Practice Test

Question 1

Convection is defined as:

Answer 1

Solutes and fluids are dragged across the semipermeable membrane

Question 2

Why is it important to understand what caused your patient’s kidney failure?

Answer 2

It assists you to understand the possible complications which may occur during treatment

Question 3

The most common cause of bacterial bloodstream infections in dialysis is:

Answer 3

The use of CVC (center venous catheter) for Hemodialysis

Question 4

If your facility dialyzes Hepatitis B positive patients, which assignment would not be an appropriate patient care assignment?

Answer 4

Caring for HBsAG positive patient and Hepatitis B susceptible patients at the same time.

Question 5

Frequent handwashing with warm water and soap rather than alcohol-based hand gel is needed to help stop the spread of which highly contagious active bacterial infection?

Answer 5

Clostridioides difficile (C-Diff)

Question 6

A teammate’s file or transcript must be kept up to date by the Facility Administrator or delegate because:

Answer 6

It ensures the teammate has up to date credentials on file that meet internal and external regulatory requirements
It is used by surveyors during CMS audits to verify credentials
It is used by surveyors during CMS audits to verify proper training and education had been completed
DOES NOT provide a pathway for a teammate being promoted

Question 7

The most common infectious complication for hemodialysis patients is vascular access infection?

Answer 7

True

Question 8

You are assisting a patient to step onto the scale by holding the patient’s hand. Such a casual contact

Answer 8

Does not require wearing gloves but you must perform hand hygiene afterwards

Question 9

Per DaVita policy, a standing post treatment blood pressure of ___________ is considered an abnormal finding and should be reported to a licensed nurse

Answer 9

Standing systolic BP greater than 140 mm/Hg or less than 90 mm/Hg and a Standing diastolic BP greater than 90 mm/Hg or less than 50 mm/Hg

Question 10

When is a pre-treatment assessment by the licensed nurse required?

Answer 10

When mandated by state law (pre-treatment initiation vs within 1 hour after start of treatment)
When the PCT performing a data collection notices abnormal findings or when the nurse or PCT observe unusual behaviors
When the patient reports unusual symptoms to the nurse or PCT before treatment initiation

Question 11

Your patient’s prescribed treatment time is 4 hours. He brings a 20oz. Slurpee (600 ml) with him to his treatment. The prime/rinseback is 400 ml and he is 3.0 kg (3000ml) over his target weight today. What is the hourly UF removal goal?

Answer 11

1000 ml/hr

Question 12

What is the appropriate blood flow rate for 15 gauge needle per DaVita policy?

Answer 12

350-450 ml/min

Question 13

The sign that numbing has taken effect and it is time to stop spraying topical anesthetic on the vascular access cannulation sites is when

Answer 13

You observe blanching of the skin

Question 14

You listen to your patient’s arteriovenous graft (AVG) and hear a whistling sound.

Answer 14

This could be indicative of an outflow stenosis

Question 15

When using an alcohol prep pad to prepare the vascular access for treatment, each alcohol prep pad is used for:

Answer 15

15 seconds

Question 16

Which of the following factors would decrease the K of the Kt/V formula?

Answer 16

Inadequate anticoagulation

Question 17

What two things assist in replacing fluid removed and prevent clotting during the recirculation of blood in the extracorporeal circuit during a treatment interruption?

Answer 17

Saline and heparin (as prescribed)

Question 18

At the end of treatment, your patient reports having chills and has a temperature of 101°F which is 2°F over the patient baseline from the start of treatment. Per DaVita policy, this patient has a fever.

Answer 18

True

Question 19

If a patient has a seizure during treatment and does not respond to interventions, what is the first action you should take?

Answer 19

Discontinue treatment and notify nephrologist

Question 20

Ischemic heart disease, arrhythmia, myocardial infarction and sudden death may occur due to what patient complication?

Answer 20

Left Ventricular Hypertrophy

Question 21

Transmembrane pressure (TMP) is directly related to the difference in pressure between the blood compartment and the dialysate compartment within the dialyzer?

Answer 21

True

Question 22

Your patient’s machine continues to alarm negative arterial pressure. This is likely to occur due to which of the following?

Answer 22

An arterial blood line is kinked between the access and the arterial pressure monitor.

Question 23

Air bubbles in the dialysate or a dirty sensor will cause a:

Answer 23

Blood leak detector Alarm

Question 24

A machine alarm reading ‘Arterial Pressure High’ (more negative) may be caused by all of the following EXCEPT:

Answer 24

Arterial blood line separation from the arterial access

Question 25

During a power failure, prior to returning the patient’s blood and preforming the hand crack procedure, you should remove the venous blood line from

Answer 25

The air detector clamp