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FCCN Level 1 Exam: Electrolytes, Renal Function, and Cardiac Physiology, Exams of Nursing

A comprehensive set of questions and answers covering key concepts in fccn level 1, focusing on electrolytes, renal function, and cardiac physiology. It includes questions on electrolyte abnormalities, renal failure types, cardiac function, and heart failure. A valuable resource for students preparing for fccn level 1 exams.

Typology: Exams

2024/2025

Available from 02/21/2025

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FCCN LEVEL 1 EXAM
QUESTIONS & 100% CORRECT
ANSWERS
"antiarrhythmics antipsychotics and antidepressants - CORRECT ANSWER medications oftentimes
associated with lengthened QT intervals"
"polymorphic vtach - CORRECT ANSWER prolonged QT can result in what as a result of delayed
repolarization"
"ACE inhibitors and ARBs - CORRECT ANSWER with these medications, blood pressure, electrolytes and
renal function needs to be monitored"
"antiarrhythmics - CORRECT ANSWER these medications act as positive inotropes"
"antiarrhythmics - CORRECT ANSWER amiodarone, flecainide, sotalol"
"prerenal - CORRECT ANSWER this type of renal failure is the result of decreased perfusion to the
kidneys"
"prerenal - CORRECT ANSWER this type of renal failure is characterized by concentrated urine, high
BUN:creatinine ratio, and no proteinuria"
"intrarenal - CORRECT ANSWER this type of renal failure is characterized by damage to the nephrons by
infection, DM, SLE, medications, contrast media, etc"
"intrarenal - CORRECT ANSWER this type of renal failure is characterized by dilute urine with high urine
sodium, urine sediment and proteinuria"
"postrenal - CORRECT ANSWER this type of renal failure is characterized by obstruction of the urinary
tract by stones, clots, spinal cord injury, tumor, etc"
"postrenal - CORRECT ANSWER this type of renal failure is characterized by variable urine
concentration, and no proteinuria"
"uremic syndrome - CORRECT ANSWER this disorder is the result of BUN greater than 100 and is
characterized by anemia, nervous system dysfunction, and pericarditis"
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FCCN LEVEL 1 EXAM

QUESTIONS & 100% CORRECT

ANSWERS

"antiarrhythmics antipsychotics and antidepressants - CORRECT ANSWER medications oftentimes

associated with lengthened QT intervals"

"polymorphic vtach - CORRECT ANSWER prolonged QT can result in what as a result of delayed

repolarization"

"ACE inhibitors and ARBs - CORRECT ANSWER with these medications, blood pressure, electrolytes and

renal function needs to be monitored"

"antiarrhythmics - CORRECT ANSWER these medications act as positive inotropes"

"antiarrhythmics - CORRECT ANSWER amiodarone, flecainide, sotalol"

"prerenal - CORRECT ANSWER this type of renal failure is the result of decreased perfusion to the

kidneys"

"prerenal - CORRECT ANSWER this type of renal failure is characterized by concentrated urine, high

BUN:creatinine ratio, and no proteinuria"

"intrarenal - CORRECT ANSWER this type of renal failure is characterized by damage to the nephrons by

infection, DM, SLE, medications, contrast media, etc"

"intrarenal - CORRECT ANSWER this type of renal failure is characterized by dilute urine with high urine

sodium, urine sediment and proteinuria"

"postrenal - CORRECT ANSWER this type of renal failure is characterized by obstruction of the urinary

tract by stones, clots, spinal cord injury, tumor, etc"

"postrenal - CORRECT ANSWER this type of renal failure is characterized by variable urine

concentration, and no proteinuria"

"uremic syndrome - CORRECT ANSWER this disorder is the result of BUN greater than 100 and is

characterized by anemia, nervous system dysfunction, and pericarditis"

“135-145 - CORRECT ANSWER normal sodium levels"

"3.5-5 - CORRECT ANSWER normal potassium levels"

"8.5-10.5 - CORRECT ANSWER normal calcium levels"

"1.7-2.2 - CORRECT ANSWER normal magnesium levels"

"2.5-4.5 - CORRECT ANSWER normal phosphorus levels"

"Trousseau's sign - CORRECT ANSWER arm/carpal spasm associated with hypocalcemia"

"Chvostek's sign - CORRECT ANSWER Cheek, facial spasm when Cheek is tapped associates with

hypocalcemia"

"Hypocalcemia - CORRECT ANSWER a prolonged QT interval is a sign of what electrolyte abnormality"

"hypercalcemia - CORRECT ANSWER this electrolyte abnormality results in muscle weakness,

arrhythmias or heart block, and decreased deep tendon reflex."

