Certified Dialysis Nurse Test Review Questions and Answers Updated 2026

Certified Dialysis Nurse Test Review
Questions and Answers Updated
2026
DeferoxamineM(Desferal)M-
MAnswerMTheMnurseMcaringMforMaMdialysisMpatientMwithMknownMaluminumMoverloadMs
houldMbeMpreparedMtoMadministerMwhichMmedicationMduringMtheMlatterMpartMofMtheM
dialysisMtreatmentMtoMhelpMcorrectMthisMabnormality?



OverdoseMofMdiuretics,MToxicMexposureMtoMpesticides.M-
MAnswerMWhatMareMtheMlikelyMreasonsMthatMaMpatientMwouldMbeMprescribedMhemoper
fusion?



mostMsedatives,Mtheophylline,Mdigoxin,MandMsomeMpesticidesMandMherbicides.

CharcoalMmayMbeMusedMinMassociationMwithMdeferoxamineMchelationMtoMremoveMexcess
MaluminumMorMironMfromMbodyMtissues.M-
MAnswerMHemoperfusionMisMmoreMeffectiveMthanMhemodialysisMforMremovalMof



-MtissuesMareMoftenMedematousMandMextremelyMfriable.M

-
MPatientsMwithMinfectionsMandMrejectionMareMalmostMalwaysMcatabolic,Medematous,Mand
Mhypoproteinemic.M

-
CardiopulmonaryMandMcardiovascularMsystemsMoftenMlabile,MandMhypotensionMorMcardiac
MdysrhythmiasMandMpulmonaryMcongestionMshouldMbeManticipated.M-
MAnswerMWhenMcaringMforMaMpatientMwhoMisMexperiencingMaMsevereMtransplantMreject
ion,MwhatMcomplicationsMshouldMtheMnurseManticipate?



TheMmostMcommonMadverseMeffectMisMskinMrash.

ThisMsolutionMshouldMbeMusedMforMnoMmoreMthanMoneMexchangeMinMaM24-
hourMperiod.M-
MAnswerMWhenMeducatingMaMperitonealMdialysisMpatientMaboutMtheMprescribedMicodextr
inMsolution,MwhichMteachingMpointsMshouldMtheMnurseMinclude?



-MmeasureMtheMvolumeMofMdialysateMtoMbeMinfused,M

-MwarmMtheMdialysateMtoMbodyMtemperatureMbeforeMinfusion,M

-MtimeMtheMfrequencyMofMexchanges,M

,-McountMtheMnumberMofMexchanges

-MmeasureMUF.M-
MAnswerMWhichMteachingMpointsMmustMbeMmasteredMbyMpatientsMbeforeMtheyMcanMpe
rformMtheirMautomatedMperitonealMdialysisMatMhome?



-MInfusionMofMaMsmallMamountMofMheparinizedMsalineMsolutionMeveryM4-
8MhoursMforMtheMfirstM1-3MdaysMpostoperatively.

-
MLowMvolumeMinMandMoutMexchangesMwithMheparinizedMsalineMorMdialysateMuntilMthe
MeffluentMisMnoMlongerMbloody.MthenMdailyMforM1MtoM2Mweeks,MandMweeklyMthereaft
erMuntilMtheMpatientMisMundergoingMPD.M-
MAMsmallMvolumeMofMheparinizedMsolutionMshouldMremainMinMtheMperitoneumMtoMinhi
bitMtheMformationMofMfibrin

-immediateMdialysisMneed:MFrequent,Mlow-volumeMexchangesM(500-
1000MmL)MareMperformedMusingMaMcyclerMwithMtheMpatientMinMtheMsupineMposition.M-
MAnswerMDuringMtheMperiodMcalledMcatheterMbreak-
in,MwhenMtheMperitonealMdialysisMcatheterMisMplacedMandMhealingMhasMbegun,MtheMnu
rseMshouldManticipateMwhichMprescribedMdialysisMorders?



rapidMwasteMclearance,MpoorMUFMofMfluid,MhighMglucoseMabsorption,MandMhighMprotein
Mloss.M-MAnswerMAMhighMPETMscoreMmeans



slowMwasteMclearance,MexcellentMUFMofMfluid,MandMdecreasedMlikelihoodMofMproteinMlos
s.M-MAnswerMAMlowMPETMscoreMmeans



ImmediateMMedicareMcoverage.

GreaterMbloodMpressureMcontrol.

PreservationMofMresidualMkidneyMfunction.

GreaterMindependenceMforMtravelMandMemployment.M-
MAnswerMWhenMaMpatientMisMdecidingMbetweenMperitonealMdialysisMandMhemodialysis,M
whatMareMsomeMofMtheMbenefitsMtheMstaffMcanMshareMregardingMquality-of-
lifeMbenefitsMrelatedMtoMPD?



TheMpatientMisMmalnourished.

ExtremeMpruritusMtoMtheMpointMofMscratchingMandMbleeding.

PericardialMrubMnotedMdueMtoMpericarditisMfromMuremia.

, MoistMralesMheardMinMtheMmid-scapularMregionMbilaterally.M-
MAnswerMWhichMmanifestationsMmightMleadMtheMclinicianMtoMbelieveMthatMaMpatientMo
nMPDMrequiresManMincreasedMdoseMofMdialysis?



•MActiveMchronicMinfectionMorMsepsis

•MActiveMmalignancy

•MActiveMsubstanceMabuse

•MSevereMcardiovascularMorMpulmonaryMdisease

•MInabilityMtoMcomplyMwithMtheMmedicationMregimenM-
MAnswerMAbsoluteMContraindicationsMtoMTransplantation



Irritability.

YawningMfrequently.

FidgetyMmovementsMnoted.M-
MAnswerMTheMdialysisMnurseMshouldMsuspectMtheMtoddlerMweighingMlessMthanM20Mkg.
MisMexperiencingMhypotensionMifMtheseMclinicalMmanifestationsMareMpresent:



AnemiaMinMCKD.

BloodMpressureMinMCKD.

DiabetesMandMCKD.M-
MAnswerMInMwhichMareasMofMcareMhasMtheMnonprofitMfoundationMKidneyMDiseaseMImpr
ovingMGlobalMOutcomesM(KDIGO)MprovidedMwrittenMevidence-
basedMguidelinesMrelatedMtoMtheMpreventionMorMmanagementMofMkidneyMdisease?



2019M-MNationalMDialysisMAccreditationMCommissionM(NDAC).M-
MAnswerMWhichMorganizationMwasMrecentlyMapprovedMbyMCMSMtoMconductMsurveysMfor
MMedicareMcertificationMfosteringMfasterMapprovalMofMdialysisMclinics?



Hypotension.

Cramping.M-
MAnswerMWhenMcaringMforMaMpatientMonMdialysis,MifMtheMdialysateMsolutionMcontainsM
tooMlittleMsodium,MtheMwaterMmayMshiftMintoMtheMpatient'sMbloodMcells,McausingMwhic
hMsignsMorMsymptoms?