Page 1 of 62
Annual PCT Competency Exam NEWEST VERSION WITH
COMPLETE 200 QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST UPDATED VERSION JUST RELEASED
Your patience calculated UF goal exceeds the maximum UFR ordered by the nephrologist.
What is the correct response in regards to fluid removal
Why do we measure the pH of the dialysis solution?
To verify it's acid base balance is within the acceptable range
Mr. howe arrives for his dialysis treatment and tells the PCT he is short of breath and feels
wiped out. The data collection shows the following: current weight: 64 KG target weight: 60
KG BP - 188/122 temperature - 98 Fahrenheit. What action should be taken before initiation
of treatment
Abnormal findings documented and reported to the nurse
Positive finding a patient who has fallen or has witnessed a Patient fall will?
After you initiated, Mr. shoemakers, rinse back, you notice that you forgot to bring a Club for
the patient to wear when holding his needle size. What should you do?
Complete the prince back procedure, then go get the glove
the nephrologist has ordered the use of hemostatic sponges, such as sugar seal for your
patient. What is the correct procedure when using the sponges
, Page 2 of 62
Mrs. Jackson complains of shortness of breath. Her pre-dialysis weight is 4.7 KG over the last
post treatment wait. Which of the following should the PCT take first
Inform the nurse assist a patient prior to treatment initiation
Davita policy states that the pre-- pump arterial pressure must not exceed -260 MM Hg. What
are possible consequences of excessively negative pre-- pump arterial
Hemolysis, access damage, and decreased quantity of delivered blood
You evaluate dialysate for a blood leak with serum blood leak test strips. At the end of the
patient's treatment, you notice that you left the bottle strips lying on top of the machine. You
should.
Discard the bottle; the heat from the machine most likely degraded the reactivity of the strips
Cleaning and disinfecting priming buckets, after each treatment:
Is required to decrease gram-negative bacterial growth which may occur in solutions such as
water
Proper functioning of independent meters to check dialysis conductivity of pH must be
verified:
Prior to daily use
, Page 3 of 62
Mrs. Boomerstein pulls out a 2 - cup size container with fresh strawberries during dialysis. As
she savers the first fruit, she smiles and tells you she can eat a lot more potassium during
dialysis because it won't harm her. What is your appropriate response?
You explain the Mrs. Boomerstein that the potassium in food eaten during dialysis is not
dialyzed off
When the lab receives a laboratory test, to put double labeling:
The double labeled specimen will be rejected at the lab for patient safety
Your patient is complaining of cramps and you have already administered 100 ML saline
bolus, but the patient is still cramping. Which of the following is not an acceptable
intervention
Applying a glove filled with hot water
What is the correct procedure for drawing a post BUN lab specimen at the completion of the
dialysis treatment
Turn off or decrease to 50 ml/hr, decrease DFR to 300 ml/min or place in bypass, reduce BFR to
100 ml/min, wait 15 seconds and draw the sample from the arterial line
Per Davita policy, prior to each medication, preparation, the medication, preparation, surface
area:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
, Page 4 of 62
How long may a vascular Access clamp stay in place before checking your bleeding has
stopped?
5-10 minutes
Your facility experiences a power outage and you're required to manually rinse back your
patience. What must you do prior to using the handcrank?
Replace the normal saline bag with a full new one to comply with safety requirements.
Your patient complains of pain at the Venus needle site, tingling around the lips and difficulty
breathing. These are signs and symptoms of?
A disinfectant infusion
An opened multidose vial, maybe kept for
28 DAYS
Lavender tubes:
Must be inverted a minimum of 8 to 10 times to properly mix in avoiding clotting
To make a 1:10 bleach solution for cleaning gross blood spills you would combine:
1 part bleach with 9 parts water
When sodium loading occurs during the dialysis treatment:
Annual PCT Competency Exam NEWEST VERSION WITH
COMPLETE 200 QUESTIONS AND CORRECT DETAILED
SOLUTIONS LATEST UPDATED VERSION JUST RELEASED
Your patience calculated UF goal exceeds the maximum UFR ordered by the nephrologist.
What is the correct response in regards to fluid removal
Why do we measure the pH of the dialysis solution?
To verify it's acid base balance is within the acceptable range
Mr. howe arrives for his dialysis treatment and tells the PCT he is short of breath and feels
wiped out. The data collection shows the following: current weight: 64 KG target weight: 60
KG BP - 188/122 temperature - 98 Fahrenheit. What action should be taken before initiation
of treatment
Abnormal findings documented and reported to the nurse
Positive finding a patient who has fallen or has witnessed a Patient fall will?
After you initiated, Mr. shoemakers, rinse back, you notice that you forgot to bring a Club for
the patient to wear when holding his needle size. What should you do?
Complete the prince back procedure, then go get the glove
the nephrologist has ordered the use of hemostatic sponges, such as sugar seal for your
patient. What is the correct procedure when using the sponges
, Page 2 of 62
Mrs. Jackson complains of shortness of breath. Her pre-dialysis weight is 4.7 KG over the last
post treatment wait. Which of the following should the PCT take first
Inform the nurse assist a patient prior to treatment initiation
Davita policy states that the pre-- pump arterial pressure must not exceed -260 MM Hg. What
are possible consequences of excessively negative pre-- pump arterial
Hemolysis, access damage, and decreased quantity of delivered blood
You evaluate dialysate for a blood leak with serum blood leak test strips. At the end of the
patient's treatment, you notice that you left the bottle strips lying on top of the machine. You
should.
Discard the bottle; the heat from the machine most likely degraded the reactivity of the strips
Cleaning and disinfecting priming buckets, after each treatment:
Is required to decrease gram-negative bacterial growth which may occur in solutions such as
water
Proper functioning of independent meters to check dialysis conductivity of pH must be
verified:
Prior to daily use
, Page 3 of 62
Mrs. Boomerstein pulls out a 2 - cup size container with fresh strawberries during dialysis. As
she savers the first fruit, she smiles and tells you she can eat a lot more potassium during
dialysis because it won't harm her. What is your appropriate response?
You explain the Mrs. Boomerstein that the potassium in food eaten during dialysis is not
dialyzed off
When the lab receives a laboratory test, to put double labeling:
The double labeled specimen will be rejected at the lab for patient safety
Your patient is complaining of cramps and you have already administered 100 ML saline
bolus, but the patient is still cramping. Which of the following is not an acceptable
intervention
Applying a glove filled with hot water
What is the correct procedure for drawing a post BUN lab specimen at the completion of the
dialysis treatment
Turn off or decrease to 50 ml/hr, decrease DFR to 300 ml/min or place in bypass, reduce BFR to
100 ml/min, wait 15 seconds and draw the sample from the arterial line
Per Davita policy, prior to each medication, preparation, the medication, preparation, surface
area:
Is to be disinfected with a 1:100 bleach solution or approved disinfectant
, Page 4 of 62
How long may a vascular Access clamp stay in place before checking your bleeding has
stopped?
5-10 minutes
Your facility experiences a power outage and you're required to manually rinse back your
patience. What must you do prior to using the handcrank?
Replace the normal saline bag with a full new one to comply with safety requirements.
Your patient complains of pain at the Venus needle site, tingling around the lips and difficulty
breathing. These are signs and symptoms of?
A disinfectant infusion
An opened multidose vial, maybe kept for
28 DAYS
Lavender tubes:
Must be inverted a minimum of 8 to 10 times to properly mix in avoiding clotting
To make a 1:10 bleach solution for cleaning gross blood spills you would combine:
1 part bleach with 9 parts water
When sodium loading occurs during the dialysis treatment:
