FCCS FCCS Patient Monitoring and Safety 2

Question 1

The ICU Liberation ABCDEF bundle 'E' component stands for:

Accepted Answer

Early mobility and exercise

Answer

The 'E' in ABCDEF stands for Early mobility and exercise, which reduces delirium, ICU-acquired weakness, and improves long-term functional outcomes.

Question 2

What is the purpose of a spontaneous breathing trial (SBT) in mechanically ventilated patients?

Accepted Answer

To assess readiness for extubation

Answer

An SBT evaluates whether the patient can sustain spontaneous breathing independently, predicting successful extubation when passed.

Question 3

Which parameter in a spontaneous breathing trial indicates failure and need to resume full ventilatory support?

Accepted Answer

Rapid shallow breathing index (RSBI) > 105

Answer

RSBI (respiratory rate ÷ tidal volume in liters) > 105 predicts SBT failure with high sensitivity, indicating the patient is not ready for extubation.

Question 4

Early enteral nutrition in ICU patients should ideally be started within how many hours of ICU admission?

Accepted Answer

24–48 hours

Answer

SCCM/ASPEN guidelines recommend initiating enteral nutrition within 24–48 hours of ICU admission in hemodynamically stable patients to preserve gut integrity.

Question 5

A pressure injury (bedsore) in the ICU is best prevented by repositioning patients every how many hours?

Accepted Answer

2 hours

Answer

Repositioning every 2 hours redistributes pressure over bony prominences, preventing ischemic skin breakdown and pressure injury development.

FCCS - Fundamentals of Critical Care Support Practice Test

FCCS - Fundamentals of Critical Care Support Practice Test

FCCS FCCS Patient Monitoring and Safety 2