FCCS REVIEW ACTUAL EXAM 2026 – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES MUST
BE IN ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE
1. Which intervention is the highest priority in a patient with airway obstruction?
A. IV fluids
B. Airway stabilization
C. Antibiotics
D. Vasopressors
Correct Answer: B. Airway stabilization
Rationale: Airway management is the first priority according to the ABC approach because oxygen
delivery cannot occur without a patent airway.
2. What is the normal range for central venous pressure (CVP)?
A. 0–2 mmHg
B. 2–6 mmHg
C. 8–12 mmHg
D. 15–20 mmHg
Correct Answer: B. 2–6 mmHg
Rationale: Normal CVP values generally range from 2–6 mmHg and reflect right atrial pressure.
3. Which condition is most likely to cause distributive shock?
A. Hemorrhage
B. Myocardial infarction
C. Sepsis
D. Pulmonary embolism
Correct Answer: C. Sepsis
Rationale: Sepsis causes vasodilation and maldistribution of blood flow characteristic of distributive
shock.
4. Which vasopressor is recommended first-line for septic shock?
A. Dopamine
B. Epinephrine
C. Norepinephrine
D. Phenylephrine
Correct Answer: C. Norepinephrine
Rationale: Norepinephrine is the preferred first-line vasopressor due to efficacy and safety profile.
5. A PaO₂ of 55 mmHg indicates:
A. Hyperoxia
B. Normal oxygenation
C. Mild hypoxemia
D. Significant hypoxemia
Correct Answer: D. Significant hypoxemia
, Rationale: A PaO₂ below 60 mmHg represents clinically significant hypoxemia.
6. Which ABG finding suggests respiratory acidosis?
A. pH 7.50, PaCO₂ 30
B. pH 7.25, PaCO₂ 55
C. pH 7.52, HCO₃ 34
D. pH 7.40, PaCO₂ 40
Correct Answer: B. pH 7.25, PaCO₂ 55
Rationale: Low pH with elevated PaCO₂ indicates respiratory acidosis.
7. The most common cause of cardiac arrest in adults is:
A. Trauma
B. Ventricular arrhythmia
C. Stroke
D. Hypoglycemia
Correct Answer: B. Ventricular arrhythmia
Rationale: Ventricular fibrillation and pulseless ventricular tachycardia are common causes of sudden
cardiac arrest.
8. Which electrolyte abnormality commonly causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
Correct Answer: B. Hyperkalemia
Rationale: Peaked T waves are a classic ECG manifestation of hyperkalemia.
9. The preferred crystalloid for initial resuscitation is:
A. Dextrose 5%
B. Normal saline or balanced crystalloid
C. Albumin
D. Mannitol
Correct Answer: B. Normal saline or balanced crystalloid
Rationale: Isotonic crystalloids are recommended for initial fluid resuscitation.
10. Glasgow Coma Scale assesses:
A. Renal function
B. Pulmonary status
C. Neurologic status
D. Cardiac output
Correct Answer: C. Neurologic status
Rationale: The GCS evaluates eye opening, verbal response, and motor response.
11. Which rhythm requires immediate defibrillation?
A. Asystole
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES MUST
BE IN ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE
1. Which intervention is the highest priority in a patient with airway obstruction?
A. IV fluids
B. Airway stabilization
C. Antibiotics
D. Vasopressors
Correct Answer: B. Airway stabilization
Rationale: Airway management is the first priority according to the ABC approach because oxygen
delivery cannot occur without a patent airway.
2. What is the normal range for central venous pressure (CVP)?
A. 0–2 mmHg
B. 2–6 mmHg
C. 8–12 mmHg
D. 15–20 mmHg
Correct Answer: B. 2–6 mmHg
Rationale: Normal CVP values generally range from 2–6 mmHg and reflect right atrial pressure.
3. Which condition is most likely to cause distributive shock?
A. Hemorrhage
B. Myocardial infarction
C. Sepsis
D. Pulmonary embolism
Correct Answer: C. Sepsis
Rationale: Sepsis causes vasodilation and maldistribution of blood flow characteristic of distributive
shock.
4. Which vasopressor is recommended first-line for septic shock?
A. Dopamine
B. Epinephrine
C. Norepinephrine
D. Phenylephrine
Correct Answer: C. Norepinephrine
Rationale: Norepinephrine is the preferred first-line vasopressor due to efficacy and safety profile.
5. A PaO₂ of 55 mmHg indicates:
A. Hyperoxia
B. Normal oxygenation
C. Mild hypoxemia
D. Significant hypoxemia
Correct Answer: D. Significant hypoxemia
, Rationale: A PaO₂ below 60 mmHg represents clinically significant hypoxemia.
6. Which ABG finding suggests respiratory acidosis?
A. pH 7.50, PaCO₂ 30
B. pH 7.25, PaCO₂ 55
C. pH 7.52, HCO₃ 34
D. pH 7.40, PaCO₂ 40
Correct Answer: B. pH 7.25, PaCO₂ 55
Rationale: Low pH with elevated PaCO₂ indicates respiratory acidosis.
7. The most common cause of cardiac arrest in adults is:
A. Trauma
B. Ventricular arrhythmia
C. Stroke
D. Hypoglycemia
Correct Answer: B. Ventricular arrhythmia
Rationale: Ventricular fibrillation and pulseless ventricular tachycardia are common causes of sudden
cardiac arrest.
8. Which electrolyte abnormality commonly causes peaked T waves?
A. Hypokalemia
B. Hyperkalemia
C. Hyponatremia
D. Hypocalcemia
Correct Answer: B. Hyperkalemia
Rationale: Peaked T waves are a classic ECG manifestation of hyperkalemia.
9. The preferred crystalloid for initial resuscitation is:
A. Dextrose 5%
B. Normal saline or balanced crystalloid
C. Albumin
D. Mannitol
Correct Answer: B. Normal saline or balanced crystalloid
Rationale: Isotonic crystalloids are recommended for initial fluid resuscitation.
10. Glasgow Coma Scale assesses:
A. Renal function
B. Pulmonary status
C. Neurologic status
D. Cardiac output
Correct Answer: C. Neurologic status
Rationale: The GCS evaluates eye opening, verbal response, and motor response.
11. Which rhythm requires immediate defibrillation?
A. Asystole
