questions with 100%
Correct Answers Latest Versions 2025
Graded A+
QUESTION
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 e
Answer:
A
QUESTION
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 ventilatio
Answer:
C
QUESTION
An 18-year-old, 55-kg (121-lb) woman has just been intubated for an acute asthma attack. She
has been sedated and paralyzed in order to facilitate ventilation. Arterial blood gas analysis
immediately before intubation revealed: pH 7.08, PCO2 75 mm Hg, and PO2 63 mm Hg on
FIO2 0.4. On bagging, diffuse high-pitched wheezes are heard. Which of the following is the
most appropriate initial ventilator mode for this patient?
A. Continuous positive airway pressure
,B. Pressure support ventilation
C.
, Answer:
C
QUESTION
A 56-year-old man presents to the emergency department with a three-day history of fever,
shaking chills, cough, and sputum production. He was previously in good health and takes only
amlodipine for a history of hypertension. In the emergency department, his heart rate is 130
beats/min, respiratory rate 32breaths/min, blood pressure 80/40 mm Hg, temperature 38.8°C
(102°F), and oxygen saturation 92% on 6 liters of oxygen by nasal cannula. Pulmonary
examination demonstrates crackles and bronchia
Answer:
B
QUESTION
A 56-year-old man is admitted to the ICU for pneumonia. He is intubated, with the following
settings: assist control, tidal volume 550 mL, respiratory rate 12 breaths/min, positive end-
expiratory pressure 5 cm H2O, FIO2 1.0. Vital signs are: temperature 38.7°C (101.6°F), heart
rate 122 beats/min, respiratory rate 20 breaths/min, blood pressure (BP) 88/46 mmHg, SpO2
97%. A central venous line and arterial line have been placed. He has been started on broad-
spectrum antibiotics. Which of the fol
Answer:
B
QUESTION
A 75-year-old man with a history of hypertension is evaluated in the emergency department for
nausea, vomiting, and abdominal pain. He is lethargic but can answer questions appropriately.
His pulse is 130 beats/min, blood pressure 70/30 mm Hg, and respiratory rate 28 breaths/min. On
physical examination, he is noted to have dry
mucous membranes, poor capillary refill, and a distended abdomen with rebound tenderness.
Arterial blood gas analysis reveals: pH 7.32, PCO2 28 mmHg, PO2 74 mm Hg, bicarb
Answer:
C
CRITICAL CARE SUPPORT PRE-
TEST EXAM Questions with 100%
Correct Answers Latest Versions 2025
Graded A+
QUESTION
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 e
Answer:
A
QUESTION
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 ventilatio
Answer:
C
QUESTION
An 18-year-old, 55-kg (121-lb) woman has just been intubated for an acute asthma attack. She
has been sedated and paralyzed in order to facilitate ventilation. Arterial blood gas analysis
immediately before intubation revealed: pH 7.08, PCO2 75 mm Hg, and PO2 63 mm Hg on
FIO2 0.4. On bagging, diffuse high-pitched wheezes are heard. Which of the following is the
most appropriate initial ventilator mode for this patient?
A. Continuous positive airway pressure
,B. Pressure support ventilation
C.
, Answer:
C
QUESTION
A 56-year-old man presents to the emergency department with a three-day history of fever,
shaking chills, cough, and sputum production. He was previously in good health and takes only
amlodipine for a history of hypertension. In the emergency department, his heart rate is 130
beats/min, respiratory rate 32breaths/min, blood pressure 80/40 mm Hg, temperature 38.8°C
(102°F), and oxygen saturation 92% on 6 liters of oxygen by nasal cannula. Pulmonary
examination demonstrates crackles and bronchia
Answer:
B
QUESTION
A 56-year-old man is admitted to the ICU for pneumonia. He is intubated, with the following
settings: assist control, tidal volume 550 mL, respiratory rate 12 breaths/min, positive end-
expiratory pressure 5 cm H2O, FIO2 1.0. Vital signs are: temperature 38.7°C (101.6°F), heart
rate 122 beats/min, respiratory rate 20 breaths/min, blood pressure (BP) 88/46 mmHg, SpO2
97%. A central venous line and arterial line have been placed. He has been started on broad-
spectrum antibiotics. Which of the fol
Answer:
B
QUESTION
A 75-year-old man with a history of hypertension is evaluated in the emergency department for
nausea, vomiting, and abdominal pain. He is lethargic but can answer questions appropriately.
His pulse is 130 beats/min, blood pressure 70/30 mm Hg, and respiratory rate 28 breaths/min. On
physical examination, he is noted to have dry
mucous membranes, poor capillary refill, and a distended abdomen with rebound tenderness.
Arterial blood gas analysis reveals: pH 7.32, PCO2 28 mmHg, PO2 74 mm Hg, bicarb
Answer:
C
