Questions & Verified Answers | Patient Care Technician |
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SECTION 1: CORE DAVITA VALUES AND CULTURE
Q1: Which of the following best describes "The DaVita Way" regarding patient care
philosophy?
A. Maximize treatment efficiency to increase patient throughput
B. Provide clinical excellence with genuine care and support for patients and
teammates [CORRECT]
C. Focus primarily on technical skills while delegating emotional support to social
workers
D. Prioritize cost reduction over individualized patient attention
Correct Answer: B
Rationale: The DaVita Way emphasizes delivering high-quality clinical care while
building meaningful relationships with patients and supporting fellow teammates (the
Village mindset). Option A is incorrect because DaVita prioritizes quality over speed.
Option C is incorrect because PCTs are expected to provide holistic care including
emotional support. Option D contradicts DaVita's mission of caring for patients as
whole individuals.
Q2: What does the acronym TEAM stand for in DaVita culture?
A. Technical Excellence And Mastery
B. Together Everyone Achieves More [CORRECT]
C. Treatment Efficiency And Management
D. Total Excellence And Medicine
Correct Answer: B
,Rationale: TEAM = Together Everyone Achieves More is a core DaVita cultural value
emphasizing collaboration. Options A, C, and D are distractors that sound plausible but
do not represent the actual DaVita TEAM concept.
Q3: True or False: In the DaVita Village mindset, every employee is considered a "Citizen"
of the Village regardless of their role or position.
A. True [CORRECT]
B. False
Correct Answer: A
Rationale: True. The Village concept at DaVita treats the organization as a community
where every employee is a Citizen with equal importance, fostering inclusivity and
shared purpose. This applies to PCTs, nurses, administrators, and all support staff.
Q4: A patient arrives visibly upset about their recent lab results and begins crying during
setup. According to DaVita patient-centered care principles, what is the PCT's most
appropriate initial response?
A. Continue with machine setup to maintain the schedule and avoid delays
B. Immediately page the nephrologist to handle the emotional situation
C. Pause, acknowledge their feelings, offer a tissue, and ask how you can support them
[CORRECT]
D. Tell them not to worry because other patients have worse results
Correct Answer: C
Rationale: Patient-centered care requires acknowledging emotions and offering
immediate support. Option A ignores the patient's distress. Option B bypasses the PCT's
role in providing emotional support (though social worker referral may follow). Option D
minimizes the patient's feelings and is dismissive. DaVita emphasizes treating patients
with empathy and dignity.
,SECTION 2: DIALYSIS PRINCIPLES AND TERMINOLOGY
Q5: Which principle describes the movement of solutes from an area of higher
concentration to lower concentration across a semipermeable membrane during
dialysis?
A. Ultrafiltration
B. Osmosis
C. Diffusion [CORRECT]
D. Convection
Correct Answer: C
Rationale: Diffusion is the passive movement of solutes down their concentration
gradient. Ultrafiltration (A) refers to fluid removal via pressure gradients. Osmosis (B) is
water movement across a membrane. Convection (D) involves solute transport with
fluid movement (solvent drag).
Q6: What is the primary force driving fluid removal during hemodialysis?
A. Blood pump speed
B. Transmembrane pressure (TMP) [CORRECT]
C. Dialysate temperature
D. Conductivity gradient
Correct Answer: B
Rationale: TMP is the pressure gradient across the dialyzer membrane that drives
ultrafiltration (fluid removal). Blood pump speed (A) affects blood flow but not directly
fluid removal force. Dialysate temperature (C) affects patient comfort and solute
clearance. Conductivity (D) relates to dialysate ionic concentration.
Q7: Calculate the fluid removal goal: A patient's dry weight is 70.0 kg. Their pre-dialysis
weight is 73.5 kg. What is the total fluid removal goal in milliliters?
A. 2,500 mL
B. 3,000 mL
, C. 3,500 mL [CORRECT]
D. 4,000 mL
Correct Answer: C
Rationale: Calculation: 73.5 kg - 70.0 kg = 3.5 kg fluid excess. Since 1 kg = 1,000 mL, 3.5
kg = 3,500 mL. The PCT must program the machine to remove 3,500 mL over the
treatment time.
Q8: Which dialysate component is most critical to monitor via conductivity monitoring
to prevent patient injury?
A. Glucose
B. Sodium
C. Bicarbonate
D. All electrolytes, but primarily sodium [CORRECT]
Correct Answer: D
Rationale: Conductivity measures the total ionic content of dialysate, primarily reflecting
sodium concentration. Incorrect dialysate sodium can cause severe patient harm
including hemolysis, hyponatremia, or hypernatremia. While all electrolytes matter,
conductivity primarily reflects sodium levels.
Q9: What is the typical range for blood flow rate (BFR) in adult hemodialysis patients?
A. 100-200 mL/min
B. 200-300 mL/min
C. 300-500 mL/min [CORRECT]
D. 600-800 mL/min
Correct Answer: C
Rationale: Standard adult BFR ranges from 300-500 mL/min depending on vascular
access adequacy and patient tolerance. Rates below 300 (B) may provide inadequate