DAVITA RISE COMPREHENSIVE EXAM 2026
STUDY GUIDE QUESTIONS AND ANSWERS
TESTED SOLUTIONS
●● Needle/Syringe/Vial of Multi-dose medication vials.
Answer: The vial may be entered more than once but requires a new
sterile needle and syringe to puncture each medication vial to avoid
pooling of medication from different vials
●● Regarding single-dose medication vials:.
Answer: Must be used for only one patient
Each vial should only be entered once and then discarded
The same syringe may be used to enter up to two single use vials of the
same medication and concentration to constitute the prescribed patient
dose
●● What are the six rights of medication administration?.
Answer: Time
Route
Amount
Medication
Patient
Documentation
,●● What are the four medications that PCTs can administer per DaVita
P&P?.
Answer: Normal Saline
Heparin (if allowed per state regulations)
Lidocaine
Topical Anesthetic Spray
●● At what time are medications containing a preservative discarded?.
Answer: 28 days (except when the manufacturer specifies differently
such as Epogen multidose vial (MDV) at 21 days)
●● What size needle with the appropriately sized syringe should be used
when drawing up heparin?.
Answer: 21g x 1in
●● Why would the nephrologist order a formulary exception of Citrasate
or CitraPure dialysate concentrate?.
Answer: To use as part of anticoagulation therapy during the dialysis
treatment when heparin is contraindicated
●● How do you verify your needle is not in the access when
administering Lidocaine?.
,Answer: Aspiration (pull back) of syringe plunger and you do not see
blood in the syringe
●● How do you administer Topical Anesthetic Spray?.
Answer: Wash Access site
Clean site per P&P
Spray topical anesthetic to each cannulation site for 4-10 seconds from a
distance of 3-7 inches
the skin will begin to turn white
DONT FROST THE SKIN - Numbing effect occurs with blanching
●● What is the time frame during which single-use medications should
be prepared and administered?.
Answer: Within 4 hours (unless your state specifies another time limit)
●● What are two reasons for water treatment?.
Answer: Prevent equipment damage
Patient Safety
●● Aluminum in water used dialysis causes.
Answer: Anemia
Bone Disease
Nausea
, Vomiting
●● Chlorine in water used hemodialysis causes.
Answer: Hemolysis
●● Excess Calcium and Sodium in water used dialysis causes.
Answer: Hypertension
●● Excess calcium and magnesium in water used for dialysis causes.
Answer: Muscle weakness
●● What does the RO remove?.
Answer: Organic and inorganic materials
bacteria
endotoxins
●● What are two concerns with using DI Tanks?.
Answer: Exhaust quickly
When exhausted they dump/release previously removed ions back into
the water
●● Response to Final Water Quality Alarm.
STUDY GUIDE QUESTIONS AND ANSWERS
TESTED SOLUTIONS
●● Needle/Syringe/Vial of Multi-dose medication vials.
Answer: The vial may be entered more than once but requires a new
sterile needle and syringe to puncture each medication vial to avoid
pooling of medication from different vials
●● Regarding single-dose medication vials:.
Answer: Must be used for only one patient
Each vial should only be entered once and then discarded
The same syringe may be used to enter up to two single use vials of the
same medication and concentration to constitute the prescribed patient
dose
●● What are the six rights of medication administration?.
Answer: Time
Route
Amount
Medication
Patient
Documentation
,●● What are the four medications that PCTs can administer per DaVita
P&P?.
Answer: Normal Saline
Heparin (if allowed per state regulations)
Lidocaine
Topical Anesthetic Spray
●● At what time are medications containing a preservative discarded?.
Answer: 28 days (except when the manufacturer specifies differently
such as Epogen multidose vial (MDV) at 21 days)
●● What size needle with the appropriately sized syringe should be used
when drawing up heparin?.
Answer: 21g x 1in
●● Why would the nephrologist order a formulary exception of Citrasate
or CitraPure dialysate concentrate?.
Answer: To use as part of anticoagulation therapy during the dialysis
treatment when heparin is contraindicated
●● How do you verify your needle is not in the access when
administering Lidocaine?.
,Answer: Aspiration (pull back) of syringe plunger and you do not see
blood in the syringe
●● How do you administer Topical Anesthetic Spray?.
Answer: Wash Access site
Clean site per P&P
Spray topical anesthetic to each cannulation site for 4-10 seconds from a
distance of 3-7 inches
the skin will begin to turn white
DONT FROST THE SKIN - Numbing effect occurs with blanching
●● What is the time frame during which single-use medications should
be prepared and administered?.
Answer: Within 4 hours (unless your state specifies another time limit)
●● What are two reasons for water treatment?.
Answer: Prevent equipment damage
Patient Safety
●● Aluminum in water used dialysis causes.
Answer: Anemia
Bone Disease
Nausea
, Vomiting
●● Chlorine in water used hemodialysis causes.
Answer: Hemolysis
●● Excess Calcium and Sodium in water used dialysis causes.
Answer: Hypertension
●● Excess calcium and magnesium in water used for dialysis causes.
Answer: Muscle weakness
●● What does the RO remove?.
Answer: Organic and inorganic materials
bacteria
endotoxins
●● What are two concerns with using DI Tanks?.
Answer: Exhaust quickly
When exhausted they dump/release previously removed ions back into
the water
●● Response to Final Water Quality Alarm.
