Davita RISE PCT Study Guide EXAM
QUESTIONS AND CORRECT
SOLUTIONS||A+ GRADED||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||
PPE Requirements: - ANSWER ✓ Gowns, gloves, face shield are required when
drawing pre-dialysis labs through the VA needle; if CVC add mask to teammate
and patient
Successful lab draws: Familiarize yourself with the 20 tips (Job Aid) - ANSWER
✓ No handwritten or double label - will be rejected and order of lab draw is
important to follow because of additives in tubes that will affect other tubes
Clotting time - ANSWER ✓ Follow requisition label
Rules for spinning samples - ANSWER ✓ Follow requisition - must balance
centrifuge
When to refrigerate - ANSWER ✓ Follow requisition (some are immediate and
not spun)
When not to refrigerate - ANSWER ✓ Culturettes/swabs/ occult stool - follow
directions
Training requirements for shipping - ANSWER ✓ IATA
What is the goal for Single Pool (spKt/V) for 3x/week frequency of dialysis
treatments? - ANSWER ✓ Greater than or equal to 1.2
What is 'K' in Kt/V? - ANSWER ✓ Clearance of urea
What treatment factors decrease K? - ANSWER ✓ -Inadequate coagulation,
-decreased BFR,
,-poor priming,
-not following P&P,
-patient not staying on tx as prescribed
What treatment factors increase K? - ANSWER ✓ -Increased BFR,
-correct DFR,
-correct dialyzer,
-correct target weight -amputation factor
What is the goal for the urea reduction ratio (URR) lab result? - ANSWER ✓
Greater than or equal to 65%
What is 't' in Kt/V? - ANSWER ✓ Time of dialysis session
What factors influence 't'? - ANSWER ✓ -Running prescribed tx time,
-follow physician orders- encourage pt. to run entire tx. Getting off early will
impact time (missing tx also impact tx time).
What is 'V' in Kt/V? - ANSWER ✓ Volume of urea distribution/volume of pts
body water in which urea is distributed
What factors influence 'V'? - ANSWER ✓ -Amputation,
-height,
-sex,
-age,
-and type of access (less efficient access reduces the volume process of a patient's
blood)
Procedure for Post BUN lab draw - ANSWER ✓ • Turn off UFR or decrease it to
50 ml/hr
• Decrease DFR to 300 or put in bypass
• Decrease BFR to 100 ml/min
• Wait 15 secs for all access types and draw post
Lab draws mistakes that would falsely increase Kt/V - ANSWER ✓ • BFR not
reduced
• Waiting only 5 secs
• Drawing post BUN from venous line
, Lab draws mistakes that would falsely decrease Kt/V - ANSWER ✓ Accidently
diluting pre tx arterial BUN blood sample with saline, waiting longer than 15
seconds to draw blood sample
What 2 steps are preformed to replace fluid removed and prevent clotting during
the recirculation of blood in the extracorporeal circuit when there has been a
treatment interruption (i.e. the patient using the restroom)? - ANSWER ✓ The
saline infusion line is opened and if the patient is receiving an intradialytic heparin
infusion
via the dialysis machine, the heparin pump remains on.
Pre-pump arterial pressure that becomes too negative can cause hemolysis. The
arterial pressure may not exceed: - ANSWER ✓ -260 mmHg
A sudden decrease in blood pressure can be an indication that the patient is losing
intravascular fluid too quickly, this can be seen with a change in blood pressure
equal to or greater than: - ANSWER ✓ 20 mmHg
What are the four meds PCTs can administer per DaVita P&P? - ANSWER ✓ •
Normal Saline
• Heparin (if allowed per state regulations)
• Lidocaine
• Topical Anesthetic Spray
What are the six items included in documenting administered medications? -
ANSWER ✓ • Time and date
• Route of administration
• Reason for giving
• Medication dosage
• Reason for Administering
• Patient Response
At what time are medications containing a preservative discarded? - ANSWER ✓
28 days (except when the manufacturer specifies differently such as Epogen MDV
at 21 days)
What size needle with the appropriately sized syringe should be used when
drawing up heparin? - ANSWER ✓ 21g x 1 inch
, What is the time frame during which single use medications should be prepared
and administered? - ANSWER ✓ 4 hours (unless your state specifies another time
limit)
How do you verify your needle is not in the access when administering Lidocaine?
- ANSWER ✓ Aspiration (pull back) of syringe plunger
How do you administer Topical Anesthetic Spray? - ANSWER ✓ • Wash arm
• Clean site per P&P
• Spray for 4-10 seconds from a distance of 3-7 inches
• Don't frost the skin - numbing effect occurs with blanching
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.
