Davita PCT Final Exam Complete Study
Guide <Questions and Verified Answers>
Already Graded A+
1. What factor would influence the "t" of the Kt/V formula - ANSWER
Shortened treatment tkme
2. Poor wound healing is directly related to - ANSWER Inadequate protein
intake
3. Standing post-treatment BP reading of _____ is considered an abnormal
finding - ANSWER BP systolic greater than 140 or less than 90
4. How do you verify that the patient is stable and safe for discharge after
treatment - ANSWER All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
5. Why is meticulous hand hygiene so important in healthcare? - ANSWER It
is the single most important intervention in preventing Healthcare
Associated Infections HAI
6. Which of the following may be, but doesn't have to be a sign of hemolysis -
ANSWER Cherry red colored blood in the Venus line
,7. Knowing what caused your patient's renal failure - ANSWER Is important
to inquire about possible problems during data collection and assessment
8. To assist in survey readiness you should - ANSWER All
Stay current and follow policies and procedures
Assist with internal audits
Maintain a culture of safety
9. DaVita Quality Index (DQI) success is achieved - ANSWER all of the
above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held
identify trends and make improvements
10.Ultrafiltration is described as - ANSWER Controlled fluid removal by
manipulation of hydrostatic pressure
11.Water and dialysis cultures are drawn every month in a dialysis unit to
monitor - ANSWER Bacteria and endotoxins
12.Your immediate intervention for a patient experiencing an anaphylactic
reaction is - ANSWER Discontinue the suspected therapy, stop the blood
pump, do not return the blood
13.Water treatment is needed in the dialysis setting to - ANSWER Provide
patient safety and prevent equipment damage
,14.If clotting occurs in a high flux dialyzer, the TMP will - ANSWER decrease
15.The max UF rate should not exceed ___ because it may lead to hypotension
episodes which increases to - ANSWER 13 ml/kg/hr
16.The excretory function of the kidneys include - ANSWER Fluid balance,
electrolyte balance, waste removal, acid/base balance
17.What factor would decrease the K of the Kt/V formula - ANSWER
Inadequate anti coagulation
18.Documentation in the medical record - ANSWER Provides data for the
continuity and planning of patient care
19.Per physician order and based on individual patient needs, Chronic Kidney
Disease Mineral & Bone Disorder (MBD) is treated with - ANSWER
Phosphate binders, vitamin D, and Calcitriol
20.What is the most likely reason for a blood leak detector alarm during
recirculation - ANSWER Air bubbles in dialysate or a dirty sensor
21.The person responsible for implementation, adherence and training of the
facility - ANSWER The FA
22.Administration of normal saline - ANSWER The teammate must remain
with the PT to monitor the process until administration is complete and lines
are secure
, 23.The dialysis team prevents additional blood loss by - ANSWER providing
appropiate heparin dose per physician order using good cannulation and
proper rinseback after tx.
24.The psychological assessment completed by the social worker - ANSWER
Is completed initially and annually
25.Teammates MUST be able to readily identify patients who may require
additional assistance in the event of an emergency evacuation. This will
include patients who need help with or are unable to - ANSWER Both B
and C
complete the emergency take off procedure
Evacuate in safe and timely manner due to impairment
26.Per the CDC, which is the most important route by which pathogens are
transmitted in healthcare settings including dialysis centers? - ANSWER
Contact transmission
27.A recommended intervention for muscle cramps is - ANSWER Turning the
ultrafiltration (UFR) off.
28.A patient target weight is - ANSWER Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
29.What complication would you expect to see if a patient is exposed to
chlorine - ANSWER Hemolysis
Guide <Questions and Verified Answers>
Already Graded A+
1. What factor would influence the "t" of the Kt/V formula - ANSWER
Shortened treatment tkme
2. Poor wound healing is directly related to - ANSWER Inadequate protein
intake
3. Standing post-treatment BP reading of _____ is considered an abnormal
finding - ANSWER BP systolic greater than 140 or less than 90
4. How do you verify that the patient is stable and safe for discharge after
treatment - ANSWER All
Evaluate the effectiveness of the TX by comparing post and pre data
PCTs notify RN if there are any unusual findings
Nurses perform a post TX assessment as required
5. Why is meticulous hand hygiene so important in healthcare? - ANSWER It
is the single most important intervention in preventing Healthcare
Associated Infections HAI
6. Which of the following may be, but doesn't have to be a sign of hemolysis -
ANSWER Cherry red colored blood in the Venus line
,7. Knowing what caused your patient's renal failure - ANSWER Is important
to inquire about possible problems during data collection and assessment
8. To assist in survey readiness you should - ANSWER All
Stay current and follow policies and procedures
Assist with internal audits
Maintain a culture of safety
9. DaVita Quality Index (DQI) success is achieved - ANSWER all of the
above
Through managing individual PT first and allowing scores to follow
Through knowing each team members role in improving DQI score
Through the use of continuous quality improvement CQI process to held
identify trends and make improvements
10.Ultrafiltration is described as - ANSWER Controlled fluid removal by
manipulation of hydrostatic pressure
11.Water and dialysis cultures are drawn every month in a dialysis unit to
monitor - ANSWER Bacteria and endotoxins
12.Your immediate intervention for a patient experiencing an anaphylactic
reaction is - ANSWER Discontinue the suspected therapy, stop the blood
pump, do not return the blood
13.Water treatment is needed in the dialysis setting to - ANSWER Provide
patient safety and prevent equipment damage
,14.If clotting occurs in a high flux dialyzer, the TMP will - ANSWER decrease
15.The max UF rate should not exceed ___ because it may lead to hypotension
episodes which increases to - ANSWER 13 ml/kg/hr
16.The excretory function of the kidneys include - ANSWER Fluid balance,
electrolyte balance, waste removal, acid/base balance
17.What factor would decrease the K of the Kt/V formula - ANSWER
Inadequate anti coagulation
18.Documentation in the medical record - ANSWER Provides data for the
continuity and planning of patient care
19.Per physician order and based on individual patient needs, Chronic Kidney
Disease Mineral & Bone Disorder (MBD) is treated with - ANSWER
Phosphate binders, vitamin D, and Calcitriol
20.What is the most likely reason for a blood leak detector alarm during
recirculation - ANSWER Air bubbles in dialysate or a dirty sensor
21.The person responsible for implementation, adherence and training of the
facility - ANSWER The FA
22.Administration of normal saline - ANSWER The teammate must remain
with the PT to monitor the process until administration is complete and lines
are secure
, 23.The dialysis team prevents additional blood loss by - ANSWER providing
appropiate heparin dose per physician order using good cannulation and
proper rinseback after tx.
24.The psychological assessment completed by the social worker - ANSWER
Is completed initially and annually
25.Teammates MUST be able to readily identify patients who may require
additional assistance in the event of an emergency evacuation. This will
include patients who need help with or are unable to - ANSWER Both B
and C
complete the emergency take off procedure
Evacuate in safe and timely manner due to impairment
26.Per the CDC, which is the most important route by which pathogens are
transmitted in healthcare settings including dialysis centers? - ANSWER
Contact transmission
27.A recommended intervention for muscle cramps is - ANSWER Turning the
ultrafiltration (UFR) off.
28.A patient target weight is - ANSWER Both
Prescribed and determined by physician order
Modified by physician based on patient tolerance
29.What complication would you expect to see if a patient is exposed to
chlorine - ANSWER Hemolysis
