DaVita ICHD Nurse/PCT Test EXAM
QUESTIONS AND CORRECT
SOLUTIONS||A+ GRADED||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||
Interventions for venous needle infiltration (increasing in size/severity) -
ANSWER ✓ Remove infiltrated needle and apply direct pressure
Intervention for arterial needle infiltration (localized & not increasing in size -
ANSWER ✓ -if possible, reposition and continue use
-if not possible, clamp & secure infiltrated needle and recannulate away from
infiltrated needle
-apply cold pack
-remove and check cold pack every 15 min
Heparin - ANSWER ✓ Anticoagulant used to prevent clotting
adequacy of dialysis monitored with - ANSWER ✓ Kt/V
K=clearance
t=time of session
V=Volume
what factors decrease K value? - ANSWER ✓ inadequate coagulation, lowering
BFR, poor priming
what factors increase K value? - ANSWER ✓ increase BFR, correct DFR, using
correct dialyzer, correct target weight
What would falsely increase Kt/V value? - ANSWER ✓ BFR not reduced,
waiting only 5 seconds to draw lab, Drawing post BUN from venous line
, What would falsely decrease Kt/V value? - ANSWER ✓ Diluting pre-tx BUN
sample with saline, waiting longer than 15 seconds to draw blood sample
Protocol for post BUN lab draw - ANSWER ✓ 1. turn off UFR or decrease to 50
2. decrease DFR to 300 or put in Bypass
3. decrease BFR to 100
4. wait 15 seconds and draw post
when is the pretreatment assessment by the licensed nurse required - ANSWER ✓
Required to be done within 1 hour of treatment initiation unless state law specify
otherwise (WI requires prior to tx initiation)
Using a BP cuff that's too small results in - ANSWER ✓ a falsely high BP
reading
Using a BP cuff that's too large results in - ANSWER ✓ a falsely low BP reading
what are consequences of sodium loading? - ANSWER ✓ increased thirst, large
fluid gains, increased hypotension and ischemic events during treatment
what are consequences of Hypovolemia? - ANSWER ✓ increased mortality,
Ischemia & damage to vital organs, loss of residual kidney function
What is the purpose of DQI? - ANSWER ✓ To encourage continuous
improvement across a broad range of disease management processes
What is DQI? - ANSWER ✓ Davita Quality Index
Consequences of Hypervolemia (fluid overload) - ANSWER ✓ LVH, increased
CVP, Hypertension, increased mortality, pulmonery edema, increased rate of
hospitalization rate
Types of PD - ANSWER ✓ CAPD: Continuous ambulatory peritoneal dialysis
CCPD: Continuous cycling peritoneal dialysis
What are the phases of PD exchange? - ANSWER ✓ Drain, flush, fill, dwell
Normal post-tx BP range? - ANSWER ✓ Under 130/80
, What are three things you should NOT include in a Risk Event Management
(REM) report? - ANSWER ✓ Personal opinions, speculation, vendettas.
What are three examples of pre-, intra-, and post-renal causes of AKI? -
ANSWER ✓ Pre: Obstruction, volume depletion, impaired cardiac function.
Intra: ischemic ATN, sepsis, SIRS (Systemic Inflammatory Response Syndrome),
septic shock, anaphylaxis drugs, Goodpasture Syndrome, Acute
Glomerulonephritis, Trauma, open heart surgery.
Post: Obstruction, Oliguric, bladder rupture, pregnancy.
Acid concentrate replaces the excretory function of normal kidney function by: -
ANSWER ✓ providing electrolytes in lower than normal concentrations to allow
for diffusion of waste products to move from the blood to the dialysate waste line.
What are the four transport mechanisms that play a part in hemodialysis? -
ANSWER ✓ Ultrafiltration, convection, osmosis, diffusion.
Ultrafiltration (UF): - ANSWER ✓ In hemodialysis, UF is filtration caused by a
pressure gradient between two sides of a filter, which pushes fluid through a
semipermeable membrane.
Convection: - ANSWER ✓ Solutes and water are dragged across the
semipermeable membrane.
Diffusion: - ANSWER ✓ The movement of dissolved particles from the side with
the higher concentration to the side with the lower concentration.
Osmosis: - ANSWER ✓ the movement of water/solvent across a semipermeable
membrane from the side with the lower solute concentration to the side w/higher
solute concentration. Eventually results in equilibrium.
Fully functional hemodialysis replaces what percent of normal kidney function? -
ANSWER ✓ 15%.
The most common infectious complication for hemodialysis patients is -
ANSWER ✓ vascular access infection.
