DAVITA PCT FINAL EXAM
Questions with Correct Answers
100% Verified Graded A+
1. Water and dialysate cultures are drawn every month in the dialysis unit to monitor
Answer> bacteria and endotoxins
2. what problems will cause a more positive (less negative) pre-pump arterial pressure.
Answer> blockage of arterial blood flow from the vascular access.
3. what is the most likely reason for a blood leak detector alarm during recir- culation
Answer> -air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
4. what is an appropriate interventions with an air/foam detector alarm?
Answer> look at circuit for blood in the system. DO NOT return blood with air in the
system.
5. what will cause a more negative pre-pump arterial pressure?
Answer> Kinking of the arterial blood line between the vascular access and arterial monitor
6. if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will
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,Answer> decrease
7. what could be the reasons for a conductivity alarm on the dialysis machine-
Answer> when the dialysate is mixed incorrectly or there is no water acid or bicarb.
8. the person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is
Answer> Fa or designee
9. Teammates MUST be able to readily identify patients who may require ad- ditional
assistance in the event of an emergency evacuation.This will include patients who need
help with or are unable to
Answer> both b and c
10. what is an important action prior to returning a patients blood using the hand crank
in the event of a power failure ?
Answer> remove the venous line for the line clamp
11. Per physician order and based on individual patient needs, Chronic Kidney Disease
Mineral and Bone Disorder (MBD) is treated with
Answer> phosphate binders, Vit D (Hectorol), and Cinacalcet
12. Poor wound healing is directly related to
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, Answer> low protein intake
13. Phosphate binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them ?
Answer> with meal
14. The definition of Health Literacy is
Answer> ability to obtain, read, understand, and use healthcare information in order to
make appropriate health decisions and follow instructions for treatment
15. If you notice that a patient's caretaker is struggling to meet the demands of the
patients treatment regime you should
Answer> contact social worker
16. The Psychosocial Assessment completed by the social worker
Answer> an evalu- ation of a person's mental health, social status, and functional capacity
within the communityCompeted initially and annually
17. The Clinical Pyramid includes
Answer> • The Fundamentals Immunizations, Iron, Dialysis Access, Calcium, Phosphorus,
Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs Fluid Management, Infection
Management, Diabetes Manage- ment, Med Management, CVCManagement, Palliative /
EOL Care, Infection Sur- veillance, Transition of Care, CKDEducation, Depression, Missed
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Questions with Correct Answers
100% Verified Graded A+
1. Water and dialysate cultures are drawn every month in the dialysis unit to monitor
Answer> bacteria and endotoxins
2. what problems will cause a more positive (less negative) pre-pump arterial pressure.
Answer> blockage of arterial blood flow from the vascular access.
3. what is the most likely reason for a blood leak detector alarm during recir- culation
Answer> -air bubbles in the dialysate, dirty sensor
-check dialysate connections, bleach machine
4. what is an appropriate interventions with an air/foam detector alarm?
Answer> look at circuit for blood in the system. DO NOT return blood with air in the
system.
5. what will cause a more negative pre-pump arterial pressure?
Answer> Kinking of the arterial blood line between the vascular access and arterial monitor
6. if clotting occurs in a high flux dialyzer, the transmembrane pressure (TMP) will
1/
18
,Answer> decrease
7. what could be the reasons for a conductivity alarm on the dialysis machine-
Answer> when the dialysate is mixed incorrectly or there is no water acid or bicarb.
8. the person responsible for implementation, adherence, and training of the facility
specific emergency management plan (EMP) and applicable policy and procedures is
Answer> Fa or designee
9. Teammates MUST be able to readily identify patients who may require ad- ditional
assistance in the event of an emergency evacuation.This will include patients who need
help with or are unable to
Answer> both b and c
10. what is an important action prior to returning a patients blood using the hand crank
in the event of a power failure ?
Answer> remove the venous line for the line clamp
11. Per physician order and based on individual patient needs, Chronic Kidney Disease
Mineral and Bone Disorder (MBD) is treated with
Answer> phosphate binders, Vit D (Hectorol), and Cinacalcet
12. Poor wound healing is directly related to
2/
18
, Answer> low protein intake
13. Phosphate binders are prescribed to prevent phosphorus in meals from being
absorbed. When is the best time to take them ?
Answer> with meal
14. The definition of Health Literacy is
Answer> ability to obtain, read, understand, and use healthcare information in order to
make appropriate health decisions and follow instructions for treatment
15. If you notice that a patient's caretaker is struggling to meet the demands of the
patients treatment regime you should
Answer> contact social worker
16. The Psychosocial Assessment completed by the social worker
Answer> an evalu- ation of a person's mental health, social status, and functional capacity
within the communityCompeted initially and annually
17. The Clinical Pyramid includes
Answer> • The Fundamentals Immunizations, Iron, Dialysis Access, Calcium, Phosphorus,
Hb, Kt/V, Target Weight, Access,PTH, etc.• Complex Programs Fluid Management, Infection
Management, Diabetes Manage- ment, Med Management, CVCManagement, Palliative /
EOL Care, Infection Sur- veillance, Transition of Care, CKDEducation, Depression, Missed
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18