Dialysis Test Review 2019 Questions
with Correct Answers
You have been asked by the charge nurse to cannulate the new AV fistula of Mr.
Sidebottom, but the patient comes in 15 minutes late and it's time to take your break.
Can you ask a fellow PCT to cannulate Mr. Sidebottom? - ANSWERSNo. A task
delegated by the licensed nurse to a non-licensed teammate cannot be re-delegated by
this teammate
Poor or incomplete documentation: Correct Poor or incomplete documentation will be
used by a plaintiff's attorney to attack your care. - ANSWERSWill open an attack on
your care in the event of an adverse patient outcome
What is the purpose of professional boundaries? - ANSWERSThey keep the
relationship between you and your patient appropriate and safe
Discussing personal problems with your patients: Correct Care givers should never
discuss personal problems with their patients. - ANSWERSIs considered unprofessional
behavior
Attempting to remove a large amount of fluid weight gain from the patient -
ANSWERSCan lead to hypovolemia during the treatment which is associated with an
increased mortality rate
When sodium loading occurs during the dialysis treatment: - ANSWERSIt leads to an
increase in thirst and larger fluid weight gains with hypertension between treatments
and can contribute to headaches after the treatment
During data collection Mrs. Sweetland mentions her bowel movements have been
looking quite dark the last two days and asks if this could be caused by something she
ate. You: - ANSWERSInform the nurse to assess Mrs. Sweetland prior to treatment
initiation
How long prior to initiating the hemodialysis treatment should the initial loading dose of
heparin be administered through the venous fistula needle or venous port of the central
venous catheter (CVC) to anticoagulate the patient? - ANSWERSAt least three to five
minutes prior to treatment initiation
Over-the-counter medications: - ANSWERSDo not require a physician order but should
be approved by the nephrologist
, Per DaVita policy, prior to each medication preparation, the medication preparation
surface area: - ANSWERSIs to be disinfected with a 1:100 bleach solution or approved
disinfectant
An opened multi dose vial (e.g., Heparin, Lidocaine) may be kept for: - ANSWERS28
days
Which is NOT an acceptable assignment for a PCT working in a facility that cares for
patients with Hepatitis B infection (HBV+). - ANSWERSCaring for HBV+ and
susceptible patients at the same time
Which statement is true regarding fingernails? - ANSWERSFingernail length should not
extend more than ¼ inch and traditional nail polish that is not chipped may be worn
To make a 1:10 bleach solution for cleaning gross blood spills you would combine: -
ANSWERS1 part bleach with 9 parts water
Cleaning blood pressure cuffs between patients: - ANSWERSRemoves microorganisms
such as MRSA or VRE that may be colonized in a patient's axillary area
Cleaning and disinfecting priming buckets after each treatment: - ANSWERSIs required
to decrease gram-negative bacterial growth which may occur in solutions such as water
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used
for patient treatments? - ANSWERSNo, because the torn surface no longer allows for
effective cleaning and provides a potential for microbial growth
Hand hygiene is required when gloves are removed: . - ANSWERSAlways, even gloved
hands can become contaminated through microscopic holes in the gloves
Attention to infection control, proper hand hygiene, cleaning and disinfection procedures
are of utmost importance in the dialysis setting. Which of the following statements is
true? - ANSWERSMRSA bacteria can survive on surfaces especially plastic and vinyl
for days
Which is the most common infectious complication in hemodialysis patients? -
ANSWERSVascular access infections
What is the single most important intervention in preventing healthcare associated
infections (HAIs)? - ANSWERSHand hygiene
Ms. Murphy's heart rate is irregular. Which method of taking her blood pressure will
provide the most accurate reading? - ANSWERSTaking manual blood pressures is
more accurate
with Correct Answers
You have been asked by the charge nurse to cannulate the new AV fistula of Mr.
Sidebottom, but the patient comes in 15 minutes late and it's time to take your break.
Can you ask a fellow PCT to cannulate Mr. Sidebottom? - ANSWERSNo. A task
delegated by the licensed nurse to a non-licensed teammate cannot be re-delegated by
this teammate
Poor or incomplete documentation: Correct Poor or incomplete documentation will be
used by a plaintiff's attorney to attack your care. - ANSWERSWill open an attack on
your care in the event of an adverse patient outcome
What is the purpose of professional boundaries? - ANSWERSThey keep the
relationship between you and your patient appropriate and safe
Discussing personal problems with your patients: Correct Care givers should never
discuss personal problems with their patients. - ANSWERSIs considered unprofessional
behavior
Attempting to remove a large amount of fluid weight gain from the patient -
ANSWERSCan lead to hypovolemia during the treatment which is associated with an
increased mortality rate
When sodium loading occurs during the dialysis treatment: - ANSWERSIt leads to an
increase in thirst and larger fluid weight gains with hypertension between treatments
and can contribute to headaches after the treatment
During data collection Mrs. Sweetland mentions her bowel movements have been
looking quite dark the last two days and asks if this could be caused by something she
ate. You: - ANSWERSInform the nurse to assess Mrs. Sweetland prior to treatment
initiation
How long prior to initiating the hemodialysis treatment should the initial loading dose of
heparin be administered through the venous fistula needle or venous port of the central
venous catheter (CVC) to anticoagulate the patient? - ANSWERSAt least three to five
minutes prior to treatment initiation
Over-the-counter medications: - ANSWERSDo not require a physician order but should
be approved by the nephrologist
, Per DaVita policy, prior to each medication preparation, the medication preparation
surface area: - ANSWERSIs to be disinfected with a 1:100 bleach solution or approved
disinfectant
An opened multi dose vial (e.g., Heparin, Lidocaine) may be kept for: - ANSWERS28
days
Which is NOT an acceptable assignment for a PCT working in a facility that cares for
patients with Hepatitis B infection (HBV+). - ANSWERSCaring for HBV+ and
susceptible patients at the same time
Which statement is true regarding fingernails? - ANSWERSFingernail length should not
extend more than ¼ inch and traditional nail polish that is not chipped may be worn
To make a 1:10 bleach solution for cleaning gross blood spills you would combine: -
ANSWERS1 part bleach with 9 parts water
Cleaning blood pressure cuffs between patients: - ANSWERSRemoves microorganisms
such as MRSA or VRE that may be colonized in a patient's axillary area
Cleaning and disinfecting priming buckets after each treatment: - ANSWERSIs required
to decrease gram-negative bacterial growth which may occur in solutions such as water
The foot rest of a patient chair is torn and the inner foam is exposed. Can it still be used
for patient treatments? - ANSWERSNo, because the torn surface no longer allows for
effective cleaning and provides a potential for microbial growth
Hand hygiene is required when gloves are removed: . - ANSWERSAlways, even gloved
hands can become contaminated through microscopic holes in the gloves
Attention to infection control, proper hand hygiene, cleaning and disinfection procedures
are of utmost importance in the dialysis setting. Which of the following statements is
true? - ANSWERSMRSA bacteria can survive on surfaces especially plastic and vinyl
for days
Which is the most common infectious complication in hemodialysis patients? -
ANSWERSVascular access infections
What is the single most important intervention in preventing healthcare associated
infections (HAIs)? - ANSWERSHand hygiene
Ms. Murphy's heart rate is irregular. Which method of taking her blood pressure will
provide the most accurate reading? - ANSWERSTaking manual blood pressures is
more accurate
