DaVita Annual Competency Exam 192 Correct Questions
and Answers.
Albumin is an important test that tells about the patient ____ status
Nutritional
During a hemodialysis treatment the technician responds to a low venous pressure alarm. The
most likely cause for this alarm is:
Disconnection of the bloodline
All of the following are phosphate binders EXCEPT:
Vitamin B12
A semipermeable membrane is a porous barrier that:
Allows for only certain sized particles to cross
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death.
Potassium
Before a hemodialysis treatment , the technician removes the cap from the fistula needle and
accidentally touches the chair with the tip of the needle. Which of these actions should the
technician take first?
discard the needle
A 58- year old patient who is blind comes to treatment accompanied by his wife. Which of these
approaches should the dialysis technician use when interacting with the patient?
Describe the activities in the immediate environment
Page 1 of 32
,A patient complains of pain at the venous needle site. The dialysis technician observes there is
swelling distal to the venous needle site and that the venous pressure is rising. The dialysis
technician should suspect..
an infiltration
A rapid pulse of 104 beats/minute would indicate that the patient has:
tachycardia(fast heart rate)
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is an indicative of:
Clotting of the extracorporeal circuit
During pre dialysis data collection, it would be best for the technician to ask the patient which
of these questions?
How have you been since your last tx
Dialysate that is too hot will cause
hemolysis
During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the
venous drip chamber. The immediate action of the dialysis technician should be to:
Clamp venous line
A female dialysis technician has been caring for a male patient for several months. The patient
tells the dialysis technician that he is lonely and depressed. He asked the dialysis technician to
go out to dinner with him. In addition to politely declining the patient's invitation, which of
these actions, if any, should the dialysis technician take?
Refer to a social worker
A teammate asks you to document the normal saline he just gave to Mr. Smith. You would:
Page 2 of 32
,Never document someone elses.
Asepsis is defined as:
the absence of disease producing organism
AAMI standard for conventional dialysate requires the total microbial count be less than
100 cfu/ml
A nephron is made up of:
glomerulus and tubule
During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions
should the dialysis technician take first?
stop the blood pump
Biohazardous waste includes any material exposed to:
blood
All of the following may be signs and symptoms of an infected access EXCEPT:
numbness and tingling
Page 3 of 32
, A dialysis technician observes all of the below on the treatment floor, which one poses an
environmental risk?
A. About one ounce (30ml) liquid is on the floor
B. A patient's family member is present during initiation of treatment
C. Charts are lying on bed side tables
D. The wheels of the hemodialysis machine are locked.
About one ounce(30ml) liquid on the floor
The AAMI standard for endotoxin level sin conventional dialysate is:
Less than 0.50 EU/ml
Excess fluid is forced out of the blood and into the dialysate during dialysate by which principle?
Ultrafiltration
ESKD specific tests such as BUN, Creatinine, and URR are
hemoglobin/hemocrit
During a hemodialysis treatment, a patient says to the technician, "Three hours of time have
passed according to the clock on the wall, but the machine shows that only 2.5 hours have
passed. What could be the problem? The technician should understand that the
The machine was in bypass for 30 minutes.
Page 4 of 32
and Answers.
Albumin is an important test that tells about the patient ____ status
Nutritional
During a hemodialysis treatment the technician responds to a low venous pressure alarm. The
most likely cause for this alarm is:
Disconnection of the bloodline
All of the following are phosphate binders EXCEPT:
Vitamin B12
A semipermeable membrane is a porous barrier that:
Allows for only certain sized particles to cross
Abnormal levels of this electrolyte can cause cardiac arrhythmias and even death.
Potassium
Before a hemodialysis treatment , the technician removes the cap from the fistula needle and
accidentally touches the chair with the tip of the needle. Which of these actions should the
technician take first?
discard the needle
A 58- year old patient who is blind comes to treatment accompanied by his wife. Which of these
approaches should the dialysis technician use when interacting with the patient?
Describe the activities in the immediate environment
Page 1 of 32
,A patient complains of pain at the venous needle site. The dialysis technician observes there is
swelling distal to the venous needle site and that the venous pressure is rising. The dialysis
technician should suspect..
an infiltration
A rapid pulse of 104 beats/minute would indicate that the patient has:
tachycardia(fast heart rate)
A rise in transmembrane pressure in a low flux dialyzer during hemodialysis is an indicative of:
Clotting of the extracorporeal circuit
During pre dialysis data collection, it would be best for the technician to ask the patient which
of these questions?
How have you been since your last tx
Dialysate that is too hot will cause
hemolysis
During hemodialysis, the air detector on Ms. Foster's machine alarms and foam is visible in the
venous drip chamber. The immediate action of the dialysis technician should be to:
Clamp venous line
A female dialysis technician has been caring for a male patient for several months. The patient
tells the dialysis technician that he is lonely and depressed. He asked the dialysis technician to
go out to dinner with him. In addition to politely declining the patient's invitation, which of
these actions, if any, should the dialysis technician take?
Refer to a social worker
A teammate asks you to document the normal saline he just gave to Mr. Smith. You would:
Page 2 of 32
,Never document someone elses.
Asepsis is defined as:
the absence of disease producing organism
AAMI standard for conventional dialysate requires the total microbial count be less than
100 cfu/ml
A nephron is made up of:
glomerulus and tubule
During a hemodialysis treatment, a patient's venous needle infiltrates. Which of these actions
should the dialysis technician take first?
stop the blood pump
Biohazardous waste includes any material exposed to:
blood
All of the following may be signs and symptoms of an infected access EXCEPT:
numbness and tingling
Page 3 of 32
, A dialysis technician observes all of the below on the treatment floor, which one poses an
environmental risk?
A. About one ounce (30ml) liquid is on the floor
B. A patient's family member is present during initiation of treatment
C. Charts are lying on bed side tables
D. The wheels of the hemodialysis machine are locked.
About one ounce(30ml) liquid on the floor
The AAMI standard for endotoxin level sin conventional dialysate is:
Less than 0.50 EU/ml
Excess fluid is forced out of the blood and into the dialysate during dialysate by which principle?
Ultrafiltration
ESKD specific tests such as BUN, Creatinine, and URR are
hemoglobin/hemocrit
During a hemodialysis treatment, a patient says to the technician, "Three hours of time have
passed according to the clock on the wall, but the machine shows that only 2.5 hours have
passed. What could be the problem? The technician should understand that the
The machine was in bypass for 30 minutes.
Page 4 of 32