Regarding multi-dose medication vials:
Labeling & Expiration: - ANSWER ✓ Must be labeled with the initials of the
person opening the vial and the date it was opened (must be discarded within 28
days except when the manufacturer specifies differently such as Epogen at 21
days)
Regarding multi-dose medication vials: Needle/syringe/vial: - 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 does TRAMP stand for? (Note there is often a 6th one-documentation -
ANSWER ✓ T: Time
R: Route
A: Amount
M: Medication
P: Patient
QUESTIONS AND CORRECT
SOLUTIONS||A+ GRADED||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||
PPE Requirements: - ANSWER ✓ Gowns, gloves, face shield are required when
drawing pre-dialysis labs through the VA needle; if CVC add mask to teammate
and patient
Successful lab draws: Familiarize yourself with the 20 tips (Job Aid) - ANSWER
✓ No handwritten or double label - will be rejected and order of lab draw is
important to follow because of additives in tubes that will affect other tubes
Clotting time - ANSWER ✓ Follow requisition label
Rules for spinning samples - ANSWER ✓ Follow requisition - must balance
centrifuge
When to refrigerate - ANSWER ✓ Follow requisition (some are immediate and
not spun)
When not to refrigerate - ANSWER ✓ Culturettes/swabs/ occult stool - follow
directions
Training requirements for shipping - ANSWER ✓ IATA
What is the goal for Single Pool (spKt/V) for 3x/week frequency of dialysis
treatments? - ANSWER ✓ Greater than or equal to 1.2
What is 'K' in Kt/V? - ANSWER ✓ Clearance of urea
What treatment factors decrease K? - ANSWER ✓ -Inadequate coagulation,
-decreased BFR,
,-poor priming,
-not following P&P,
-patient not staying on tx as prescribed
What treatment factors increase K? - ANSWER ✓ -Increased BFR,
-correct DFR,
-correct dialyzer,
-correct target weight -amputation factor
What is the goal for the urea reduction ratio (URR) lab result? - ANSWER ✓
Greater than or equal to 65%
What is 't' in Kt/V? - ANSWER ✓ Time of dialysis session
What factors influence 't'? - ANSWER ✓ -Running prescribed tx time,
-follow physician orders- encourage pt. to run entire tx. Getting off early will
impact time (missing tx also impact tx time).
What is 'V' in Kt/V? - ANSWER ✓ Volume of urea distribution/volume of pts
body water in which urea is distributed
What factors influence 'V'? - ANSWER ✓ -Amputation,
-height,
-sex,
-age,
-and type of access (less efficient access reduces the volume process of a patient's
blood)
Procedure for Post BUN lab draw - ANSWER ✓ • Turn off UFR or decrease it to
50 ml/hr
• Decrease DFR to 300 or put in bypass
• Decrease BFR to 100 ml/min
• Wait 15 secs for all access types and draw post
Lab draws mistakes that would falsely increase Kt/V - ANSWER ✓ • BFR not
reduced
• Waiting only 5 secs
• Drawing post BUN from venous line
, Lab draws mistakes that would falsely decrease Kt/V - ANSWER ✓ Accidently
diluting pre tx arterial BUN blood sample with saline, waiting longer than 15
seconds to draw blood sample
What 2 steps are preformed to replace fluid removed and prevent clotting during
the recirculation of blood in the extracorporeal circuit when there has been a
treatment interruption (i.e. the patient using the restroom)? - ANSWER ✓ The
saline infusion line is opened and if the patient is receiving an intradialytic heparin
infusion
via the dialysis machine, the heparin pump remains on.
Pre-pump arterial pressure that becomes too negative can cause hemolysis. The
arterial pressure may not exceed: - ANSWER ✓ -260 mmHg
A sudden decrease in blood pressure can be an indication that the patient is losing
intravascular fluid too quickly, this can be seen with a change in blood pressure
equal to or greater than: - ANSWER ✓ 20 mmHg
What are the four meds PCTs can administer per DaVita P&P? - ANSWER ✓ •
Normal Saline
• Heparin (if allowed per state regulations)
• Lidocaine
• Topical Anesthetic Spray
What are the six items included in documenting administered medications? -
ANSWER ✓ • Time and date
• Route of administration
• Reason for giving
• Medication dosage
• Reason for Administering
• Patient Response
At what time are medications containing a preservative discarded? - ANSWER ✓
28 days (except when the manufacturer specifies differently such as Epogen MDV
at 21 days)
What size needle with the appropriately sized syringe should be used when
drawing up heparin? - ANSWER ✓ 21g x 1 inch
, What is the time frame during which single use medications should be prepared
and administered? - ANSWER ✓ 4 hours (unless your state specifies another time
limit)
How do you verify your needle is not in the access when administering Lidocaine?
- ANSWER ✓ Aspiration (pull back) of syringe plunger
How do you administer Topical Anesthetic Spray? - ANSWER ✓ • Wash arm
• Clean site per P&P
• Spray for 4-10 seconds from a distance of 3-7 inches
• Don't frost the skin - numbing effect occurs with blanching
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.
Regarding multi-dose medication vials:
Labeling & Expiration: - ANSWER ✓ Must be labeled with the initials of the
person opening the vial and the date it was opened (must be discarded within 28
days except when the manufacturer specifies differently such as Epogen at 21
days)
Regarding multi-dose medication vials: Needle/syringe/vial: - 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 does TRAMP stand for? (Note there is often a 6th one-documentation -
ANSWER ✓ T: Time
R: Route
A: Amount
M: Medication
P: Patient
