2026\2027 A+ Grade
Water and dialysate cultures are drawn every month in the dialysis unit to monitor
- correct answer Bacteria and endotoxins
What problems will cause a more positive (less neg) pre-pump arterial pressure?
- correct answer Blockage of arterial blood flow from the vascular access
What is the most likely reason for a blood leak detector alarm during recirculation?
- correct answer -Air bubbles in the dialysate
-Check dialysate connections, bleach machine
What is an appropriate intervention with an air/foam detector alarm?
- correct answer Look at the circuit for blood in the system. DO NOT return blood w/ air in the system
What will cause a more negative pre-pump arterial pressure?
- correct answer Kinking of the arterial blood line between the vascular access and arterial monitor
If clotting occurs in a high flux dialyzer, the tmp will?
- correct answer Decrease
What could be the reasons for a conductivity alarm on the dialysis machine?
- correct answer When the dialysate is mixed incorrectly or there is not water, acid, or bicarb
the person responsible for implementation, adherence, and training of the facility specific emergency
management plan (EMP) and applicable policy and procedures is
- correct answer Fa or designee
,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
- correct answer both b and c
What is an important action prior to returning a patients blood using the hand crank in the event of a
power failure ?
- correct answer Remove the venous line from the line clamp
Per physician order and based on individual patient needs, Chronic Kidney Disease Mineral and Bone
Disorder (MBD) is treated with
- correct answer Phosphate binders
Vitamin D (Hectorol), and Cinacalcet
Poor wound healing is directly related to
- correct answer Low (albumin) protein intake
Phosphate binders are prescribed to prevent phosphorus in meals from being absorbed. When is the
best time to take them ?
- correct answer With a meal
The definition of health Literacy is?
- correct answer Ability to obtain, read, understand and use healthcare information in order to make
health decisions and follow instruction for treatment
If you notice that a patients caregiver is struggling to meet the demands of the patients treatment
regimen you should
- correct answer Contact social worker
The psychosocial assessment completed by the social worker
- correct answer an evaluation of a persons mental health, social status and functional capacity within
the community
, The Clinical Pyramid includes:
- correct answer The Fundamentals: Immunizations, Iron, Dialysis Access, Calcium, Phosphorus, Hb, Kt/V,
Target Weight, Access,PTH, etc.• Complex Programs: Fluid Management, Infection Management,
Diabetes Management, Med Management, CVCManagement, Palliative / EOL Care, Infection
Surveillance, Transition of Care, CKDEducation, Depression, Missed Treatments, etc.• Measures of
Effectiveness • Mortality, Hospitalization /Re-hospitalization, Patient Experience of Care• What Matters
Most • Our patient's health-related Quality of Life
DaVita Quality Index (DQI) success is achieved
- correct answer Encourage continuous improvement across aboard range of disease management
processes (all the above)
What can be the most likely result if the surveyor sees a patient with a covered vascular access?
- correct answer immediate jeopardy
A surveyor asks you a question. Which of the following statements would be a good answer ?
- correct answer I do not know the answer but I will find out.
Intra-renal causes of AKI
- correct answer Ischemic ATN, Sepsis, SIRS, Septic Shock, Anaphylaxis Drugs, Goodpasture Syndrome,
Acute Glomerulonephritis, Trauma, Open Heart Surgery
Knowing what caused your patients kidney failure
- correct answer can cause complications to treatment
A patient with acute kidney injury dialyzes in the out-patient facility. With regards to the patients target
weight, why is being "wet" better that being too dry?
- correct answer
The excretory function of the kidneys include
- correct answer Removing access water, urea, and metabolic wastes from the blood.
Acid concentrate replaces the excretory function of normal kidney function by
- correct answer Hemodialysis removes urea, salts, and excess water from the blood normalizing
electrolytes, removes metabolic acidosis