"loop diuretics - CORRECT ANSWER this medication is sometimes given to promote calcium removal in

severe hypercalcemia"

"corticosteroids - CORRECT ANSWER this medication is sometimes given to decrease absorption of

calcium in GI tract"

"phosphates - CORRECT ANSWER this medication is sometimes given to decrease breakdown of bones

in hypercalcemia"

"hypomagnesemia - CORRECT ANSWER this electrolyte abnormality results in muscle weakness,

twitching, cramps, and arrhythmias"

"hypomagnesemia - CORRECT ANSWER prolonged QT and PR intervals and/or depressed ST segment is

a sign of what"

"hypermagnesemia - CORRECT ANSWER this electrolyte abnormality results in facial flushing,

hypotension, and respiratory depression"

"magnesium - CORRECT ANSWER this electrolyte effects the absorption of other electrolytes"

"digoxin toxicity - CORRECT ANSWER N/V, bradycardia, AV block, and yellow tinged vision is a sign of

what"

"injury - CORRECT ANSWER ST elevation is a sign of what"

"infarction - CORRECT ANSWER deep Q waves form after 24 hours and are a sign of what"

"1.5 - CORRECT ANSWER ST segment elevation is measured how far away from J point"

"1 - CORRECT ANSWER ST alarm limit range for patients with ischemia or risk for ischemia"

"2 - CORRECT ANSWER ST alarm limit range for patients without ischemia or risk for ischemia"

"V2 or V3 - CORRECT ANSWER QT measurements should be taken where the QT interval is the longest,

usually in leads:"

"1 - CORRECT ANSWER u waves should be included in QT intervals if found in multiple leads and are at

least what height"

"beta blockers - CORRECT ANSWER with these medications, one needs to monitor for bronchospasm

and cold hands/feet"

"inotropes - CORRECT ANSWER these medications act on the strength of the heartbeat"

"chronotropes - CORRECT ANSWER these medications affect the heart rate"

"HFrEF - CORRECT ANSWER Heart failure with ejection fraction less than 50%"

"HFpEF - CORRECT ANSWER Heart failure with ejection fraction greater than 50%"

"ACE or ARBs beta blockers and diuretics - CORRECT ANSWER main medications for HFrEF"

"1 - CORRECT ANSWER This class of heart failure is characterized by no symptoms"

"2 - CORRECT ANSWER This class of heart failure is characterized by symptoms with moderate exertion"

"3 - CORRECT ANSWER This class of heart failure is characterized by symptoms with mild exertion"

"4 - CORRECT ANSWER This class of heart failure is characterized by symptoms at rest"

"digoxin and spironolactone - CORRECT ANSWER medications added for heart failure class 2 or greater"

"azotemia - CORRECT ANSWER term used to describe the retention of nitrogen containing products in

the blood with reduced kidney functioning"

"uremia - CORRECT ANSWER term used to describe the clinical manifestations of excess waste products

and electrolyte abnormalities in the blood"

"1 - CORRECT ANSWER this stage of CKD has GFR greater than 90"

"2 - CORRECT ANSWER this stage of CKD has GFR 60-89"

"3 - CORRECT ANSWER this stage of CKD has GFR 30-59"

"4 - CORRECT ANSWER this stage of CKD has GFR 15-29"

"5 - CORRECT ANSWER this stage of CKD has GFR less than 15"

"weakened bones - CORRECT ANSWER result of hyperphosphatemia d/t CKD"

"diffusion - CORRECT ANSWER the method in which HD removes solutes from blood"

"ultrafiltration - CORRECT ANSWER the method in which HD removes water from the blood"

"onset - CORRECT ANSWER this phase of AKI lasts hours or days and is the beginning of injury through

cell death"

"oliguric - CORRECT ANSWER this phase of AKI lasts days to months and is characterized by the

obstruction of tubules"

"diuretic - CORRECT ANSWER this phase of AKI lasts days and is characterized by the return of tubular

function and improvement in filtration"

"recovery - CORRECT ANSWER this phase of AKI lasts months and is characterized by its resolution of the

injury"

"waste 5 mL - CORRECT ANSWER what you need to do if you want to use a dialysis line in an emergency"

"2 hours - CORRECT ANSWER how long you should wait to draw labs after HD"

"hyponatremia - CORRECT ANSWER this electrolyte abnormality results in lethargy, n/v, lethargy, and

abdominal cramping; if extremely low- risk for seizures with correction"

"hypernatremia - CORRECT ANSWER this electrolyte abnormality results in disorientation, thirst, and

weakness"

"sodium - CORRECT ANSWER these electrolyte abnormalities need to be corrected slowly"