ACTUAL EXAM SCRIPT COMPLETE
QUESTIONS AND VERIFIED
ANSWERS GRADE A+
◉ CKD can have its orgin pre-renal , intra-renalm or post renal. Which
of the following conditions is an intra-renal cause of CKD. Answer:
HTN
◉ Knowing what caused your patient's CKD. Answer: is important
because the underlying disease could cause health complications that can
impact the dialysis treatment
◉ When a PCT documents the extent of a patient's edema, for example
as +3. Answer: the PCT is preforming an assessment which is not
allowed legally
◉ When a patient has an irregular heartbeat,. Answer: the automatic BP
reading may not be accurate
◉ Which of the following is a data collection. Answer: HR 72
◉ at what time should the post treatment data collection be completed.
Answer: after the treatment has been completed
,◉ the A in smart communication stands for. Answer: actual- just report
the facts
◉ which of the following events is defined as a near miss. Answer: the
wrong dialyzer was set up and primed for a patient, but it was caught
before dialysis was initiated and the dialyzer was replaced
◉ using the __________ approach is one way to fill out an REM.
Answer: SBAR
◉ What is your main priority when returning a patient's blood with the
hand crank during a power outage?. Answer: you must be vigilant in
watching for air in the blood lines
◉ what problem will cause an increase in the patient's VP. Answer: a
clot in the venous drip chamber
◉ Which blood test must be performed at regular intervals on patients
susceptible to HPB. Answer: HBsAg
◉ who is accountable for appropriate patient and teammate scheduling
in the acute setting. Answer:
◉ you are dialyzing a patient and the only available HPB surveillance
test is a HBsAb of 8. What are the machine disinfection requirements
, after dialyzing this patient?. Answer: the machine must be heat
disinfected at the end of each day
◉ What is the most common factor contributing to bacteremia in
dialysis patients?. Answer: use of catheters for HD
◉ which infectious disease requires frequent hand washing instead of
using alcohol based hand gels. Answer: active clostridioides difficile
infection
◉ What precautions must be used when handling lab specimens?.
Answer: universal precautions
◉ waiting only five seconds between lowering the blood pump speed
and drawing the post treatment blood sample could. Answer: cause the
post treatment BUN reading to be falsely low (wait 15 seconds)
◉ which may cause a decrease in the hemoglobin of a patient with
ESRD. Answer: infection/inflammation
◉ fluid overload and HTN lead to LVH, this means. Answer:
hypotensive episodes are more likely to occur during the dialysis
treatment