QUESTIONS AND CORRECT
SOLUTIONS||A+ GRADED||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||
Interventions for venous needle infiltration (increasing in size/severity) -
ANSWER ✓ Remove infiltrated needle and apply direct pressure
Intervention for arterial needle infiltration (localized & not increasing in size -
ANSWER ✓ -if possible, reposition and continue use
-if not possible, clamp & secure infiltrated needle and recannulate away from
infiltrated needle
-apply cold pack
-remove and check cold pack every 15 min
Heparin - ANSWER ✓ Anticoagulant used to prevent clotting
adequacy of dialysis monitored with - ANSWER ✓ Kt/V
K=clearance
t=time of session
V=Volume
what factors decrease K value? - ANSWER ✓ inadequate coagulation, lowering
BFR, poor priming
what factors increase K value? - ANSWER ✓ increase BFR, correct DFR, using
correct dialyzer, correct target weight
What would falsely increase Kt/V value? - ANSWER ✓ BFR not reduced,
waiting only 5 seconds to draw lab, Drawing post BUN from venous line
, What would falsely decrease Kt/V value? - ANSWER ✓ Diluting pre-tx BUN
sample with saline, waiting longer than 15 seconds to draw blood sample
Protocol for post BUN lab draw - ANSWER ✓ 1. turn off UFR or decrease to 50
2. decrease DFR to 300 or put in Bypass
3. decrease BFR to 100
4. wait 15 seconds and draw post
when is the pretreatment assessment by the licensed nurse required - ANSWER ✓
Required to be done within 1 hour of treatment initiation unless state law specify
otherwise (WI requires prior to tx initiation)
Using a BP cuff that's too small results in - ANSWER ✓ a falsely high BP
reading
Using a BP cuff that's too large results in - ANSWER ✓ a falsely low BP reading
what are consequences of sodium loading? - ANSWER ✓ increased thirst, large
fluid gains, increased hypotension and ischemic events during treatment
what are consequences of Hypovolemia? - ANSWER ✓ increased mortality,
Ischemia & damage to vital organs, loss of residual kidney function
What is the purpose of DQI? - ANSWER ✓ To encourage continuous
improvement across a broad range of disease management processes
What is DQI? - ANSWER ✓ Davita Quality Index
Consequences of Hypervolemia (fluid overload) - ANSWER ✓ LVH, increased
CVP, Hypertension, increased mortality, pulmonery edema, increased rate of
hospitalization rate
Types of PD - ANSWER ✓ CAPD: Continuous ambulatory peritoneal dialysis
CCPD: Continuous cycling peritoneal dialysis
What are the phases of PD exchange? - ANSWER ✓ Drain, flush, fill, dwell
Normal post-tx BP range? - ANSWER ✓ Under 130/80
, What are three things you should NOT include in a Risk Event Management
(REM) report? - ANSWER ✓ Personal opinions, speculation, vendettas.
What are three examples of pre-, intra-, and post-renal causes of AKI? -
ANSWER ✓ Pre: Obstruction, volume depletion, impaired cardiac function.
Intra: ischemic ATN, sepsis, SIRS (Systemic Inflammatory Response Syndrome),
septic shock, anaphylaxis drugs, Goodpasture Syndrome, Acute
Glomerulonephritis, Trauma, open heart surgery.
Post: Obstruction, Oliguric, bladder rupture, pregnancy.
Acid concentrate replaces the excretory function of normal kidney function by: -
ANSWER ✓ providing electrolytes in lower than normal concentrations to allow
for diffusion of waste products to move from the blood to the dialysate waste line.
What are the four transport mechanisms that play a part in hemodialysis? -
ANSWER ✓ Ultrafiltration, convection, osmosis, diffusion.
Ultrafiltration (UF): - ANSWER ✓ In hemodialysis, UF is filtration caused by a
pressure gradient between two sides of a filter, which pushes fluid through a
semipermeable membrane.
Convection: - ANSWER ✓ Solutes and water are dragged across the
semipermeable membrane.
Diffusion: - ANSWER ✓ The movement of dissolved particles from the side with
the higher concentration to the side with the lower concentration.
Osmosis: - ANSWER ✓ the movement of water/solvent across a semipermeable
membrane from the side with the lower solute concentration to the side w/higher
solute concentration. Eventually results in equilibrium.
Fully functional hemodialysis replaces what percent of normal kidney function? -
ANSWER ✓ 15%.
The most common infectious complication for hemodialysis patients is -
ANSWER ✓ vascular access infection.
